Hey everyone, sorry I've been missing for awhile... Real life has been keeping me pretty busy. lol ;P
I have seen my shrink again since I first posted this, and I did feel a lot more able to express myself this last time, however she still seems to doubt the veracity and permanence of this new "issue" and wants to question and prod and "make sure it's not a reaction to something else" etc.
Have any of you experienced this, either with a general therapist or a gender therapist? Should I be glad that she's vetting my motivations and rest assured knowing that once she's satisfied with the truth of my situation I'll have some sort of definitive "answer" to back me up? Or should I be wary of her need to test me on this and qualify how I express my gender identity?
Anyhow, on to the responses. I really appreciate the time you each took to give me your thoughts.
Quote from: Leslie Ann on July 23, 2009, 10:58:31 PM
I was hoping Nichole would have chimed in here by now. She would probably have soem good answers for you on this part especially.
The current D.S.M. should probably be the best place to start, if she is decent that is where she will start, but reading a few things by others wouldn't hurt. The problem is going to be what she reads. If she starts reading things from Zucker or Bailey, watch out, and there is a chance that she will. If you have been reading at all yourself, undoubtedly you have seen that there is at least as much bad information as there is good information.
If she follows the S.O.C. you will get through transition, and in terms of therapy, you are fine with her. The one thing you will be missing is anything she will have learned from others, which can be considerable, however with this place and others on the net, you should be okay. Again, my worry is that she will want to deal with what she knows first (let's just deal with this, then we can work on that...). Regardless, if they are connected to your G.I.D. issues.
I do think that's she's trying to deal with what she knows, but not in the sense of "let's deal with your other issues first"... more in the sense of trying to deal with this almost like it's "just any other issue" which bothers me because this isn't some sort of defense I've developed to deal with life, or a response to how I feel about myself due to my other issues, etc. But like I mentioned above, I'm not sure if I should be appreciative of her thoroughness, or question her methodology.
Quote from: Randy on July 26, 2009, 02:03:42 AM
Yes, very true. I didn't come of the womb shouting "I'm a transsexual!!!!" . It was mostly a feeling of being different, of wanting to do what the boys could do, and as I got older, having undeniable envy of their bodies. I couldn't find a label to slap onto it until I was 11 or 12.
But anyway, my point is, don't let anyone (even your therapist) give you a reason why you're not really trans. You're the only one who can determine that, no matter when you figured it out. I went through months of that with my parents and sometimes with myself.
"Oh, you never did this as a kid, so you can't possible be transgender" or
"Real trans men like women" or
"Real trans men like sports"
etc, etc, etc
Unfortunately my first and only therapist is knowledgeable on trans issues so I don't really have experience with one who isn't, but I'll second your suggestion on introducing her to the SOC. They've got to start somewhere right? I think mine started out that way... (with a trans patient who wanted hormones). Also, maybe you could discuss with her how you feel about your identity being thought of a symptom of something else? And the reasons why you feel you need to transition. This might make a more convincing argument than citing cross-gender behaviors from your childhood. If I put myself in her shoes, I might be wondering why you haven't ever brought it up in 3 years of therapy, assume it's a recent development and therefore systematic of something else. Or maybe she's just trying to see if you're serious?? IDK, I'm not a therapist just a thought.
I do understand why she'd be thrown by the fact that in three years of therapy I hadn't yet brought this point up, but the thing is, I've been dealing with a lot of (for lack of a better phrase) "more pressing" issues during that time, and I feel that now that I've shed some of those heavier layers, this one has now come to the surface. As I've dealt with some of these issues over the years, I've gotten to know myself better, and recently what I've gotten to know about myself is that this gender identity of mine has been pushed under the surface all along, just like many other facets of myself had been until they were each revealed in turn. It's simply that this facet of myself is now "taking its turn" so to speak.
Quote from: tekla on July 26, 2009, 02:40:04 AM
Warning - far too blunt.
Face it most of the people in here who do 'therapy' are not interested in therapy at all, they want a letter or a recommendation and that's that. The therapist who sees you knows that, and does not care. Your need for T/E and an operation = a vacation house on Maui. Even exchange.
So now you're in a situation which by your own admission: During this time I had never mentioned to her any issues/questioning to do with my gender identity. I had enough other things to deal with, and honestly I wasn't facing my gender issues *myself* even, so I didn't know to bring it up. I had already incorrectly assumed for most of my life that since I am in a girl's body I have to be a girl, and since I'm not "manly" or masculine enough, I couldn't possibly be trans. Especially since I hadn't always known my whole life that I was trapped in the wrong body, etc.
So, you lied to yourself, and sure as hell did not tell the truth to the therapist. The result? Your no closer to finding anything out, but her/his house on Maui at least has a kitchen.
