Gender Dysphoria — This is a fundamental unease and dissatisfaction with the biological sex one is born with which results in anxiety, depression, restlessness, and other symptoms. Problems associated with growing up with Gender Dysphoria — The main problem of growing up with gender Dysphoria, aside from the body dysphoria itself is the social predicament.

Early Childhood — Children get cues early on from parents about appropriate behavior, and internalize them. Kids of this age start to get the idea that there is a part of themselves that must remain hidden. Puberty — This is a particularly hard age, since the body begins to change and adapt gender specific features breasts, changes in genitals, menses, etc.

Many transgender individuals are aware of their issue by this age, but lack the means and agency to effect any change. This has the benefit of essentially avoiding the trauma of experiencing the physical effects of puberty in the unwanted gender. Early Adulthood — With emotional and financial independence some people feel free to begin to address transgender issues at this age and look into transitioning.

However, some are not as free to do so, due to family and other obligations, or due to lack of information and access to services. Later Adulthood — Some transgender individuals put off transitioning until later in life when they feel able to do so. In addition there can be regret about having lived so long in an unwanted gender. Friends and family may have a harder time understanding what is happening since they knew the person for so long in their natal gender.

In all stages — There can be isolation, hiding and secrets, which can lead to depression and anxiety. There seem to be two paths that people take early on: The second scenario — of presenting as gender non-conforming is known to elicit harsh responses from society.

This is true for non-transgender people as well and many gay men and women experience this early on. Deciding what to do — This is a big part of the transgender Individuals experience.

Making decisions about transitioning, what level to transition to, or whether to attempt any transition at all are complicated decisions and require time and support.

There are fears of how one will be accepted by family parents, partners, children, grandparents and othersfriends, colleges, fellow students, church groups, etc.

All are perfectly acceptable options. At the point of decision making, many things are unknown and it can be very stressful. It can also be exciting and joyful to be able to act and move towards a more authentic self.

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When one decides not to transition. Not everyone is able or wants to transition. This is a perfectly valid choice for people to make. However these individuals must learn to cope with the tension that the gender dysphoria produces. Other mental health issues not related to being transgender. It can be hard for some people to let themselves seek treatment for other issues when the gender dysphoria is so prominent a concern. Find out about Psychotherapy when dealing with Gender variance in yourself or someone close to you.

A comprehensive understanding of the many issues facing TG individuals prior to, during Transition, and Post-Op. Hi Jeniffer, I am an older M2F transexual. I have taken anti-androgen, estrogen and projesterone for about 12 years. I get specialist medical support from my doctor, a psychiatrist and endocrinologist.

I have a satisfying level of transition on hormones only plus a more recent orchidectomy which has reduced my need for antiandrogens! I did fly solo and stealth for a few years but the deception became intolerable.

I now have B bra cups, wider hips, rounder face, less hair loss on my head and fine hairs on my body.

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My skin is smooth and soft. I am happy as I go but obviously want more but too old for surgery. Thank you for your insight into transgender issues, the world needs this information to create a free society free from human isolation and abuse. I have experienced my life of feeling different as early as age 3. I am transitioning later in life. I am a male to female transgender who struggles with suicidal thoughts and bouts with insomnia every day. I have a family and a son who needs me but I struggle every day with my transgender situation.

I also thank you. For every thansgender that we see there must be a thousand of us hiding. My biggest problem has always been an honesty issue and hiding or mascarading is just not honest. This is so encouraging, Carol! I am so distraught — living in Asia, Catholic, with a conservative family, social and work context — I feel suffocated at the realization that I am in fact transgender.

Now I see the light, and it seems a cruel joke. Something I can desire with all my heart but only at great personal sacrifice, and at much trauma to others. And now that I know: I suppose self-realization helps. I am SO happy for your transitioning, and the immense support and encouragement you receive from your family, friends and colleagues! As someone who quite possibly sees life as a study in solitude, I wish you ALL the very best!

Hi Lana, It is a difficult journey however it is one from the shadows into the light. It is a journey which is entirely your own. Nobody can tell you how far or how fast you should travel. Society just makes it difficult because binary notions about gender are so pervasive. It was my fear and shame which kept me in long term stealth. Now, having come out to family and friends, I just have regret that it took me so long to be honest about myself. I have also been able to get the help I need from medical professionals.

When I was a child my father and other family mrmbers all thought I should be toughened up with disastrous consequences. When I ultimately came out most folk who knew me and loved me were very accepting.

