Susan's Place Transgender Resources

Community Conversation => Transsexual talk => Male to female transsexual talk (MTF) => Topic started by: Karla on May 08, 2013, 01:23:07 PM

Title: Are Therapists Milking the Transgender Community?
Post by: Karla on May 08, 2013, 01:23:07 PM
Following on the thread at: https://www.susans.org/forums/index.php/topic,140171.20 (https://www.susans.org/forums/index.php/topic,140171.20) ...i wish to discuss the money aspect separately.

Quote from: SamB on May 08, 2013, 11:02:10 AMIn selected circumstances, it can be acceptable practice to provide hormones to patients who have not fulfilled these criteria. Examples include... and who have a history of prior hormone use.

Thanks for that... there we go.  I was on HRT for six months in 1987... and might have continued, but for a bad experience in therapy.  I'll bring that to the doctor's office.

My ability to trust has worn thin.   If it seems like i'm upset, i am.  It took two months to get an appointment with this new GP doctor.  So I started therapy right away... after a month of therapy, now the therapist says she 'wants to get to know me better' before writing a letter in time for this appointment.   

I have no desire to DIY and I'll play the system by its rules (no choice), but let's have no illusions that some of us are being milked for our hard-earned cash.

I'm not surprised that so many young people DIY, regardless of the dangers.  Fresh out of college (in today's job market), who can pay for months and months of therapy, just to get official approval for one's own life choices?

Catherine wrote, 'Transition is a MAJOR life changing event, and there's more to it than "being quite sure of what she wants"'.  Sure it is.  My life. 

Please advise.  Please remember that although i'm a newbie, i have strong opinions.  Never mistake submissive for servile, or docile.

Thanks,
Karla
Title: Re: Are Therapists Milking the Transgender Community?
Post by: MaidofOrleans on May 08, 2013, 02:14:10 PM
Some milk and some genuinely are concerned. My mom is a therapist herself (family and eating disorders) and I genuinely think she cares about helping her patients and not the money, but there are some out there that will milk you for your cash. Just like in every field of work there are good and bad apples.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Karla on May 08, 2013, 03:39:32 PM
Thanks, MaidofOrleans, this makes me feel better.  :)

So i think i ought to try, 'informed consent' and use therapy as a long term discussion.  If one therapist is wasting my money, i'll find another, and another, 'til one sticks.

Sorry, i have been in a bit of... dismay... over this.

My pro-choice opinions can wait for another time.

