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I'm So Freaking Scared and Angry and Sad

Started by A, September 11, 2011, 12:44:20 AM

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Forever21Chic

   Sorry if this sounds harsh but you REALLY need to calm down hun your only 20 years old you have alot of time to transition, this isn't a race. I think your kind of exaggerating the physical changes that are happening, relax take a nerve pill or something lol.

Quote from: A on September 11, 2011, 12:44:20 AM
Still haven't been able to talk seriously about transition with him. He keeps directing us away at stupid-ass things like my so-called personality disorders.

     Well there is a good reason why he is doing that. He wants to make sure you really have GID and not a personality disorder before he proceeds with a treatment plan. If you really think he is screwing you over then find someone else, a few months isn't going to hurt your ability to pass.


   Again i'm sorry but i thought you needed some tough love. Relax A you'll be fine.  :P
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Seras

Being aged 20 you are still in a much better place than a lot of the people on here. Sure it sucks but it is not the end of the world.

Hell I went to the doctor 6 months ago and I still got 6 months to wait before I even get my first proper appointment (other than the one to make sure I am not like insane or something). Least you are going somewhere already.
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Marta

Hi, i am not a transgender person but let me tell you- ive been in this situation before not this exact one but ive felt exactly the way you do. One thing you must know is that stressing will not do you any good, stress will make you feel worse, its easier said than done though and i understand that.  Firstly the most important and helpful thing you can do is accept yourself the way you are, if you deeply dislike yourself and your body it is a very difficult thing to do i know that first hand. One thing that can help you is to think ahead of now, think of when you are able to get hormones and eventually in the future possibly surgery. This is temporary and I know that it still hurts regardless especially because you say that you see all these changes in yourself that you hate. Its distressing to see all these changes in your body that you do not want to see or have, ive been through that as well but you have to constantly tell yourself that this is your life now but it will be better, you will not stay in this rut forever but you have to help yourself crawl out of the hole. Stressing and focusing on the negatives will not do anything but make you feel worse. Everything has a solution- your beard, adams apple, etc. Those things are not impossible to fix, there are things like bone structure and such that will not be able to change but that's minor- and it should not hinder your journey. If you really want it you will get it- you should feel lucky that you live in a time where technology and such is able to help you transform your body. As far as the psychiatric aspects of this goes, you should get another opinion after all that is a right- if you are not happy with this person you need to look somewhere else. I was in a situation like this before and sometimes "medical professionals" dont know what's best for you- you know yourself better and you should try looking for someone that has your interests in mind. Good Luck and try to relax hun- it will be ok
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foot_lover_jess

Quote from: jillian on September 11, 2011, 03:51:17 PM
...for all the pain we feel, the moments of joy that come out of being true to yourself cannot be compared to anything other than pure love. <3
Yes! Yes! Yes!
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A

EmmaM: I wish I were able to do that... Even in a job interview it's like this. I go around, and around, and around, until I'm finally able to get to the point. This psychiatrist doesn't have the patience to let me talk.

findingreason: Thank you.

Zoë Natasha: I'll try. Tomorrow night I'll prepare my speech well, or else I'll get lost in my sentences.

Sarah7: Thanks for the recommendations. I sent all of these an email asking for advice. Project 10 doesn't seem to have an email address, though. I had to find their Facebook page, which doesn't take messages, on which I could find their Myspace page. I created a Myspace account to send them a message. I doubt they'll see it. Here is the message (cropped out the names):

Quote
(ENGLISH VERSION BELOW)

Je ne suis pas certaine de votre langue préférée, donc j'écris ce message en anglais et en français pour être sûre d'être comprise. Je préfère le français, mais je me débrouille en anglais.

Je suis une transsexuelle MTF de 20 ans et j'habite Saguenay... Autant dire loin. J'ai commencé à demander un traitement nécessaire à ma transition il y a deux ans. Ma psychologue à l'époque, XX, m'a dit d'en parler à ma médecin, XX, qui, à son tour, après insistance, m'a assuré qu'elle ne pouvait absolument rien faire pour moi et m'a référée au psychiatre XX. J'ai commencé à voir le docteur XX en janvier dernier.

