This post is specifically for any trans person who is currently navigating the medical or psychiatric systems in search of validation and support.
If it’s going well, congratulations! That’s fantastic.
It can be hard. If you’re struggling, you might think that it will never end or that you’ll never find the right person or people to help you. I know how that feels. I see you. I hear you.
There were times when I thought that I’d never be able to access what I needed. Why had I bothered doing all that reflection and research? Why had I bothered coming out to others and being courageous enough to disclose my intention to pursue medical transition? There were times when I was so discouraged that I considered donating my surgery savings to someone else, so that someone could benefit. Goodness knows that money is often a barrier for us! There were times when I considered self harm, which meant that once again I needed to reach out for mental health support (I hate it, but it works for me).
My life is gently re-shaping itself and being trans feels as normal to me now as being left-handed. I’ve enough loving people in my life to make the nay-sayers irrelevent. I guess I’m here to say that it gets better. Anything you’re thinking or feeling has likely been experienced by thousands before you. You’re NOT weird or crazy. More importantly, you’re not alone and you’re lovable just as you are, right now.
I found it hard to find people who understood how difficult the process is and knew what to say. Back then, I knew very few others like myself. When seeking empathy and validation, I was often left emotionally shredded. I’d never felt more lonely. Often I felt as though I was on a disintegrating iceberg, surrounded by well-meaning sharks. Hurray for the internet and for online support.
Here’s an example of an unhelpful psych appointment. Several years ago I made copious notes after consulting a local, government-employed psychiatrist. They had admitted that they were a beginner in the field and expressed a willingness to learn. Hopeful, yes? However the appointment showcased their ignorance and arrogance and was a stellar lesson in how to distress a gender-diverse person. Imagine everything you wouldn’t want to hear from a mental health professional, and they probably said it to me, while talking over me, jumping to conclusions and disregarding my lived experience. If they’d truly been willing to learn and to respect my experience and knowledge, I’d have been ok with that. If they’d been arrogant but excellent, I’d have managed. But ignorant AND arrogant left us with nowhere to go. I wrote them a carefully worded letter, knowing that those are kept on file, and moved on.
Then fell in a heap for a while. Then moved on. Persistence and resilience are key.
Like I said, things are smoother, easier now. I needed support and reassurance back then – I needed to know that I wasn’t weird or crazy or unlovable, and that I wasn’t alone in finding the process incredibly difficult. In the end, I made it through with the help of people who loved me and who did their best. Support people helped keep me afloat while all my coping skills were thoroughly tested. It was a modern replay of my first coming out process – lonely and fearful and confusing – but with the benefit of internet and life experience.
Use what works for you and please, persist. You are loved and valued.
For any allies reading this, here are a few things that affirm and validate my identity. You may choose to support your trans loved ones in similar ways:
Strangers call me sir, buddy, mate, mister, etc. My support people use my pronouns (he/him or they/them) when referring to me in conversations or paperwork. My sibling refers to me as their brother. Mail arrives correctly addressed – Mr (or no title) then my chosen name. A friend tells me I’m handsome. A medical specialist shakes my hand at the beginning and end of each appointment. A friend who is still coming to terms with my identity uses non-gendered language around me as a compromise. I appreciate all these things.