Cheers,
Karla

Quote from: MaidofOrleans on May 08, 2013, 02:14:10 PM
Some milk and some genuinely are concerned. My mom is a therapist herself (family and eating disorders) and I genuinely think she cares about helping her patients and not the money, but there are some out there that will milk you for your cash. Just like in every field of work there are good and bad apples.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Sammy on May 08, 2013, 04:09:00 PM
Right now I am thinking about changing my therapist or giving a try to another - female therapist. My main issue so far has been that here in my country we do not have any gender-specific therapists. so many of them claim that with their experience and education they can treat any situation. At the same time, I became aware that some of our general therapists have dealt with TG patients before, but they do not openly admit this, so finding out who is competent and who is not has been quite a pain in the butt. So far, I have had about 2 months of active sessions once per week but my overall feelings are that we are sort of having a general therapy, talking about my childhood, family, relations with my parents etc. Each session brings up more issues to touch upon and he keeps claiming that we still have a long journey and many areas to cover, including my sexual experience etc. But.. With each session I sort of get the feeling that we depart from TS-related stuff into some other vague psychiatric areas, which can be explored until one of us will be fed up with this. Sure, we can have this exercise for years, I have to give him the credit that he actually helped me to restore my shattered family ties with my mother to the extent that she almost seems like accepting the situation. But that is not a gender therapy. I have no idea what gender therapy is like, but what I have read here and what we are doing in his office, are two different things.
Still... today we had another therapy session, we talked about some sense of internal guilt about many things and at the end he asked me why I am not talking about HRT anymore. So I told him that I have chosen the approach of "Less talk, more action", repeatedly told him (apparently he forgot) that I got into contact with endo, did the blood tests and my HRT is bound to start in one week, and he did not seem that much interested in this. Therefore, I am not really sure that he will be able to provide sufficient support in terms of therapy, when I will be facing new issues with the HRT. I am quite sure that he will keep scaring me away, talking about how I might be perceived by others, that I will be exchanging male sexual experiences for God-knows-what which might not be even functional and it will not as functional as "real" female parts, and am I really sure I want this. Another point, which usually has the effect of internal mental facepalm for me is "Am I sure that I wont be happy to live as effeminate man? Now is 21st century and nobody would care much about how I express myself" Apparently, my attempts to explain the main difference between transwoman and effeminate man do not get much response or recognition, because we keep getting back to this from time to time. And I am spending 70 bucks for this each week. Still, he is good and experienced as the general therapist.
So, as I said, I am inclined to try out a female therapist, who happened to be my good acquaintance, but I never knew that she had degree in psych too...  And when my HRT starts, even if I dont have the therapy on a weekly basis, I suspect that I will be in a need of someone with whom I can share and talk, even if this is like once per two or three weeks only.
I also finally realised that here I do not need therapy, per se, to get the hormones - I rather needed some luck, good friends and connections, so doing the therapy has been my personal choice and despite all the above-mentioned issues and some struggle, which still goes on, I do believe that it came out better with what I got, than if I would have done this without any therapy at all.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Donna Elvira on May 08, 2013, 04:42:21 PM
Finding a therapist you are comfortable with is very tricky and it took me 5 tries before I was successful. Obviously a lot depends on what you are going to see the therapist for. If it is to get a letter which opens the door to HRT I believe it totally skews the relationship , frequently leading the patient to tell the therapist, who is now a "gatekeeper", what one believes he/she wants to hear.
Personnally, I was looking for someone I felt comfortable actually telling the truth about my feelings, my doubts, conflicts etc.. someone I could be completely open with and who would simply help me better understand myself by asking the right questions at the right time.
In particular, with a very understanding doctor,  I had no need for therapist's letter of approval to get HRT. The issue will eventually come up for GRS but I believe it will come up naturally when the moment is ripe.
As indicated in the beginning of this post, I have found the person I was looking for and she has been remarkably present for me through a couple of very rough patches over the last year and this had nothing to do with money. She cares and it shows.
Bises
Donna 
Title: Re: Are Therapists Milking the Transgender Community?
Post by: suzifrommd on May 08, 2013, 05:41:13 PM
Try to find a therapist who is a member of WPATH. The WPATH standards of care make it very explicit that it is up to the patient when to start HRT (http://www.wpath.org/documents/Standards%20of%20Care%20V7%20-%202011%20WPATH.pdf (http://www.wpath.org/documents/Standards%20of%20Care%20V7%20-%202011%20WPATH.pdf)) last paragraph on page 25.

Any therapist that stands in your way is a gatekeeper and a leech.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: ChristyB on May 08, 2013, 06:35:35 PM
Over the years I have had several therapists of varying competencies. Therapists are no different than mechanics, or plumbers or any profession. There are those that are in it for business and those that are in it for the feeling they get by truly helping people. My current therapist has no gender specific experience and she was very forthcoming about that when I asked. She is pushing me to find someone to talk about gender specifics that has experience even if it means I would see her less or not at all. That speaks volumes for her professionalism. The key as mentioned is to find someone who will help you. If your current therapists isn't, simply fire them and look for another. If your car had a bad transmission and your mechanic wanted to replace the engine, would you take your car back to them?

Hope you find someone,
Christy.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: FrancisAnn on May 08, 2013, 08:02:20 PM
Some are nice & some are impossible. Just find & meet new one's until you are satisfied. No need to stress on it too much, life is too short.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Northern Jane on May 08, 2013, 08:55:26 PM
I have wondered about the therapy requirement and when/why it came into being.