Le docteur XX a commencé nos rencontres par des avertissements aux saveurs de menaces. Il m'a bien avertie que "l'hormonothérapie avec un couteau sur la gorge, avec lui, ça ne marchait pas", que si j'essayais de le pousser, il arrêterait le suivi, et que si lui ne m'aidait pas, personne ne le ferait. Si je n'étais pas contente, je n'avais qu'à me rendre impossible toute aide médicale ou financière en optant pour le marché noir à Montréal. C'est donc sur des airs de prudence et de nécessité de lui plaire que s'amorce notre suivi.

Pour lui,  et mon trouble de personnalité obsessionnelle qu'il a lui-même diagnostiqué mon trouble déficitaire de l'attention (TDA) sont d'une gravité incroyable et doivent être entièrement guéris (psst, c'est impossible) avant de même discuter d'un traitement pour le transsexualisme... Ou c'est du moins l'image que j'en ai, puisqu'il s'exprime peu et vaguement. Cependant, malgré d'énormes améliorations apportées à quasiment tous les aspects de ma vie au prix d'efforts, rien ne bouge. À l'image de cela, au dernier rendez-vous, je n'ai pas eu le temps de placer un seul mot sur le problème capital et on n'a parlé que de TDA. Je lui ai dit que j'étais très mal face à ça, et c'est de son habituel air antipathique et exaspéré qu'il m'a donné un nouveau rendez-vous en NOVEMBRE.

Sauf qu'en plus des nombreux changements désagréables survenus depuis deux ans d'une attente qu'on ne me jamais justifiée, avant laquelle ma décision était déjà fermement prise, depuis le début de cet été à peine, une nouvelle poussée de puberté, semble-t-il, a fait muer la voix que j'avais encore la chance d'avoir conservée, a aminci grandement mes cheveux et fait apparaître une énorme pomme d'Adam, et ce n'est que la pointe de l'iceberg. La situation me semble plus urgente que jamais et il faut agir vite ; d'ici novembre, date à laquelle il n'aurait de toute façon rien fait pour moi selon toute vraisemblance, ce sera encore pire et encore plus irréversible.

Je trouve les méthodes du docteur XX très inappropriées et j'aimerais qu'on m'aide ; j'ai l'impression d'être le dindon d'une gigantesque farce. Je ne demande même pas une prescription d'oestrogènes... Ce que je veux, c'est bêtement qu'on sauve les meubles, qu'on arrête les dégâts en attendant que quelqu'un se décide à se bouger. Un anti-androgène me suffirait pour patienter...

C'est avec cela en tête que j'ai demandé des conseils (<-- Lien) au groupe de soutien en ligne auquel je participe, mais ce sont presque tous des anglophones, et pratiquement aucun ne vit là où je vis, donc ils ne peuvent pas faire de miracles. Une des membres m'a cependant conseillé votre site Web, et je voudrais vous demander votre avis sur mes options. Que puis-je faire ? Je crois avoir raison quand j'affirme que ma situation est inacceptable.

Bien sûr, je n'ai vraiment pas beaucoup d'argent et je commence à peine à me responsabiliser, donc je préférerais une ressource proche ; cependant, vu la gravité et l'urgence de la situation, je suis disposée à me déplacer si c'est vraiment nécessaire, voire même à déménager pour trouver de l'aide ailleurs. J'ai une soeur qui habite Montréal depuis peu. Être moi-même est plus important que tout.

Je vous écris donc pour savoir si vous pouviez me référer des ressources (les moins dispendieuses possible - j'ai moins de 1500$ d'économies durement amassées) pour débloquer la situation.

Ce mardi 13 septembre, j'ai rendez-vous avec ma médecin généraliste qui, si elle m'a déjà assurée qu'elle ne pouvait rien faire, a supposément tous les droits requis pour faire une telle prescription, et en-dehors d'une suggestion de votre part, elle est mon dernier espoir avant une attente catastrophique (car les changements décrits ci-dessus et bien d'autres empirent carrément de semaine en semaine) avant un rendez-vous de toute façon infructueux avec le psychiatre...

