Gender Dysphoria: Exploring Cross-Dressing and Identity Confusion - Psychiatry

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Struggling with one's gender identity?


I have always liked beautiful things, especially women's clothing.
When I wear women's clothes, I feel like a different version of myself.
In the past, I have collected women's clothing and would dress up to look as beautiful as a woman.
During my fantasies, I often imagine myself as a woman.
However, I am attracted to women.
I envy women for having breasts, which I do not have, and I feel confused about my true gender.
Sometimes, I engage in masturbation while dressed in women's clothing, and I also think about trying to live as a woman.
I have some questions about my body structure as well.
So, does this mean I have a desire for gender transition, a cross-dressing desire, or a fetish?

Ayu, 20~29 year old female. Ask Date: 2018/08/26

Dr. Wang Yazhen reply Psychiatry


Hello, A-Yu: Based on your description, it may be suspected that you have transvestism.
Additionally, fetishism specifically requires a strong sexual arousal through clothing or inanimate objects, which is not clearly confirmed in your description.
Whether to address transvestism or fetishism is a personal choice based on individual needs.
The primary focus should be on understanding and accepting your current state.
If you do not wish to change, it is important to seek understanding and acceptance from close family and friends, ensuring that it does not negatively impact others.
If you wish to actively seek change, it is advisable to seek assistance from psychological therapy.
Thank you!

Reply Date: 2018/08/26

More Info


Understanding gender dysphoria and the complexities of identity can be a challenging journey, especially when it involves feelings of confusion regarding one's gender identity and the desire to express oneself through clothing and appearance. Your experiences resonate with many individuals who find themselves navigating the intricate landscape of gender identity, cross-dressing, and sexual orientation.

From what you've described, it seems that you experience a blend of feelings related to gender expression and identity. Enjoying wearing women's clothing and feeling a sense of fulfillment or a different identity when dressed in that way is not uncommon. This phenomenon can be associated with cross-dressing, which is often a form of self-expression rather than a definitive statement about one's gender identity. Cross-dressing can serve various purposes, including exploring one's gender identity, expressing oneself artistically, or simply enjoying the aesthetics associated with clothing typically worn by another gender.

Your feelings of envy towards women, particularly regarding physical attributes like breasts, may indicate a form of gender dysphoria. Gender dysphoria is characterized by a significant discomfort or distress that arises from a discrepancy between one's experienced or expressed gender and the gender assigned at birth. It’s important to note that gender dysphoria is not inherently pathological; rather, it reflects the complexities of human identity and the spectrum of gender experiences.

You mentioned that you are attracted to women, which suggests that your sexual orientation is likely distinct from your gender identity. It's entirely possible to enjoy cross-dressing and to have gender dysphoria while still identifying as a cisgender male who is attracted to women. This complexity is part of what makes gender identity so nuanced and personal.

In terms of whether your experiences can be categorized as a desire for gender transition, cross-dressing, or fetishism, it’s essential to consider the motivations behind your actions and feelings. If your desire to wear women's clothing and embody a feminine identity is primarily about self-expression and exploration rather than a strong desire to transition permanently, it may align more closely with cross-dressing rather than a transgender identity. However, if you find that these feelings are persistent and cause significant distress, it might be worth exploring the possibility of gender dysphoria more deeply.

It’s also important to recognize that many individuals experience a fluidity in their gender identity and expression. Some people may identify as gender non-conforming or genderqueer, which allows for a broader understanding of gender beyond the binary framework of male and female. This could be a space where you find comfort and acceptance.

If you are feeling confused or distressed about your gender identity, it may be beneficial to seek support from a mental health professional who specializes in gender identity issues. They can provide a safe space for you to explore your feelings, help you understand your identity better, and discuss any potential next steps, whether that includes further exploration of cross-dressing, considering transition options, or simply finding ways to express yourself authentically.

In conclusion, your feelings and experiences are valid and reflect the diverse spectrum of gender identity and expression. It’s crucial to approach this journey with self-compassion and patience, allowing yourself the time and space to explore your identity without pressure to conform to any specific label. Remember, there is no right or wrong way to express your gender; what matters most is finding a path that feels true to you.

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