I went through all of this between 1966 and 1974, before there was an established protocol. I found a sympathetic doctor, a gynecologist, who started me on hormones at 17 (a year below 'age of consent'). There was no surgery available then but he arranged a "psychological assessment" which he felt would be a requirement for any future surgery. The assessment was completed in one weekend. When surgery became available (1974), everything was in order.

I am not saying that I would not have benefited from counselling - there were issues of childhood abuse and PTSD that I did not deal with until years later - but I was not, at that time, patient enough to deal with anything but the major issue on my life.

It looks, to me, like the present system is more about following a prescribed path than about getting to the truth.

JMHO
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Joanna Dark on May 08, 2013, 10:53:22 PM
I don't think any therapist goes into gender identity disorders in order to get rich. If they did, they need to reconsider how they make life decisions. I mean transgender and transsexual persons are incredibly rare. We are like  0.2 percent of the population and that is a liberal estimate. We are probably even less. Also, due to the explosion of people identifying as trans in the last decade, they do have to be careful. I'm prob going to get flamed for saying this, but I just don't believe that every single person who identifies as trans is in need of medical intervention. For some, it can be a risky prospect. Anecdotally, consider the large number of trans women with multiple children.

PLEASE don't take this out of context. I'm not saying that people who have children are not trans. What am saying is that if you have children and a wife and a very masculine profession AND you were legitimately happy and then all the sudden you discover you are trans when you were not before, I think therapy would be a good idea before irreversibly chemically castrating yourself and perhaps losing your ability to sexually function in a penatrative manner. Many men, like 99 percent, consider losing that ability a reason to die. Look at all the war movies were some guy euthanizes some other guy because who got shot in the balls. There is quite a few. Dead Presidents is the first that comes to mind. So, a couple months of therapy to make sure you are sure in these cases is probably a good idea. Not saying anybody this applies to isn't trans. I mean for me having sex was incredibly difficult and sometimes impossible. I don't even like touching my testicles. Nothing skeeves me out more. *shivers run down spine* Theother thing is life has been incredibly hard for me. I was very succseful before the bubble burst but it was not because of male privilege it was because my career is magazine editing and I worked as..wait for it...a fashion and beauty editor and erstwhile gossip columnist. I also covered parenting and baby features. Not exactly what every boy grows up dreaming to be. In fact, I was astounded they ever hired me. This was the best time of my life. I was really good at it and I loved all the makeup and clothes and beauty swag I got. It is prob the most female job one could have. And I was really good at it. Funny this is my mom still says I don't believe you ever showed any female side. Like, what? This also during the time where I had a girlfriend and fiance. So maybe my mom looks at that. But she should also look at the fact she had a shaved head and was very masculine. Not anymore though. In fact she dumped me when she was done with her lesbian phase as she called it. She always said I was woman with a penis lol or just plain woman. But I digress.

I know I am kind of sounding more trans then trans but it is not my intention. I know I sound like a trans elitist but I just think in some cases, not all, you shouldn't just jump right in. I do think if one wants to go the HRT route they are prob trans. But given the rate of detransition and suicide after SRS (I consider one suicide high) you want to be 100 percent sure. The other thing is and this is actually what I meant to say but I always get sidetracked, is that it is not the therapist's job to fix you. You will get out of therapy what you put in. And I have had way too many therpaists, psychologists, and psychiatrists. Know why it didn't work? Cause I refused to tell the I was trans. I just couldn't do it. And being trans is the defining characteristic of my life. It's like what they say in NA: it works if you work it! You have to put something in. IDK, I just don't think anyone goes into gender counseling to bilk trans men and women. I think the majority do it because they legitimately want to help us.