As a believing Christian, most of my problems have been my own self-rejection although I must say, my biggest problem has been therapists who wanted to fix me. The consequences were guilt, shame, depression and when younger with a number of suicide attempts. Hi Carol, thanks for this.

I am personally so proud of you! It totally conforms to my own experience. I was a stealth female. I used every trick I could to obtain hormones. Now I realise how dangerous self-medication is and fortunatly now have proper monitoring by an endocrinologist and my doctor.

The guilt mounted in me to a crescendo which had to be resolved. When I came out my wife, children, family and friends most of them ostensibly accepted me but never my really deep need to transition. It is really like there has been a death in the family which nobody wants to talk about.

My real feminine self has to be totally hidden from my grandchildren on orders from my children. My real self is really so alone and isolated. I am so utterly depressed, I want to move on but I fear being rejected all over again.

Carol, just to thank you for sharing. We are both late starters and on similar journeys. As people who were forced to be in stealth mode we have our own story. I wish you would talk to my wife about how you deal with having a trans husband. We have talked about the transition and thats the part we are having a time seeing eye to eye on. More of she wants me to do whats right for me but she also thinks that her and the kids are holding me back from it.

Yes they are holding me back but not in such a way as she thinks. Its a good thing. Helo my dear thankq for this short and sweet summarry about Transgenderand thier mentall health iam having some doubt TG….

Hi, I have a question. I found out that my cousin might be transgender. He seems to trust me enough to add me on his gaming social network and up until now I sort of had suspicions that he was feeling that way but after reading his profile and his posts I am now concerned.

I have a young family member who is gender dysphoria who is given a lot of support from his mother and brothers, born female and is now living as a boy and changed his name and came out at school. He has suffered from some bullying at school from a few of his peers but most seem to have accepted him now. However I am concerned as his behaviour towards his motherwho has given him the most support, has been terrible and he has attacked one of his brothers and hurt their family pet.

His mother makes excuses for his behaviour but to be honest I am frightened that he may actually seriously physically harm someone. I just wondered if any adult transgender people went through a stage of disruptive behaviour and physically attacking the people who loved and supported them, is this just a phase or should we be concerned and seek professional help? I would seek professional help as soon as possible.

My trans therapist said that since my brain is hormonally female and I have a lot if testosterone it could be a dangerous thing since females are more emotional. Always seek help when it comes to gender dysphoria.

Never take it for granted. What we go through as children is brutal. We need help with sorting out our thoughts and feelings.

Understanding why we behave the way we do. At such a young age it is so crucial. Our brains and bodies are changing. We are beginning the stages of the rest of our life. Never take any act of violence for granted from any child. Never think it will just go away. It is an act of frustration or inner conflict. This does not mean your child is bad or the gender dysphoria is wrong. It just means they are struggling and need to get the right help. Such help can be beneficial to every one.

Family can learn what the motivating factors are behind the aggression. Know how to deal with it. Psychiatric medications are not always the answer. However, they can help. But be mindful they should never be used to fix a problem. Just help with symptoms. If medications are suggested, they should only be considered a temporary means to help with treatment. I think over the long period they could cause more problems than good. Proper therapy and support along with a good support network, is helpful, Never expect a fix over night.

This is a complex human being with a major conflict in their mind and body. It takes time and lots of hard work. Your child is really smart. More than you may know. What if you could not relate to the world? Some how your child will find a way. They just need to know they are loved, even when they are angry or frustrated with their body. After all how would you feel if you were born into a prison?

I am gender dysphoric. I will always be this way. I had no support as a child. I grew up with alcoholics. I was raped and abused. I am still here! Your child has his family! He has way more support than I did! I envy him for having support. I think that you reached out here is wonderful and reflects your qualities as a parent. Hi Raven, thanks so very much for this.

Your experience so aligns with my own. I had a hectic childhood, abused, miserable and lonely. I was seriously abused by my elder brother.

I attempted suicide a few times. I was more than scared to come out, I was terrified. When I did muster the courage my wife, family and friends did their best to accept me but honestly the conversation just died then. Now I transition but only with support from my doctor, psychiatrist and endocrinologist.

The emotional scars of my childhood still haunt me and make me so frightened of abuse.

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When I was young there was no understanding or acceptance of transgender people but happily it is coming out in the open now. I liked how you described the current issues with transgendered people. I have this issue and was born in I would like to see more information about the emotional effects of those who did not benefit from the awareness and treatments trans people have today.