Je sais que c'est beaucoup demander, mais ça serait vraiment magique si vous pouviez me répondre avant mon rendez-vous de mardi, 10:10 (je pars en autobus, donc départ à 8:15, voire avant). J'aurai besoin de tous les arguments possibles et imaginables pour la convaincre de m'aider, et mes habiletés dans ce domaine sont très limitées.

Espérant avoir une réponse prompte,
XX.

(Ce message a été envoyé à la coordonnatrice des services de santé de l'organisme À deux mains et, la psychologue Nicole Marek et Projet 10, les trois ressources qu'on m'a conseillées.)
(ENGLISH TRANSLATION)

I am not sure about your preferred language, so I am writing this message in English as well as in French to make sure I am understood. I prefer French, but I can manage in English.

I am a 20-year-old MTF transsexual living in Saguenay... Far away. I started requesting a treatment necessary for transition two years ago. My psychologist back then, XX, had directed me to my general practitioner, XX, who, after much insisting, assured me she could not do anything for me at all and referred me to the psychiatrist Rupert Lessard. I started seeing Dr XX this January.

Doctor XX started our meetings with threat-flavoured warnings. He warned me that "hormone replacement therapy (HRT) with a knife on the throat did not work on him", that if I tried to push him forward, he would stop the follow-up, and that if he would not treat me nobody would. If I wasn't happy with that, I could just have any medical or financial help denied to me by going for the black market in Montreal. Therefore, it was in a climate of prudence and trying to please him that our follow-up started.

For him, my obsessional personality disorder, diagnosed by himself, and my attention deficit disorder (ADD) are of an incredible importance and must be entirely cured (psst, it's impossible) before we can even talk about a treatment for transsexualism... At least this is the impression I get, since he expresses himself little and vaguely. However, despite enormous improvements to my life I obtained with effort, nothing moves. Reflecting that, at our last appointment, I did not have time to say a single word on the one important problem and we could only speak of the ADD. I told him I was very uneasy with that, and with his usual unpleasant and exasperated look that he gave me another appointment in NOVEMBER.

But on top of the numerous unpleasant changes my body has seen in two years of a wait no one has ever justified to me, before which my decision was already firmly taken, since the start of this summer only, a new burst of puberty, seemingly, has made the voice I was lucky to still have break, has thinned my hair and has caused a large Adam's apple to appear, and this is only the tip of the iceberg. The situation appears more urgent than ever to me and swift action is required; by November, when the psychiatrist will most probably still do nothing for me, it will be even worse and more irreversible.

I think Dr XX's methods are very unappropriate and I would like someone to help me; I feel like I am being made a fool of. I am not even asking for an estrogen prescription... I simply want to stop the damage until someone does their job. An anti-androgen would be enough to enable me to wait...

It was with this in mind that I asked the online support group I participate to for advice, but they are almost all anglophones, and practically none of them lives where I do, so they cannot do miracles. One of the members has, however, recommended your website to me, and I would like to ask you for advice on my options. What can I do? I think I am right when I say my situation is unacceptable.

Of course, I really don't have a lot of money and I am just starting to become responsible, so I would prefer a nearby resource; however, seeing how grave the situation is, if it is really necessary, I can travel if it is really necessary, or even move permanently to find help elsewhere. My sister has moved in Montréal recently. Being myself is more impostant than anything.

I am writing to you to ask if you could refer resources to me - as cheap as possible since I have less than 1500$ I worked hard to save - to unblock the situation.

This Tuesday, September 13th, I have an appointment with my general practitioner who, whilst having assured me she couldn't do anything, should have all the rights required to make such a prescription for me, and unless you have a good suggestion for me, she represents my last hope before a catastrophic wait (because the changes described above are getting worse every week) before an appointment, fruitless anyway, with the psychiatrist.