I prob shouldn't even post this as i really hope I haven't hurt anyone's feelings. And I'm really not a trans elitist I just think some people, not all, should get some counseling first if being trans only recently manifested itself. Sometimes I imagine for some people becoming a woman is prob a tragic mistake. I guess I just don't understand the high number of uber-masculine trans women. I just want to offer a different POV. Please please please don't be offended. Ack. I'm scared lol
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Joanna Dark on May 08, 2013, 11:36:05 PM
Quote from: muuu on May 08, 2013, 11:20:08 PM
Detransition is another thing though, but does that really happen that often?

Peer reviewed medical journals report the rate of detransition to be 31 percent from what I have heard. I don not if it is true or not but I do not believe that it is the less then 1 percent that is reported on trans web sites. It is probably somewhere in between. It is such a complex issue that it is hard to say if transition is right for a person. I mean I am 100 percent sure that I am a transsexual and have been for very long time and I'm only 30. Yet, in the last week or so I have started questioning whether or not I am making a huge mistake and this at the exact moment I am starting to pass and I have only been on HRT for 73 days. I don't know why it has sped up so fast so quick.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Northern Jane on May 09, 2013, 01:18:52 AM
Quote from: muuu on May 08, 2013, 11:20:08 PM
Wouldn't those other issues be dealt with by a regular therapist, not a gender therapist?

Yes, and they were eventually.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: V M on May 09, 2013, 02:06:50 AM
I'm actually considering to find a new therapist at this time

I've had a few therapists over the years, non were specifically gender therapists but most had some training regarding gender issues -

One or two have been very impressive and helpful, some seemed to be 'milking it' to make a check imo and there were a couple I felt to be more harm than good

I've been working with someone who goes by another title for the past few years but is within the realm of therapy and has been more help than any 'therapist' I've ever had
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Sammy on May 09, 2013, 02:21:07 AM
What is the overall impression from our MtF audience? Are female therapists better suited to our situation than males? I know, we all communicate better with women, even if they dont know we are trans, because subconsciously they know we are the same or at least that we are different from men.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Joanna Dark on May 09, 2013, 03:16:52 AM
Quote from: Sammy on May 09, 2013, 02:21:07 AM
What is the overall impression from our MtF audience? Are female therapists better suited to our situation than males? I know, we all communicate better with women, even if they dont know we are trans, because subconsciously they know we are the same or at least that we are different from men.

I've always preferred female therapists for all my problems. And that's one thing I have never been short on--problems. But I think it's easier to talk to a woman about being a woman yet being born male. It's not that I think male therapists are worse; its just I think it's easier for me to communicate with women, for a variety of reasons.I've always felt this way and I've always preferred female company. In first grade, I got in so much trouble for using the girls batthroom with my friend who I convinced I was a really a girl. So I just find it nice to talk to someone about my issues and past horrors and do not mind having a therapist. I've also known  I am trans since I was 10 so I really don't need one to help me figure it out. There is nothing to figure out. I am nothing if I am not trans. But I'd rather be chromosomally XX. I used to pray when I was 7/8/9 for God to transform into a girl and to right this wrong that has been done to me. The great thing about HRT is that I no longer have dysphoria but it's still good to talk. I like talking. Today, when everyone referred to me with female pronouns was probably the best day of my life. I literally cried. It wasn't just some "Ooh that's nice." It was a spiritual experience and the culmination of a lifetime of suffering and failure. I'm really smart but barely graduated high school because of all my issues. And this is the kind of things I talk to my therapist about. And prob also about why now I am again depressed because I feel like today was fleeting and tomorrow I'll be sir'd to death and that it was a one off.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: FrancisAnn on May 09, 2013, 04:41:44 AM
From my experience a female therapist is much more pleasant & productive than any male "therapist". A male has no idea whatsoever about what we are truly feeling inside.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: delia_dunno on May 09, 2013, 06:24:58 AM
Quote from: Sammy on May 09, 2013, 02:21:07 AM
What is the overall impression from our MtF audience? Are female therapists better suited to our situation than males? I know, we all communicate better with women, even if they dont know we are trans, because subconsciously they know we are the same or at least that we are different from men.