Dear ones with our gender difficulties. This seems more like an opinion than a reply. Gender identity dysphoria results in so many individuals that have no common physical abuse or common verbal abuse and no common family disfunction yet they relate same extremely strong gender feelings.

So we may evaluate the condition 1 out of every individuals where the environment in which we all begin our lives has absoltely no impact in our gender preference. A small number of exceptions may occur which turn out to be not to be Gender identity dysphoria.

From a more scientific position we find plugging in the consumer the adoption of electrically powered vehicles in the us items.

We find many items that are specific to our primitive portion of our brain located at the base of our skull. Some not all of these are: I would like to list two issues here: Many physical simiarities exist here between the female brain and the brain of the MTF transgender person. Second the development of this portion of the brain is asynchhronous with conception and occurring four to six weeks after conception. With no known dependance upon one another there indicates a high probability a possible different outcome.

Gender identity dysphoria is certainly becoming more thoroughly understood with the most recent opinions point more and more to a purely biological influence. Gender identity is permanant. It is who we are. From my perspective your only choice is what you do with it. Im 52 year old male trapped in this dreaded body and having serious depression issues right now,Dont know what to do and the feeling of transitioning right now is stronger then ever crude oil etf options ,confused ,depressed,anxiety Im lost right now the thought for some reason does not leave my brain Help.

I understand your pain my friend. I am 64 years old and have carried this secret all my life until last fall. I find myself now, alone, divorced, afraid to go out in public dressed, in therapy and not much interest in anything. What I am learning benefits of buyback of shares and over is that sometimes honesty is not always the best policy.

I want you to know that there are thousands who understand and many others who try to understand. Just remind yourself that the battle to be true to who we are is really the only fight worth fighting. The other is to be able to share our love, care and freedom with the world around us. We have a great struggle with self-acceptance but it gives us the capacity to understand people who are non-conforming or social outcasts.

Remind yourself also, again and again, that you are your essence even if it does not align with your body. You are that person you wish to be already — in your heart. For me the choice to end my dishonest and manipulative life meant I could get the help I needed most especially from medical people who had the capacity to understand and give me the therapy, hormones etc I sorely needed.

I am A boy. My parents would say that i am not a girl. I have always wanted to be a girl when i was in elementary school. Please email me to help me make my choice rking gmail. You are right to be hesitant to decide at There are big decisions with so many issues to consider. My advice would be, if at all possible, get some professional help.

Just a moment

Letting people have your email could get you into some trouble with someone who could be ignorant or bad. You could just say you binary options whether to start bullying & profiting depressed and need to have some counselling. Just take it one step at a time. Playing with dolls and wanting to be a girl does not mean you are necessarily transgender but it could be that you are.

In any event, in most countries, you do need to have counselling and come out to a certain extent to start on the quite long road to your real gender. My view is you should not leave it for too long as what can be done is, in the meantime, you are given anti-androgens to slow your development down a bit.

Try not to get anxious or depressed, your life journey can be really happy even if it is challenging. More than anything give yourself lots of hugs! Has anyone ever connected the transgender idea to elements of autism? Any lead is helpful… 2. The blending of personal identity into an antidote for implied social norms and queues serves to confuse an origin of non-conformance to birth gender norms with an escape clause transgender labeling. It is a curious abdication of the gender discussion.

Why not instead return to the individual a need to conform to their birth gender so that within existing genders male and female they provide an updated narrative to what the social norm should be?

In other words, the transgender community seems to be like the pilgrims escaping religious persecution on the Mayflower wanting to have freedom when the actual mechanics result in establishing another colony attached yet apart from society.

The point is the response to the tension internally in each person is still to choose between being boy or girl. Why not remain within the birth gender and remove social norms rather than adopting the narrative of the opposite gender and participate in reinforcing the social norms that opposite birth gender folks find so abhorrent? A girl wanting to be a boy does the same inside of male norms. Gender liberty defined as freedom from societal gender constructs is not gained.

My confusion about the whole conversation comes back to determining that the individual, rejecting their birth gender with all of the associated expectations, training and social queues, should be the one to choose to be the opposite gender. The choice itself is only informed by observation not experience. Surgeries, hormone supplements and chemical alterations through medications have lasting consequences.

