Gender Identity: Navigating Confusion and Acceptance - Psychiatry

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Is this a case of gender dysphoria?


Hello Doctor, I am 24 years old.
Since elementary school, I have had a desire to wear clothing of the opposite gender, which makes me feel comfortable inside.
In middle school, I had crushes on male classmates, but I also felt attraction towards girls.
In high school, I wore girls' clothing for photos and hugged and kissed my same-sex friends.
I have also had girlfriends, but I feel very conflicted about whether I am attracted to boys or girls.
During high school, I hid women's clothing, lingerie, stockings, and high heels under my bed, and when my family discovered them, they scolded me and questioned whether I was sick, which made me feel very wronged.
I am unsure whether I should see a psychiatrist or a psychologist.
Thank you for your guidance.
Even now at 24, I still want to purchase lingerie, women's clothing, breast forms, and wigs, and I enjoy spending time with boys, but I have also had girlfriends, and I feel deeply conflicted inside...
I am afraid to bring this up with my family.

Yan, 20~29 year old female. Ask Date: 2022/03/23

Dr. Liang Sunyuan reply Psychiatry


Hello: Basically, your behavior has not harmed others, and it is advisable not to put too much pressure on yourself.
Everyone is unique, and preferences can vary.
If you do not want to become overly immersed in it, try to engage in a variety of different leisure activities.
Additionally, assess whether it affects your mood and daily life, and consider what your current behavior means to you (is it seeking stimulation, or is there a persistent desire to act this way?).
Are there alternative activities that could replace it? If you are still feeling troubled, seeking medical assistance may be beneficial.

Reply Date: 2022/03/23

More Info


Navigating the complexities of gender identity can be a challenging journey, especially when one experiences feelings of confusion and contradiction regarding their gender and sexual orientation. Your experiences, as you've described them, reflect a multifaceted relationship with your identity that many individuals encounter. It's important to recognize that your feelings are valid and that you are not alone in this exploration.

From what you've shared, it seems that you have a strong inclination towards expressing yourself in ways that may not conform to traditional gender norms. The desire to wear clothing typically associated with another gender, along with feelings of attraction towards both males and females, suggests that you might identify somewhere along the gender spectrum. This could indicate a non-binary identity or gender fluidity, where individuals do not strictly identify as male or female but rather embody aspects of both or neither.

The feelings of comfort you experience when wearing clothing associated with another gender are significant. Clothing can serve as a powerful form of self-expression and can help individuals align their external appearance with their internal identity. The fact that you have felt a sense of ease and comfort in these expressions is an important aspect of understanding your gender identity.

Your experiences of attraction to both genders further complicate the traditional binary understanding of sexual orientation. It is entirely normal to feel attracted to individuals regardless of their gender, and this fluidity is increasingly recognized in contemporary discussions about sexuality. Identifying as bisexual or pansexual could be terms that resonate with your experiences, but ultimately, the labels you choose (if any) should reflect your personal understanding of yourself.

The conflict you felt when your family discovered your clothing choices is also a common experience for many who explore their gender identity. Societal and familial expectations can create significant pressure, leading to feelings of shame or confusion. It’s crucial to find supportive environments where you can express yourself freely without fear of judgment. This might include seeking out LGBTQ+ support groups, online communities, or friends who understand and accept your journey.

Regarding your question about whether to seek help from a mental health professional, it can be beneficial to talk to someone who specializes in gender identity issues. A therapist or counselor who is knowledgeable about LGBTQ+ topics can provide a safe space for you to explore your feelings and experiences without judgment. They can help you navigate your identity, work through any internalized conflicts, and develop coping strategies for dealing with societal pressures.

It's also important to remember that understanding your gender identity is a process that can take time. There is no rush to label yourself definitively, and it's okay to explore different aspects of your identity as you grow and learn more about yourself. Engaging in self-reflection, journaling, and connecting with others who share similar experiences can also aid in this journey.

In conclusion, your feelings of confusion and contradiction regarding your gender identity and sexual orientation are valid and shared by many. Embracing your unique journey and seeking support from understanding individuals can help you navigate this complex landscape. Remember, you are not alone, and there are resources available to assist you in your exploration of self-identity.

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