I see a gay man whose practice is, I would guess, 95% gay men and 5% trans women. His background is in the treatment of addiction, and he treated many trans addicts in a rehab setting before opening his own shop. I am very happy. Didn't have to waste weeks developing a rapport because he knew the subset of issues I may be walking in with. I think gay men and lesbians are often a good fit for trans folk as therapists.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Karla on May 09, 2013, 06:28:03 AM
Quote from: Joanna Dark on May 08, 2013, 11:36:05 PM
Peer reviewed medical journals report the rate of detransition to be 31 percent from what I have heard.
...in the last week or so I have started questioning whether or not I am making a huge mistake and this at the exact moment I am starting to pass and I have only been on HRT for 73 days. I don't know why it has sped up so fast so quick.

Joanna,

I too hit that bump, a bit over 2 months in.  Then i opened the front door, took a deep breath, felt the wind in my hair, and went out.   Is it fear?  Is it hormone fluctuations, the little doomed nuggets squirting T into the bloodstream as quickly as possible?  Do we fear the process ahead?  Fear other difficulties?  Fear becoming a second class citizen in society's eyes?   Who knows.  Be brave.

I detransitioned not at that time, but a couple of months later, due to career pressures, family pressures, and the very real possibility of becoming homeless.  I don't know where academics get their figures (following the citations suggests that they're passed around in a circle)... i simply dropped off the face of the map, as i'm sure many do.  I don't recall having received a 'why did you resign?' survey in the mail.

This is a fascinating thread, and although it was a rant, i'm glad i started it.  I have learned a lot here.

Cheers,
Karla
Title: Re: Are Therapists Milking the Transgender Community?
Post by: FrancisAnn on May 09, 2013, 06:31:51 AM
Karla, Lucky Lucy.

Go forward young woman, do not look in the rear view mirrow.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: eli77 on May 09, 2013, 06:36:35 AM
Quote from: Joanna Dark on May 08, 2013, 11:36:05 PM
Peer reviewed medical journals report the rate of detransition to be 31 percent from what I have heard. I don not if it is true or not but I do not believe that it is the less then 1 percent that is reported on trans web sites. It is probably somewhere in between. It is such a complex issue that it is hard to say if transition is right for a person. I mean I am 100 percent sure that I am a transsexual and have been for very long time and I'm only 30. Yet, in the last week or so I have started questioning whether or not I am making a huge mistake and this at the exact moment I am starting to pass and I have only been on HRT for 73 days. I don't know why it has sped up so fast so quick.

Uh... Which medical journal? Post-SRS, rates of detransition are pegged around 1% by every study that I've seen... In fact it's widely regarded as one of the surgeries with the highest rates of success. All surgeries have failure rates, just to be clear.

Also, once again, I'd like to point out that prioritizing the health of cis people over trans people is gross. If a few cis people get themselves on hormones? Well, they'll probably figure it out pretty quick. And if they don't, too bad. I'm a bit more concerned about our insane rates of suicide, depression and substance abuse than a handful of delusional, privileged cis folks. Sorry.

If this isn't the right path for you, figure that out for yourself. Making permanent physical changes to your flesh is serious stuff. Obviously. Honestly, I think it's bizarre the whole shuffling responsibility off on therapists. Yes, therapy can be a useful tool during transition, because transition is stressful as hell. But as a gatekeeper? We aren't children. We are perfectly capable of making our own decisions and taking responsibility for them.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Karla on May 09, 2013, 09:16:48 AM
Quote from: Sammy on May 09, 2013, 02:21:07 AM
What is the overall impression from our MtF audience? Are female therapists better suited to our situation than males? I know, we all communicate better with women, even if they dont know we are trans, because subconsciously they know we are the same or at least that we are different from men.

Sammy,

I don't know.

