Susan's Place Logo

News:

According to Google Analytics 25,259,719 users made visits accounting for 140,758,117 Pageviews since December 2006

Main Menu

How do I not transition and be mentally healthy at the same time?

Started by Jess92, April 25, 2014, 12:25:19 PM

Previous topic - Next topic

0 Members and 1 Guest are viewing this topic.

Jess92

I'm not planning on transitioning. I'm in a situation where that's impossible and I just cannot justify it for a number of reasons. I'm pretty confident that this decision is the rational one. That said, it hurts a lot. I feel myself slipping into depression. Having hope gave me drive in the past and now without hope I feel it increasingly more difficult to fight off depression and to get myself motivated to work and to do things. I don't know how I can get those things back without falling to my gender feelings, which would be disastrous.
  •  

Jamiep

Hi Jess,

Checked through your posts, sounds like you are younger than 22 years that you mentioned. You are out on your own. You don't mention if you are in a big city, small town, rural & if you are working. It seems you have considered transition, experiencing depression is probably due to dysphoria. If you are working & have a medical plan I think you should be seeking help for your depression. If it can be a trans friendly Psychologist that would be the best. They can help determine if transition is for you, when & if not how to cope. There is no time line for transition. If you are a student & government doesn't cover any cost of transition, you may have to wait. College or University can be a good time to transition & there may be a support group or program that can get you started on hrt. We have many people here that have transitioned in any age decade right up to their 70's. Some don't for various reasons.

I don't know about your disposition, but I seem to come through to my 70's as a happy person with a positive attitude to life. I nearly died when I was about 5 & one bad period in my late 20's in depression, but knowing how lucky I was to be alive I never thought about taking my life. I didn't think I could afford a Psychologist, so I worked on my pro's list & rebuilt my life & been strong ever since. About 12 years ago I had a primal scream & info on transgender via the internet, about 4 years ago I finally figured what my brain was telling me after dressing off & on since my teens throughout my life. My brain gender is female, just living in a physically male body. I looked at the reality that hrt at my age may not work, but two years ago came out to my gp & she set me up for blood tests & abdominal scan then an endocrinologist appointment. After I thought I can't find a gender clinic as I didn't live in an area that had one in the big city & I live in a suburb, I gave up trying to find a gender Doctor. A year ago January a gender clinic opened in my suburb & got the ball rolling. After a month on anti androgen a reading on my kidney spiked. I was taken off the AA & tests. The kidneys are okay. Consulting with my gp, gender Doc & Endo, the analysis as I expected & message is my body is too old to survive the chemical warfare. That made my wife pleased. My gender Doc & Endo said, I could still live life as I have been the last 12 years being Happy getting made up & dressed female whenever & for as long as I can. Yes, my heart sank, but I have always been true to myself seeing the reality. Fortunately I am in good health & I can still be the girl I am most of the week. Will have to see what happens when my wife retires in 3 to 5 years (maybe longer). lol

Take your time with help available, see where it leads. Even if transition isn't in the cards, as one of my cd sisters says, breast forms, make up & fashions is a whole lot lets expensive than transition & the risks involved. A positive note that can keep us Happy!

All the best on your journey, keep us updated.
Hugs
Jamie
We are made of star stuff - Carl Sagan
Express Yourself
Own your zone
  •  

andiemcgrath

i feel for you. i often find myself thinking that it was transition that enabled me to move to a place that made detransition possible, but i wonder whether that's really true? perhaps if i'd met the right therapist before a transitioned it may not have been necessary? if you can't afford a decent therapist then i'd suggest just reading and self analysis, and not books about trans issues necessarily - the ones that helped me most were more general ones about gender, feminism, psychology, psychiatry. understanding that emotional responses have both a root and can be informed and altered is big part of the reason why i no longer need to present as a female
  •  

JamesG

  •  

Veronica M

The general rule of thumb is if you think you are dealing with depression, your already there. Yes you can stuff it, I know I did for 45 years... It eventually got to a point where I was considering suicide. It doesn't go away. Ask a lot of the girls here. I am sure they will tell you the same thing. Two months ago I was a total train wreck but given the choices I got the courage to go to the local LGBTQ center and tell them I needed help. I have made some good choices  in my life but I have to consider that one to be one of the most important. While I am taking things one step at a time, I am a much happier person today and just knowing I am not alone and it is okay to be truly who I am has and is changing my life for the better every day.