Hi Felix, anybody who has gender disporia will try to relate to what you are saying here and almost every individual would probably wish for a different life but I do honestly regret that as a transgendered person an intellectual debate on how society could help us and how constructive that would be is so far from being practical it is not true.

Being transgendered is really not an external social reality it is a broken internal reality in which the person sees their physical body as non-aligned to their own identity.

My personal experience, after hours and hours of very expensive psychotherapy, fasting, prayer and even spiritual deliverancesessions is that these interventions only increase our inner turmoil and can also be positively dangerous resulting in chronic depression how to become a commodity trader in singapore suicide.

I can see you are trying to be helpful but I cannot believe you are transgendered or you would not propose that this really has to do with acceptance by society. No doubt it would really help if we were accepted by those dearest to us and possibly also by society. The reality is we need to find self-acceptance and often make some really difficult decisions on the extent to which we will transition.

Andy, you are correct, I am not TG. However, I do have relatives who declare so the conversation is very personal. It is helpful to have the dialogue. In response to your comments: Having this discussion is not intended to change anyone. Rather, the importance of diverse points of view is to clarify bias, challenge assumptions and provide a means to dig into the questions that remain silent otherwise.

Here is my response to the points in your reply: I understand your point about the difference between an external and internal reality. So they are not exclusive. The reported experience, as I continue to read stories of TG declaration, suggests that those who have a support network have an easier time with their own acceptance.

Again, the external experience impacts the internal so including discussion of social acceptance is important for the internal conflict although it is not the only factor of the struggle to accept the self. Within this context my question remains: Committed action such as surgery and how do prison gangs make money supplement, where someone commits to physical changes, have consequences potentially adding to the internal struggle.

The need to physically change seems best european brokers binary option with a demo accounts by the need to participate within an understanding of the other gender that is observed not experienced. Without the experience of being the other gender, how does someone who is one gender physically know when they have fully transitioned unless there is a baseline to measure it against?

Not all TG want to change their sex organs so a physical change that is not based on an anatomical measure suggests there is no baseline binäre option handeln from common observed differences between the genders in both perceived norms physical attributes. Without making all the changes to ones body that are possible there seems to be a spectrum along which a transitioning person finds their place to be rather than simply becoming either a man or a woman.

Instead of participating on this spectrum of perceived gender differences, why not fall into the spectrum of each gender, expanding what it means to be male and female rather than transitioning between them?

The journey of self-acceptance is not an LGBT journey, it is a human one. There is tension for boys becoming men, girls becoming women and adults with aging over time and the changes for each individual internally in each of these transitions. We are all in a process of acceptance between how we want to be perceived and our reality physically. Age removes youth and youth is celebrated in our culture.

A cure is not needed when we expand acceptance for people as they are instead of trying to change them. It is curious that the TG community posits change as the remedy for an identity struggle when acceptance is the goal. There is no one change that a person reporting TG can make to conclude their Dysphoria. Rather the landscape of solutions for TG identity is an offering of ongoing changes to commit to. It continues until the individual becomes satisfied or else remains in pursuit of a satisfying outcome that may or may not present itself and seems only available when the individual decides to stop on the spectrum of change.

Might a solution regarding self-acceptance be found in acceptance of physical birth gender that is also relieved of the burden to participate in gender norms observed by the individual and expressed in society? We are all finding our own way and those who find their voice in the TG construct may, through an acceptance of themselves as they are physically, emotionally, and mentally, lend that voice to the broader discussion regarding how we understand femininity and masculinity.

I understand that these ideas are not going to be popular within this forum. As folks who celebrate acts of courage it is my hope that the discussion can be embraced as both a courageous presentation and a means to expand understanding as we share ideas. Hi Tengu, Why are you making the assumption that gender variance is a pathology?

Is being gay also a mental pathology? We have moved far beyond believing that. My question is this, does any sound study show improved mental outcomes from transition surgery? For instance, does transition surgery reduce the high incidence of suicide? I reference 2 studies here scroll down to the bottom of the page. Hi, I really appreciated the blog and almost all of the postings. This is a well moderated blog.

There are just a couple of postings which attempt to pose questions which imply that being transgender is a choice and that a more accepting society may overcome the need for transition. The intention may be helpful but, as a M2F trans person I can say the questions show a lack of understanding for a person born in the wrong body. The process of being reconciled with oneself, coming out and transitioning if those choices are made is really very difficult.