Because my first therapist was male, and a bad experience, it's made me distrustful about men... at least on the therapy couch.  I wouldn't want a male electrologist either... my first one (1987) was male, and kept offering to introduce me to men.  A little too helpful.

Is that to say that males are not qualified?  Certainly not.  Or that all females are qualified?  My new therapist is female, but the jury's out on her.  Supposed to specialize in gender issues, but i feel she's dragging her feet.  I wish she would just get the stupid letter out of the way, a formality that she's taking far too seriously... so that we can get on with the business of actual therapy.

Am I too impatient ?  Don't hold back, I'm here to learn.

-Karla
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Asfsd4214 on May 09, 2013, 11:25:03 AM
Yes, they are. Psychiatry being one of the worst offenders.

And really our own community has itself to blame, therapists may be scamming us out of our money, but it's us that not only let them do it, but have many among our ranks who believe the rhetoric too.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Joanna Dark on May 09, 2013, 01:21:01 PM
Quote from: Sarah7 on May 09, 2013, 06:36:35 AM
Uh... Which medical journal? Post-SRS, rates of detransition are pegged around 1% by every study that I've seen... In fact it's widely regarded as one of the surgeries with the highest rates of success. All surgeries have failure rates, just to be clear.

Also, once again, I'd like to point out that prioritizing the health of cis people over trans people is gross. If a few cis people get themselves on hormones? Well, they'll probably figure it out pretty quick. And if they don't, too bad. I'm a bit more concerned about our insane rates of suicide, depression and substance abuse than a handful of delusional, privileged cis folks. Sorry.

If this isn't the right path for you, figure that out for yourself.

Uh, excuse me? Did I say I need a therapist. Um, no. Did I say the rate of detransition is 31 percent? Um, no. I said other people say that and I say it is somewhere in between 31 and 1. I call this line of thought: moderation.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Asfsd4214 on May 09, 2013, 08:12:33 PM
Quote from: Sarah7 on May 09, 2013, 06:36:35 AM
Also, once again, I'd like to point out that prioritizing the health of cis people over trans people is gross. If a few cis people get themselves on hormones? Well, they'll probably figure it out pretty quick. And if they don't, too bad. I'm a bit more concerned about our insane rates of suicide, depression and substance abuse than a handful of delusional, privileged cis folks. Sorry.

If this isn't the right path for you, figure that out for yourself. Making permanent physical changes to your flesh is serious stuff. Obviously. Honestly, I think it's bizarre the whole shuffling responsibility off on therapists. Yes, therapy can be a useful tool during transition, because transition is stressful as hell. But as a gatekeeper? We aren't children. We are perfectly capable of making our own decisions and taking responsibility for them.

Someone on susans said something I agree with...

I'm not a lesbian but... merry me?  ;D

<3
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Eveline on May 09, 2013, 09:18:01 PM
Quote from: karla.allen on May 08, 2013, 03:39:32 PM
So i think i ought to try, 'informed consent' and use therapy as a long term discussion.

Karla, that's the approach I'm taking. My endo didn't require a letter, and the same goes for some well-regarded FFS surgeons (at least the non-US surgeons I've been considering).

Of course, I live on the Left Coast. Don't know if it will be tougher to find an endo with the same policy in your area...
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Ltl89 on May 09, 2013, 09:25:08 PM
Quote from: Sarah7 on May 09, 2013, 06:36:35 AM
Uh... Which medical journal? Post-SRS, rates of detransition are pegged around 1% by every study that I've seen... In fact it's widely regarded as one of the surgeries with the highest rates of success. All surgeries have failure rates, just to be clear.

Also, once again, I'd like to point out that prioritizing the health of cis people over trans people is gross. If a few cis people get themselves on hormones? Well, they'll probably figure it out pretty quick. And if they don't, too bad. I'm a bit more concerned about our insane rates of suicide, depression and substance abuse than a handful of delusional, privileged cis folks. Sorry.