PS: Nothing is impossible, it is just the degree of difficulty that is overwhelming at times.
  •  

JoanneB

Quote from: Veronica M on April 27, 2014, 11:08:20 AM
The general rule of thumb is if you think you are dealing with depression, your already there. Yes you can stuff it, I know I did for 45 years... It eventually got to a point where I was considering suicide. It doesn't go away. Ask a lot of the girls here. I am sure they will tell you the same thing. Two months ago I was a total train wreck but given the choices I got the courage to go to the local LGBTQ center and tell them I needed help. I have made some good choices  in my life but I have to consider that one to be one of the most important. While I am taking things one step at a time, I am a much happier person today and just knowing I am not alone and it is okay to be truly who I am has and is changing my life for the better every day.

PS: Nothing is impossible, it is just the degree of difficulty that is overwhelming at times.
+1

I relied on my three best friends, Diversions, Distractions, and a little Denial, also known as the 3D's. I "got by". Actually, it wasn't even me after a while, just a lifeless souless machine with no hopes, no dreams, no wishes, except for one.

All the fortifications I built to protect me from Joanne came crumbling down 6 years ago. I hit rock bottom. I spent months finding a TG group and that helped to turn my life around.

I am almost at a place now where these two great aspects of myself are rejoined into one whole healthy happy person. I really doubt one can be mentally healthy without embracing that other side of yourself. That does not necessarily mean having to transition fulltime as female. I am treading water in some middle ground. But I know where my true self and joy lies.
.          (Pile Driver)  
                    |
                    |
                    ^
(ROCK) ---> ME <--- (HARD PLACE)
  •  

Izla

I'm trying to explore the non transition route. I get what you're saying, it really sucks having the hope that you might just do it then going down into the "I need to find another way to make this stop" road.

The only thing I've found is to focus on the reasons/fears why you're not transitioning. It's not exactly healthy, and it's pretty crushing sometimes, but some other times it's just enough for you to get the "what if.." out of your head for a while. I've been focusing on things like "If I transition I'll never pass, I'll be shunned/laughed at, I'm too old now and at least by not transitioning I won't have to deal with it" or comforting myself with things like "I just need some time to learn how to be a man, it won't be so bad, you can pick it up" etc.

Everyone has fears about transitioning, so I see this as using the fears that would be obstacles if you were transitioning and turning them into justifications for not doing it. Yeah, I know how that sounds but having your fears realised during transition would be pretty taxing on your mental health too. Each path has its own demons/challenges to your mental health but maybe you just learn to shrug things off eventually?

Good luck
  •  

andiemcgrath

oof - learning how to be a man strikes me as being far from comforting. personally i'm working on not being a man - it's the thing i'm most wary of happening.

the whole concept of being a real man (or real woman) seems so incredibly damaging, not that that they're standards i've ever held others up to. now i'm working on the degree to which i internalised these toxic ideas, in the hope that i can live life as a male who is secure enough in themselves to reject stupid ideas of what's appropriate.
  •  

Jess92

Thank you all for your replies.

I will bring up some of my issues next time I see my doctor.

I cry everyday and I'm trying to be strong. And I still keep the possibility of transitioning someday open. It at the very least gives me some kind of hope that maybe if I can't get over this I have a way out.
  •  

retransition

Quote from: Veronica M on April 27, 2014, 11:08:20 AM
The general rule of thumb is if you think you are dealing with depression, your already there.