I do leave a very few of the more challenging poorly informed and perhaps hurtful comments through because I think its important for people to see the comment and more informed answers. See this thread on my facebook professional page: I so totally agree that all of the choices are our own as well as the implications positive, neutral or negative of those choices. In any event personally I was victimised and profoundly beyond description here abused as a child and young person as being too gentle, girly and unassertive.

I was a perfect target for severe bullying and worse. For me coming out was loaded with terror and shame but the deception which becomes so pervasive just had to end. What I was trying to say, in my own way, was that being transgendered was never a choice for me but an ever increasing pressure within me which had to explode and ultimately be resolved.

The relief, even with the difficulties and rejection by some, very few actually was huge. Nowadays, I find fullfillment in expressing and living out just as much femininity as I like and being available to help others who are considering transition or more often parents who have concerns about their children.

My desire is to try to make sure nobody especially an innocent child has to go through so much anguish and pain as I did. I always have to skirt around my story because I am still struggling to see or recount it positively and in a way which will be readable. Hi Ami, I went to your website and I must say it was refreshing. I guess you are right, if views are expressed we, as trangender folk should reply. I did do so without undue emotion and do hope it helped.

I guess we should all find our voice! Hi Ami, just to say I have read and been touched by many of your writings. I have faced years of profound rejection from childhood. My suicide attempts started at puberty and continued intermittently.

I lived in stealth mode for decades until the lies dishonesty, self-harming, illegal hormone use and conflict became far too overwhelming. I am a M2F transexual but only attracted to woman. I have a wife, family and friends who do try to be understanding. My trans issues are often like the elephant in the room, barely talked about.

I am confirmed in my gender status but I do live with deep regrets that I was not courageous enough to come out a lot sooner. My Christian faith was but no longer is an obstacle thanks to new thinkers who have helped. Hi Felix, given that being transgendered, gay or different in some other way, was optional a lot of your thoughts would be valid. Where we agree would be that each individual must ultimately make their own decisions based on what they want.

These are often involve really practical, relationship and financial concerns as well as the very real risks involved or results which can be achieved which differ greatly. The whole world is almost structured around the gender binary so, while it would be nice to have a continuum, the reality is that for a transgendered person it is not the way it works or how the identity has been shaped.

I must go to sleep now but will write tomorrow. I want to also try to help you get inside a transgendered persons skin but in another post. Hi Felix, I woke to consider what I could communicate to you on a public forum. So, rather than being graphic I will be abstract and let you read between the lines. From the age of 3 onwards I wanted to wear girls clothes, play with dolls and only be with girl. My father was so alarmed that from then onwards I was rejected, forced to stop playing with dolls etc.

I am sure he cared but when the bullying and abuse very severe started he always blamed me and told me I had to fight. I did not want to fight!! I lost myself at home spending even more time with my mother and sister and avoiding him. Personally I hate the thought I was a product of an error! The non-accepting environment and my own fear, shame and deep desires remained but at the onset of puberty I reached a crisis point and a number of suicide attempts followed.

My essential being went into hiding and I was walking around in a shell which I detested. From then on I was stealth for about 45 years. Please note I am heterosexual you could say lesbian as I am only attracted to women. Anyway only a few years ago a few events helped to break the shell: I put myself into a mental hospital as I was teetering on the brink of suicide. I became infatuated with a woman who indicated she loved my feminine part.

I received psychotherapy from the first person who validated my essential being. I came out as transgender to all of my family and almost all of my friends.

From then on I got all the help physical and mental I had needed all those decades! I was happy for the 1st time in my life and all the stealth and self-abuse stopped dead. How far will I go to achieve congruity…a long way! Probably not all the way because testerone has poisoned my body and at my age complex surgery is risky and expensive.

In terms of what you have written, where we agree is in the need for greater society acceptance of gender diversity all fundamental diversity actually! I do believe the current climate may cause people who have other problems or are unhappy with themselves to consider the are transgender.

That would be a dangerous and expensive mustake! Where we differ is that somehow gender disporia can be resolved by accepting gender as this continuum you mention. For children, parents, friends and most importantly, for a real transgender person, male or female, this will exacerbate the problem as the potential to help the person become who they are will be subverted. I know your thoughts and opinions arise from some genuine, inclusive and compassionate concerns.

They are real but in the wrong hands they are dangerous. I was never broken, I was not mentally ill or rebellious, I was just trying to find my way! Take care, be happy and be blessed! Hi Tengu, I believe issues need to be carefully separated. All transgendered folk suffer from depression and may, attempt or commit suicide at some time. In my case I attempted twice in my puberty period. We are also subjected to a lot of bullying, abuse and social rejection.

