Navigating Gender Identity: Your Feelings and Experiences - Psychiatry

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Gender identity


Hello, doctor.
To avoid going into too many details, I will try to briefly describe my issue.
I am a biologically female individual who identifies as a woman, but I have recently started to feel confused about my gender identity.
Since elementary school, I have disliked the development of my breasts as they grew and became less flat.
In middle school, I even had thoughts of self-harm due to some psychological issues, and at one point, I considered cutting them off with a blade (my thought at the time was that this would make my body look the way I wanted it to when I died).
I initially thought my extreme aversion to these features was because I identified as a lesbian but in a more masculine role.
Later, I learned that hating certain characteristics could indicate being transgender.
I have researched transgender issues, but I do not want to become a man.
To be precise, I know my biological sex is female, but I dislike my female characteristics (which have expanded beyond just my breasts in the past two years).
I wish my chest were flat like a man's, but I do not want to have male characteristics.
For the past few years, I have felt like I am in a strange position; I do not want to identify as a woman, nor do I want to become a man.
I feel that a robotic state would be my ideal gender.
I have searched online many times but have not found anyone with similar thoughts.
Is this normal?

A Chai, 20~29 year old female. Ask Date: 2021/09/07

Dr. Wu Enliang reply Psychiatry


Hello, netizen: Broadly speaking, it is also a form of "gender dysphoria." If it causes physical or mental distress, it is necessary to seek medical attention.
Dr.
Wu Enliang.

Reply Date: 2021/09/07

More Info


Navigating gender identity can be a complex and deeply personal journey, and it's completely normal to feel confused or uncertain about your feelings and experiences. From what you've shared, it seems that you are grappling with a mix of emotions regarding your physical body and gender identity. This is not uncommon, and many individuals experience similar feelings as they explore their identities.

Firstly, it's important to understand the distinction between gender identity and biological sex. Biological sex refers to the physical characteristics (such as chromosomes, hormone levels, and reproductive/sexual anatomy) that are typically categorized as male or female. Gender identity, on the other hand, is a deeply-held sense of being male, female, a blend of both, neither, or something else entirely. It is possible to identify as a woman while feeling discomfort with certain aspects of femininity, or to feel that you do not fit neatly into traditional gender categories.

Your feelings of discomfort with your physical body, particularly with the development of secondary sexual characteristics like breasts, can be indicative of gender dysphoria. Gender dysphoria is a condition where an individual experiences significant distress due to a mismatch between their experienced or expressed gender and their assigned sex at birth. It’s important to note that experiencing gender dysphoria does not automatically mean you want to transition to another gender; some people may simply wish to alter certain aspects of their bodies while identifying as their assigned gender.

You mentioned that you do not wish to become male, yet you desire a flatter chest and dislike certain female characteristics. This nuanced position can be challenging to navigate, especially in a society that often expects individuals to conform to binary gender norms. Your ideal of a "robotic" state as a gender identity suggests a desire for a form of existence that transcends traditional gender categories. This is a valid perspective, and many people identify as non-binary or genderqueer, which allows for a broader understanding of gender beyond the male-female binary.

It’s also crucial to address the mental health aspect of your experiences. The thoughts of self-harm and the extreme discomfort you’ve felt regarding your body are serious matters that warrant professional support. Seeking help from a mental health professional who specializes in gender identity issues can provide you with a safe space to explore your feelings, understand your identity, and develop coping strategies for the distress you are experiencing. Therapy can also help you process any past trauma or psychological issues that may be contributing to your current feelings.

In terms of finding community, it can be helpful to connect with others who share similar experiences. Online forums, support groups, and social media platforms can provide spaces where you can express your feelings and learn from others who may have gone through similar journeys. You may find that there are individuals who resonate with your desire for a non-binary or gender-neutral identity, and sharing your experiences can be validating and supportive.

In conclusion, your feelings of confusion and discomfort regarding your gender identity are valid and deserve attention. It’s important to take the time to explore these feelings, seek professional support, and connect with communities that affirm your experiences. Remember, there is no right or wrong way to navigate your gender identity, and your journey is uniquely yours. Embrace the exploration, and know that you are not alone in this process.

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