I am glad to hear that life is taking a turn for the better for you Veronica.  But I have to respectfully disagree that if you are depressed you're "already there".  Maybe for a few rare individuals the only thing in their lives that is making them depressed is the fact that they feel that they were "born in the wrong body" and transition solves that.  But for many who turn to transition due to being depressed, the transition is a distraction that alleviates their symptoms of depression but it is quite often only temporary.  Most of the same stuff causing depression pre-transition exists post-transition. 

I personally believe that there are ways to manage depression in a person that is experiencing "gender dysphoria" that do not have to include transitioning. I think we need some more role-models of people who are trying to do this but quite often those people are kind of invisible (most likely because they aren't participating in forums such as this.)  In my own way as a detransitioner/retransitioner I am trying to be out there as just one of (hopefully growing) numbers of people who say that transition may not be the ONLY answer for people in the OP's situation.
retransition.org
"I don't know, I'm making this up as I go!"
Indiana Jones
  •  

Jessica Merriman

Now I have to respectfully disagree. If it is affecting the OPs motivation, job and getting things accomplished because of gender issues then YES the OP is there. The OP already stated gender issue's are causing the depression. Low dose HRT may help, but it sounds to me Dysphoria is now controlling every aspect of the OPs life. All of my issue's such as depression, irritability, isolation, insomnia and PTSD were relieved by High dose HRT. I got to the point where it was a gun in the mouth or a skirt on the body myself. I have never felt better and the world did not end because I chose transition. To the contrary it has opened up into a wonderful new life with a body in tune with my mind.  :)
  •  

E-Brennan

Quote from: retransition on May 30, 2014, 06:17:42 PM
But for many who turn to transition due to being depressed, the transition is a distraction that alleviates their symptoms of depression but it is quite often only temporary.  Most of the same stuff causing depression pre-transition exists post-transition.

There is much truth in this.  Transition does seem to be a good way of taking one's mind off other problems, and unless those underlying problems are solved, they will reappear eventually.

But so will the trans feelings - they tend not to appear from nowhere, and there are a thousand other (simpler, cheaper, more effective) ways in which we can distract ourselves from depression that don't involve thinking our genders are incongruous with our bodies.  It's a rather niche, unusual way of coping with depression - picking something that's even more difficult to deal with than depression itself; it's fighting fire with fire.  The very fact that gender is being raised as a symptom is indicative of the likelihood that gender is part of the overall problem.  Otherwise we'd all just buy motorcycles or get tattoos or take drugs or eat too much candy like the rest of the population who uses such tools to combat their depression.
  •  

helen2010

Quote from: Jess92 on April 30, 2014, 11:41:02 AM
Thank you all for your replies.

I will bring up some of my issues next time I see my doctor.

I cry everyday and I'm trying to be strong. And I still keep the possibility of transitioning someday open. It at the very least gives me some kind of hope that maybe if I can't get over this I have a way out.

Jess

I think that a discussion with your psych and endo is in order to see whether there are appropriate treatment regimens which do not involve a full transition.

I would like to comment specifically on the use of low dose hrt.  As Jessica posted ". Low dose HRT may help, but it sounds to me Dysphoria is now controlling every aspect of the OPs life."   In my experience it made a profound and positive difference to my life.  My dysphoria stopped.  This coupled with expressing myself more androgynously has been enormously powerful and beneficial. 

There are many folk (not just non binary) on Susans who have found this therapy to be a life saver and then no longer felt the need to fully transition while there are also many others who experienced a material reduction in their dysphoria bringing them enormous relief and validation.

I recommend that you seek an opinion and if safe for you I recommend that you try low dose hrt.  If beneficial the benefits will be immediate and profound.  With a supportive endo you will be able to find the dosage regimen that gives you the most desirable result and therefore works best for you.