This is also a common factor in most instances of drug and alcohol addiction in general. Surgical procedures and hormonal interventions only help reduce dysphoria they never eliminate it.

We transgendered have the burden that we can never actually be changed to the extent we would like. There is no evidence to support lower or higher rates of suicide for those who have transitioned.

Where you are right is in stating that rates of suicide are higher for transgendered folk. Where you are wrong is when you try to dismantle the problem by linking it to attempts to transition which have greatly varied success rates anyway.

Personally, while I reject the idea that social acceptance will be a solution, I completely endorse the idea that it would be great! It would be even greater if violence directed against transgender and gay folk was to be confronted. Telling gender variant that they must just live with it or even worse that it can be cured is both unsympathetic and dangerous. Helping individuals on whatever journey they are on is commendable. That requires courage from everybody. Let me state quite forcefully that transgendered folk who accept and deal with their issues while helping others to understand is supremely courageous.

We transgendered folk are some of the bravest people alive! Hi Ami, I am looking forward to your reference material! The problem, as I see it, is the preoccupation not only with gender as binary and not as a spectrum. In addition it is overlayed with the modern preoccupation with image over substance. The nature, extent and speed is also an important consideration related to the possible success, risks and costs of transformation. I personally believe that there have been forces at work which have glamorised being transgendered while the reality is it would hardly ever be a choice if choice was involved.

Personally, I believe male and female are seldom if ever actualised as pure types. For me, except for coming out as transgendered initially, navigating my own path from then on is fraught with decisions many of which are irreversable.

Buying new clothes, dressing in gender appropriate outfits. Lazer hair removal, eyebrow shaping etc do give us urgent interim relief. It is the finality and implied rejection of hormonal, surgical and public engagement with the gender fluid community that is a real challenge for our partners and spouses to accept. In my case, and many others who succeed, the only time things when wrong was when in desperation I would press on with my transition alone. I must also point out how vital the various medical and mental practitioners have been for me.

Seek out psychologists, psychiatrists, marriage counsellors, doctors, endocrinologists, urologists, pharmacists etc with an opening statement that you are transgendered and you will not be judged. As backgroud, I am a committed Christian who has given God the authority over my life.

I also reject all binary notions of gender, sexuality, race, religion, fat-thin, old-young. An in the way of our ability to love and serve each other. Sorry about the little rave but it somehow linked to the challenges you and your wife have been facing. I pray you will soon see a breakthrough…be happy and be blessed. What can I do? Can someone PLEASE give me resources for nonbinary transgender people with severe dysphoria?

There is the idea that I was transgender all along and that led to my dealing with stress in a different way, and eventually not actually being me just was not worth it? After living as a woman for 13 years; had surgery init is clear to me that I was not transgender. I was so put off by the males in my family that I hated them and as soon as I could I became female as much as I could.

Life is much easier now, though my whole family will not talk to me and I lost my job, church and everything else. In a way I think our rigid binary culture makes people feel off.

We need to simply lighten up and let people be who they are. If it was just a quick and easy change it would be simple but it is a long journey and i am great full to be on the path. I started hormones on a limited basis around and went to them full time in ; the pills being 2mg Estradial. AroundI got on Vivelle. Breast development is adequate, so I never had implants.

I got a legal castration in early and SRS in It does not feel like I transitioned, rather it was a relief to stop pretending to be a man. The Christian fundamentalist family has not spoken to me sinceand it does not seem like that will change.

You are commenting using your WordPress. You are commenting using your Twitter account. You are commenting using your Facebook account. Notify me of new comments via email. Notify me of new posts via email. Discussions of Mental Health Issues for Gender Variant and Transgender Individuals, Friends and Family with posts by NYC Psychotherapist Ami B. Fears about finding a partner Impact on family relationships with parents, children, partners and other relatives Impact of relationships at work and with friends.

Fears about violence and prejudice when one is read as transgender. Feelings about having to experience surgeries, hormones, and for MTF transsexuals facial hair removal and voice changes.

Frustration of having to change or explain legal documents drivers license, passport, titles to property, diplomas, etc Post transition issues — Some issues that may arise include: Level of satisfaction with appearance Level of satisfaction with any surgeries Emotional issues that were not addressed before.

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