I know I am asking for a lot, but it would be wonderful if you could reply before my appointment on Tuesday, 10:10 (I will be going by bus, so I will leave at 8:15, or even before that). I will need all the arguments I can find to convince her to help me, and my abilities in my domain are very limited.

Hoping for a quick reply,
XX.

(This message has been sent to the Health Services Coordinator of the organism Head and Hands, the psychologist Nicole Marek and Project 10, the three ressources that have been recommended to me.)

As for your offer, I will gladly accept it. I think I should take any help I can get...

jillian: It appears the control on prescription drugs is much tighter in Canada than it is in the United States, so sadly, I don't think it will be possible for me...

PS: America ≠ United States. Canada is in America, too, and Chile is, too. o_o

The others: Thank you for your help. Please note the first message was a truly exceptional episode of panic and does not reflect my present or usual state.
A's Transition Journal
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Amazon

Oh my god! How does this all familiar! Hey, well, so do not worry! Everything will be fine. I'm older than you are not a lot. The very beginning of HRT is not so long ago, but after 8 months I have had the surgery. Why in your country, you can not start HRT without a doctor? In Russia, many transsexuals do not rely on them and bought in pharmacies and anti-androgens hormones. Obtaining permission from a doctor at all and we have a problem. Some transgender people to 10 years go to a psychiatrist, and there are about one thing: either you gay, or you change the androgyne, and does not cost anything ... If you have a voice still remains - Train him. With hair and I have a problem. Yes, and a broad chest. And yet men find me attractive. So do not be sad, everything will be fine! Write me, if that.
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A

Sarah7: You're amazing! I feel dumb now because I hadn't found all that. Hm, I'll probably be comfortable calling, but maybe it'll be expensive since it's far away... But oh well, what's a few dollars? If no email has been answered by 17:00 tonight, I'm calling. Thank you for everything you're doing.

Amazon: I'm happy your life is going along well, but I'm not sure I understand your sentences. :x
A's Transition Journal
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Bird

Basically, she says some countries have more lax laws A, and was asking if you couldn't just self-med. It is obvious that you can't since Canada's laws seen to favor the gatekeepers.

Here in Brazil, I self-med and it is legal. I go to the drugstore and I ask for what I want. I was having huge problems with doctors as well.
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A

Got a reply!

Quote
Hello XX,

I will reply to you in English just because I feel more comfortable writing in this language. Your story sounds extremely frustrating. As you live in Saguenay I have no one I could refer you to in that region but I can offer you some ideas on how to proceed from here. First, if you believe your psychiatrist is treating your case unethically you can always make a complaint to the association of psychiatrists of Quebec (http://www.ampq.org). It is up to your mental health worker to determine that your other mental health issues are in check, but each practitioner may differ in their definition of this. Second, I believe your doctor may be allowed to refuse treatment if she feels she does not have enough training with your specific issue. You can always try to meet with another GP who may be more open to learning about transgender care. It could help to bring along a copy of the booklet on transgender endocrine therapy I have attached to this email. (Page A-3 describes the normal dose of medication for feminization, and page A-13 describes the blood work to be done beforehand.) I am sorry I only have a copy in English. Third, you can contact an endocrinologist in your area (or ask for a referral from your GP) to request a psychologist, psychiatrist, or medical doctor who is experienced with transgender care. They may not know anyone but it is worth a try. Unfortunately in Quebec you need a recommendation letter from a mental health worker in order to access endocrine therapy with an endocrinologist. All these measures are put in place as patient protection to ensure you receive informed care, but it seems like in your case you have not yet met anyone in Saguenay who can help you. It usually is very helpful to have a therapist or psychiatrist who follows you during transition to assist you through any struggles and also to help manage any other mental health issues. If you can find someone you feel respected by, and who has some awareness of your issues it could be very supportive.  I hope this information helps. Good luck in your search.

Nicole Marek
(Attached file: http://www.mediafire.com/?2obzjnl46i1o7fs )

Since there are no endocrinologists in the area, I suppose I should just hope my GP understands. I've printed the 44-page document and I'll bring it.
A's Transition Journal
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