Safe travels

Aisla
  •  

retransition

Quote from: Jessica Merriman on May 30, 2014, 07:35:07 PM
Now I have to respectfully disagree. If it is affecting the OPs motivation, job and getting things accomplished because of gender issues then YES the OP is there. The OP already stated gender issue's are causing the depression. Low dose HRT may help, but it sounds to me Dysphoria is now controlling every aspect of the OPs life. All of my issue's such as depression, irritability, isolation, insomnia and PTSD were relieved by High dose HRT. I got to the point where it was a gun in the mouth or a skirt on the body myself. I have never felt better and the world did not end because I chose transition. To the contrary it has opened up into a wonderful new life with a body in tune with my mind.  :)


Really?  The OP just said that transitioning is NOT an option and your response is to say that for you it was either "a gun in the mouth or a skirt on the body myself"?  Is this really helpful?  I am not singling you out because I hear this sort of talk over and over in the trans community.  What the OP was looking for was something that we all need to sustain us, trans or non trans:  Hope.

There must be some other options besides those listed above.  Yes, maybe HRT might help but that is going to have an impact on the endocrine system's natural ability to function. If the gender dysphoria is connected to, at root level, even a minimum of cross-sexual fantasization then chemical castration may provide some relief.

I still think there are other ways.  In another thread someone mentioned mindfulness and meditation.  I also think there are some cognitive behavioral techniques that might be helpful.  I am not saying that the feelings of gender dysphoria can be made to go away - all I am saying is we need to be open to other ways to help people manage these feelings other than rehashing the "gun in the mouth or skirt" thing, which I think just perpetuates depression and hopeless that some who are struggling feel.
retransition.org
"I don't know, I'm making this up as I go!"
Indiana Jones
  •  

JoanneB

Quote from: __________ on May 30, 2014, 07:36:09 PM
There is much truth in this.  Transition does seem to be a good way of taking one's mind off other problems, and unless those underlying problems are solved, they will reappear eventually.
My wife calls it geographical relocation, or running away from your problems.

I have the opposite problem, the Existential Blues. Always and in every way  questioning my motivations or desire to transition since.... well life does not and never really totally sucked as a guy. I knew early in this most recent exploration of mine that I needed to come to a good understanding of myself, my life, my hopes, wishes, and dreams.

Many/most of the major disasters in my life were do to how I tried to "cope" or compensate for being TG. Now that I am being given the right tools, the job is far easier and is coming out right. Which makes making a choice as to which to take all the harder
.          (Pile Driver)  
                    |
                    |
                    ^
(ROCK) ---> ME <--- (HARD PLACE)
  •  

Bimmer Guy

Quote from: retransition on May 30, 2014, 06:17:42 PM
But for many who turn to transition due to being depressed, the transition is a distraction that alleviates their symptoms of depression but it is quite often only temporary.  Most of the same stuff causing depression pre-transition exists post-transition. 

<CLIP>

I personally believe that there are ways to manage depression in a person that is experiencing "gender dysphoria" that do not have to include transitioning.

I think it depends where the depression is coming from.  People with gender dysphoria can have depression because they are just happen to suffer from depression, like cis gender people might (due to a chemical imbalance, for example).  Then there are people whose depression is directly due to their dysphoria.  Then, there are people who have both.

The person who has still has depression after transitioning, most likely has depression as a separte issue.  The person with depression due to dysphoria, will no longer be depressed when they transition (or be less significantly depressed, at least).