If this isn't the right path for you, figure that out for yourself. Making permanent physical changes to your flesh is serious stuff. Obviously. Honestly, I think it's bizarre the whole shuffling responsibility off on therapists. Yes, therapy can be a useful tool during transition, because transition is stressful as hell. But as a gatekeeper? We aren't children. We are perfectly capable of making our own decisions and taking responsibility for them.

I agree with your overall point.  However, I do think therapists have an important role to play to ensure their patient is making the right decision.  The fact is that there are some transgender people who might have conflicted feelings.  Not everyone needs to transition.  Yes, many here (including myself) feel this way, but it isn't a universal standard.  I don't think the point of the therapist is to catch deluded cisgender people, but rather making sure that transgender individuals find the proper course to heal their GID.  Transitioning is right for a lot of us, but not all of us.  That is why there are some people who do decide to detransition.  Transitioning is great for the right person, but it can be horrible for the wrong one.  A good therapist should make sure that their patient is doing what is right and good for them. 

That being said, some therapists should be more flexible and not act like pure gatekeepers.  It should be a mutual relationship of trust.  They should be there to help you find your path, begin your journey, and give you advice and encouragement along the way.  If not, then it is time to find a better therapist.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: eli77 on May 09, 2013, 10:10:23 PM
Quote from: Joanna Dark on May 09, 2013, 01:21:01 PM
Uh, excuse me? Did I say I need a therapist. Um, no. Did I say the rate of detransition is 31 percent? Um, no. I said other people say that and I say it is somewhere in between 31 and 1. I call this line of thought: moderation.

That was more of a global "you," not a specifically you, "you." I have no idea if you personally need a therapist, and that's kind of the point. It's not my business. And it's not anyone's business. If you want a therapist to help with transition, awesome. If you don't, also awesome. But it should be your choice.

And I was asking for the study because I'm pretty sure it isn't between 31 and 1 percent. I'm pretty sure it's just 1 percent.

Quote from: Asfsd4214 on May 09, 2013, 08:12:33 PM
Someone on susans said something I agree with...

I'm not a lesbian but... merry me?  ;D

<3

I am a lesbian, but I'm afraid I'm taken. :)

Quote from: learningtolive on May 09, 2013, 09:25:08 PM
That being said, some therapists should be more flexible and not act like pure gatekeepers.  It should be a mutual relationship of trust.  They should be there to help you find your path, begin your journey, and give you advice and encouragement along the way.  If not, then it is time to find a better therapist.

My personal experience with gender therapy amounts to "relatively painless" and "some useful information that would be hard to find online." That that is a fairly positive result is frankly pathetic. If there is ever going to be any kind of trust between therapist and patient, there can't be gatekeeping powers in the way. That is like "how to get your patient to lie 101" nonsense right there. And it frustrates me that we still have members of our own community standing up and saying that everyone should be restricted on the basis of their own concerns.

And there was one therapist where I transitioned. "Find a better therapist" is a nice thought. But often harder to put into practice.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Joanna Dark on May 09, 2013, 10:39:40 PM
Quote from: Sarah7 on May 09, 2013, 10:10:23 PM
That was more of a global "you," not a specifically you, "you." I have no idea if you personally need a therapist, and that's kind of the point. It's not my business. And it's not anyone's business. If you want a therapist to help with transition, awesome. If you don't, also awesome. But it should be your choice.

Well I am sorry I kinda got so b!tchy. I was in a mood and I shouldn't have been so glib. I agree with you for the most part that therapists aren't necessary if you know 100 percent that you're trans. But it seems like a lot of people have latent onset transsexuality and have never experienced any issues with being male.

Oh, here is the only peer-reviewed study on long-term outcomes of HRT and SRS: http://www.plosone.org/article/info:doi/10.1371/journal.pone.0016885 (http://www.plosone.org/article/info:doi/10.1371/journal.pone.0016885)

The results look good but I still consider 4 suicides in a control group of 150 alot.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Asfsd4214 on May 09, 2013, 11:28:30 PM
Ultimately, I believe adults have a RIGHT to make their own mistakes.

