Gender Dysphoria: A Journey Towards Authenticity - Psychiatry

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I'm sorry... I... want to transition?


I'm sorry...
I sent out two letters because I haven't received any response from Dr.
Chen Wen-Ke.
I've been quite worried, but his name is not on the list.
I'm sorry...
I want to be a girl, but I'm afraid of being seen as a pervert because of this mindset, which is growing day by day.
When I get scolded, I often cry and am seen as pretending to be innocent.
I want to talk to my parents, but I'm afraid they'll think I have a problem.
Both of them are getting older, and I don't know how things will turn out if I bring it up.
I'm really scared...

*Xiezi*, 10~19 year old female. Ask Date: 2005/08/21

Dr. Chen Wenyu reply Psychiatry


Hello, Shoes: It is undeniable that our society still has a poor level of acceptance regarding issues related to homosexuality and transgender individuals.
But have you ever considered that if you cannot accept yourself, how can you expect others to accept you? If you are ashamed to acknowledge your own gender identity and are afraid to confront it, how should others approach you? Gender-affirming surgery follows a standard protocol, with psychiatric evaluation being a key component.
It is advisable to seek assistance from a psychiatrist as early as possible, which should include support for both yourself and your family.
Thank you for your letter!

Reply Date: 2005/08/21

More Info


Understanding gender dysphoria is a complex and deeply personal journey that many individuals navigate as they seek to align their physical appearance and social identity with their internal sense of self. Gender dysphoria refers to the psychological distress that arises from a discrepancy between a person's gender identity and their assigned sex at birth. This experience can manifest in various ways, including discomfort with one's body, societal expectations, and the roles associated with gender.

From your description, it seems you are grappling with feelings of wanting to express your identity as a woman while simultaneously fearing societal judgment and misunderstanding. This fear is not uncommon among individuals experiencing gender dysphoria, especially in a society that often holds rigid views on gender norms. The anxiety about being perceived as "abnormal" or "deviant" can be overwhelming, leading to feelings of isolation and despair.

It's important to recognize that your feelings are valid. Many people who identify as transgender or non-binary experience similar struggles. The journey toward authenticity often involves exploring one's gender identity, which can include experimenting with gender expression, seeking support from understanding communities, and, for some, considering medical interventions such as hormone therapy or surgery. However, these steps should be taken at your own pace and in a way that feels right for you.

If you are feeling overwhelmed by these emotions, 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 gender identity, and develop coping strategies for dealing with societal pressures. Additionally, support groups for LGBTQ+ individuals can offer a sense of community and understanding, allowing you to connect with others who share similar experiences.

When it comes to discussing your feelings with your parents, it’s understandable to feel apprehensive. Many individuals fear rejection or misunderstanding from their family members. However, open and honest communication can sometimes lead to greater understanding and support. You might consider approaching the conversation by expressing your feelings and experiences rather than focusing solely on labels. Sharing your journey and how it affects your well-being can help them understand your perspective.

It's also worth noting that societal attitudes toward gender identity are gradually changing. Many communities are becoming more accepting and supportive of diverse gender identities, and there are resources available to help educate those who may not understand. This shift can create a more welcoming environment for individuals exploring their gender identity.

In summary, your journey toward understanding your gender identity and expressing it authentically is a deeply personal one. It is essential to prioritize your mental health and seek support from professionals and communities that affirm your identity. Remember, you are not alone in this journey, and there are people and resources available to help you navigate these complex feelings. Embrace your authenticity, and take the time you need to explore what being true to yourself means for you.

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