I also understand that it's probably "prudent" to make sure that I'm not deluding myself due to some other issues, blah blah blah.
Which does seem wise to me. If you are thinking 'because I'm a failure at being X, it must mean I'm Y, is not true. That you fail at one thing does not equate to success at another.
By 'educate her' do you mean 'get her to say what I want'? Is that therapy, or just buying an agreement? And a house on Maui you will never vacation at?
Don't worry about being too blunt with me, I'd rather hear what people really think and deal with the aftermath of how it makes me feel than to just be placated with sugar-coated reassurances without actually getting anywhere in the process. So I appreciate your comments, and even more your questions, they really force me to think about the answers. Which I guess is quite similar to the whole therapy process, and even the point of support groups/forums like this too.
So, on to your comments/questions. I didn't originally start seeing my therapist for the purpose of acquiring T or for a surgery letter. I first sought therapy because I had grown up being abused (sexually, physically, mentally) by my step-father from the ages of 11 - 18. When I finally stopped hiding the abuse from my mom, and moreso myself (at the late-blooming age of 26) it opened a floodgate of emotional problems that I was finally ready to face, including the "new" problems it created (my mom left my step-dad as soon as I told her, which was a good thing, but not without its own complications). As I mentioned somewhere above, as I shed layers of repression (the abuse, being married to a man at the time although I was/am primarily attracted to women, guilt at breaking up my childrens' home for "selfish" reasons such as being myself, self-esteem issues related to all the other stuff, etc.) I learned more about myself with each new discovery, up-to-and-including this newest discovery.
Also, my therapist works for a program through the local teaching hospital. It's free for me (covered by provincial health benefits), and she doesn't get paid per hour or per client. She is a salaried employee, who mainly deals with assessing intakes into the program, who then go on to see masters' students for their therapy. When I was assessed, "the powers that be" decided to keep me with the experienced therapist rather than to put me with a student. So essentially, whether I am there or not has no effect on her pay or any potential vacation houses in Maui or elsewhere. lol
But on to the crux of your response: am I just expecting my shrink to confirm my identity or in other words "tell me what I want to hear". The short answer: no. The long answer: Basically I don't really care what she thinks my gender identity is, as I do feel confident enough that unearthing this knowledge about myself has been a long time coming and is the product of getting to know my authentic self, rather than the product of developing a defense against problems in my life.
The reason I'm interesting in educating my therapist is less to do with her opinion, and more to do with still being interested in exploring my life, getting to know myself, and having a place to go to do so in a safe and productive way. Just because I've figured out this new facet of myself does not mean I have no further learning left. In order to continue doing that in a way that will be sincere and allow me to progress, I need to include my therapist in this aspect of my identity. Pushing it aside and just trying to deal with everything else wouldn't help me any more than just "hearing what I want to hear" would.
Quote from: sneakersjay on July 27, 2009, 08:08:54 AM
I went through the same thing with my therapist who I'd been seeing for >3 yrs. At first she said it made sense, then she said she was willing to learn and help, but by the 3rd visit after coming out to her she basically in not so many words told me to go back into the closet and stay there (with the tired arguments about losing everything -- job, family, friends, kids, etc).
Needless to say I found a gender therapist and that was the end of that. Esp. when the person I found (one who trains therapists on gender issues) had not been contacted after I gave her his info (ie she did NOT really want to educate herself).
Jay
It's sad to hear what happened with your therapist and I really do hope that doesn't end up the case with this therapist. Especially since the only gender therapist in my area has an 18 month+ waiting list. But if I have to move on to someone who can better help me, I will. Before that though I'm going to try my best to salvage and maintain the relationship I've built with this shrink. Who knows if I'll be able to, but I'll give it a good go at least.
Quote from: K8 on July 27, 2009, 08:36:20 AM
I am too lady-like to respond to this, but it's initials are B S.
I am seeing a general therapist who was extremely helpful to me through a difficult period of my life completely unrelated to my gender issues. Once most of that was settled (more or less ) our sessions moved to my gender issues. My therapist doesn't have a lot of experience with this. Sometimes I would feel that I had gotten ahead of her, but at the next session she had caught up and was again helpful.
Give your therapist a few more sessions to educate herself. If she doesn't keep up, start looking for someone who can be helpful in this next phase of your life. She should find the SOC and more for herself. You shouldn't have to force-feed her.
- Kate
That's my hope Kate. I really do hope my patience and her willingness will go hand in hand to allow our work to include my gender identity rather than either pushing it aside or worse trying to "cure" it. I'm really glad to hear that you've experienced success in doing this. That gives me hope!
Anyhow all, it's late here and I should get going, but thank you all again for your insight and relating the experiences you've been through. Please feel free to respond to anything I've added here, I always welcome further scrutiny, it helps me immensely.