The current psychiatric system has created a type of second class of adult.

I hate psychiatry, I think the whole industry needs to be abolished and their responsibilities assumed by other disciplines. The field is contaminated by its roots and corruption.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Joanna Dark on May 09, 2013, 11:31:33 PM
Quote from: muuu on May 09, 2013, 11:24:29 PM
I thought it'd be higher, but I guess those who make it to SRS might be less likely to kill themselves.
Though, the whole part of that article seems to have 395 post-ops followed trough 6 years, where only 7 suicides were, and one death from surgery complications. So that's 1.8% suicide ratio and 0.2% deaths from surgery complications.
What else might be noted is that SRS is included in health care where these studies took place, so the ratios might be higher or lower compared US statistics, there's also a lot more acceptance/less discrimination in the countries these studies took place than in the US.

The only thing is we can't know why they killed themselves. There has to be a reason. Obviously I'm tempted to say it post-SRS regret since that seems salient but it could be other things. Many MTFs have other problems. The overwhelming majority (98 percent) seem satisified with the results. I know I will be. I'll prob have to wait X number of more years. Maybe less.

Quote from: Asfsd4214 on May 09, 2013, 11:28:30 PM
Ultimately, I believe adults have a RIGHT to make their own mistakes.

The current psychiatric system has created a type of second class of adult.

I hate psychiatry, I think the whole industry needs to be abolished and their responsibilities assumed by other disciplines. The field is contaminated by its roots and corruption.

Well don't other people have a right to get treatment from an educated professional? If what you wanted to happen happened, nobody would. And without advocates, and many mental health professionals are advocates, HRT/SRS could very well be outlawed. I mean the far-right in America seem to have a real hate on for us recently. So if a bunch of psychologists so our problems are real, it helps with the general perception and until transsexuality becomes more accepted. I really don't see what your problem is. I had a close friend in psychiatry and he was an awesome person so I have a different experience. I think your channeling too much Tom Cruise here TBH. Sorry.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Asfsd4214 on May 09, 2013, 11:34:01 PM
Quote from: Joanna Dark on May 09, 2013, 11:31:33 PM
Well don't other people have a right to get treatment from an educated professional? If what you wanted to happen, nobody would. I think your channeling too much Tom Cruise here TBH. Sorry.

Yes they do, which is exactly why psychiatry must be done away with. This is the farce of a science envisioned by a sex pervert responsible for shonky BS like lobotomies and ECT.

And the right to get treatment is NOT the obligation to have it FORCED on you. It's my life and *I* run it, not you and your clowns posing as doctors.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: Joanna Dark on May 09, 2013, 11:44:28 PM
I think we are talking about two different things. I am talking about trans issues and this is the main thing I care about and the main community of people I feel close to, identify with and most of all I want to see happy. I think you are talking about something else. Who is being forced to do anything? I was talking about post-SRS outcomes and if you should see a therapist to work thru gender issues.

If you're talking about therapy prior to SRS I don't think it is unreasonable. Of course, in Thailand, I heard there are some doctors who do not require it and of course if they do, you can get a referral by Dr. Benjamin Franklin. Money talks.

You are only considering getting rid of the pychiatric community (you know the very community who made all this POSSIBLE) and throwing caution to the wind that SRS will still be an option. I don't hold that view. Every docotr that is alive today will one day die and if nobody replaces them, goodbye SRS. But with a system in place to continue it indefinitely, future trans people will be able to seek treatment. What happens after you abolish the medical community that has so helped you. Or don't you care now that you got what you wanted?

In any event, I really think you need to calm down. I'm not arguing with you anymore.
Title: Re: Are Therapists Milking the Transgender Community?
Post by: V M on May 10, 2013, 12:10:20 AM
Hi friends  :police:

Time to take a breath, take a break, find something constructive to do

Topic temporally locked

Thank you

V M