It depends on the root of the depression.  Only the person can figure that one out and then make decisions from there.
Top Surgery: 10/10/13 (Garramone)
Testosterone: 9/9/14
Hysto: 10/1/15
Stage 1 Meta: 3/2/16 (including UL, Vaginectomy, Scrotoplasty), (Crane, CA)
Stage 2 Meta: 11/11/16 Testicular implants, phallus and scrotum repositioning, v-nectomy revision.  Additional: Lipo on sides of chest. (Crane, TX)
Fistula Repair 12/21/17 (UPenn Hospital,unsuccessful)
Fistula Repair 6/7/18 (Nikolavsky, successful)
Revision: 1/11/19 Replacement of eroded testicle,  mons resection, cosmetic work on scrotum (Crane, TX)



  •  

helen2010

I agree that there are potential alternatives to the gun in the mouth etc binarism   I have found that low dose hrt does help those who won't or can't fully transition   As for your other comment re potential harm, with the guidance of a good endo and due care I and many, many others have not been physically harmed but have found significant dysphoria relief.  This may help the poster or others in similar situations

Aisla
  •  

Jessica Merriman

Quote from: retransition on May 30, 2014, 08:31:55 PM

  The OP just said that transitioning is NOT an option and your response is to say that for you it was either "a gun in the mouth or a skirt on the body myself"?  Is this really helpful? 
If you want to quote please leave in the part where I said " I got to that point". Why? Simply because when Dysphoria started to affect my daily living and productivity that transition was the only thing left. I could meditate all day long and nothing was going to dissolve my severe Dysphoria. Why in the name of heaven would I transition if there was no other choice? Do you seriously think I wanted to upend my life and lose everything we lose? Sometimes there just is no other way to carry on and you will self destruct or undergo the treatment called for. Sometimes people need to know there is just no other way to treat Dysphoria beside low dose HRT or transition.  :)
  •  

HoneyStrums

Make some likes and dislikes open, eg if your hiding a specific element of yourself say like, wanting long hair? grow ling hair. justify it with this guy has long hair, and I like long hair.

I don't know exactly what element of dysphonia you have so it difficult for me to give advice, but I get the impression that sometime is that feeling of not being true to your self that can hurt the most, so letting little things out like that can help one to feel better.

some elements of my body dysphonia actually helped me to cope some too, I took pride in my girlish features what little I had of them, and this helped me cope with the parts I didn't like. this lasts only up to you see them fading of course.(but it bides time)

you say, holding onto that fact that transition could still happen in the future gives you hope? that is a very good thing to do, because it doesn't have to be now, and it doesn't have to be never.

there might come a time were the now or never situation presents itself to you. it might not happen but if it does there are post here highlighting that that doesn't mean the world will end :)

yes sometimes problems we face pre transition can stay with us after. one of these things is society's expectations, some go from trying to tick male boxes and hiding a part of themselves, to trying to tick female boxes and once again hiding elements of who they are. Im sure there are other things too like dysphoria not being the sole cause of ones depression.

but, focus on the parts of your body that you do like. express some of your none conforming likes, even if only for yourself in private?

to be honest with you, before I knew gender dysphoria existed and what transitioning was, I was transitioning in stealth. went all the way just short of hormones and social transition. (going outside dressed coming out ect) I didn't know what transitioning was, but expressing myself in private really kept me going for a long time (gradually increasing throughout my life of course)

I see a lot of people here where mild hrt is the first step in their trasition. tha doesn't need to be the case.

like, retransition says,
it doesn't need to be now, or never

but like Jessica says
if it does get like that for you, choosing the skirt/transition doesn't mean the world will end.

if you still need a little more hope, tell us a bit more about how you experience dysphoria, and any thing in general that's getting you down in hops we can be a bit more helpfull to you.
  •  

luna nyan

Hi Jess,

I took the liberty of looking at your previous posts and noticed you sort of set yourself a hard time limit of getting some things done by the time you are 22.  I can understand your reasons for doing so, but I would advise  wing less strict about it.  The logistics of transition are significant given the circumstances you have described, and you are being unfair to yourself by possibly setting yourself impossible goals.

Please continue with the health care that you have been receiving, low dose HRT may be an option for you.  There are different approaches to avoiding transition from deep denial to partial expression.  Only you can work out what is most appropriate for you.
Drifting down the river of life...
My 4+ years non-transitioning HRT experience
Ask me anything!  I promise you I know absolutely everything about nothing! :D
  •