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Intro- mental illness and gender

Intro- mental illness and gender

Hi All,

I have just joined the SANE forum. It's my first time actually participating in something like this.

I apologise in advance that this story is just a 'me' story and too long. However, I feel like I've been to hell and back and need to tell someone, actually anyone, who will listen and understand. It actually feels like I'm still in hell most days. My story touches on a number of issues- anxiety, depression, psychosis, medication, self harm, border line personality disorder and gender identity disorder.

Mentall illness has been in my life for a long time but it wasn't until last year that things reached breaking point. Up until then, everything I had experienced had been put down to generalised anxiety disorder and depression. For seven years I was on a unique combination of medication and just assigned many of my life problems to this disorder. Everyday tasks seemed hard though and I knew life wasn't supposed to be like this. It just felt like something deeper was going on within me. I decided to try something different- coming off my medication. I thought it would help me work out what was really causing me so much grief. That's when everything changed.

Withing six months of being weened off my medication, I was hit with a complete identity crisis. It felt like a volcano erupted and everything that had been laying dormant in my subconscious for a very long time started spilling out. A different person started to emerge. I didn't even know this other person existed and yet, in a strange way, it also made sense. I started realising that what I was facing was a gender identity disorder. At 32, I had never questioned my gender and now, I was being confronted with the realisation that all was not what it seemed. My mind went into complete turmoil trying to understand how I didn't know this was inside me. I went through the memories of my childhood, I analyzed everything in my life, I searched for answers. I suddenly felt the need to change my clothes, hair and general appearance. In a matter of weeks, everything I thought I knew about myself was slowly disappearing. I was terrified. It was all too much and I started experiencing psychosis. I was being plagued by obsessive, instrusive, distressing thoughts and voices in my head. I was suicidal and started self harming. I went to see my gp. Together we tried to find a new psychiatrist. This was actually a hard task and took months. I tried three different doctors all of who were booked or wouldn't take me on.

I was now dealing with heightened anxiety, a newly discovered gender identity disorder, depression and psychosis. In a desperate attempt for respite, I tried getting myself into a psychiatrict hospital but even that was unsuccessful.

I finally found a good psychiatrist who I am currently working with. Slowly we are trying to unpack everything that has happened and continues to cause distress, trauma, anxiety and panic. Receiving a disgnosis is taking time but Borderline Personality Disorder is probable. Surpressing your true identity since childhood is bound to have dire consequences. I having been taking medication for my psychosis, anxiety and depression and assume I will need intensive therapy once my diagnosis has been confirmed. Everyday is a complete struggle and my mind is in mayhem. I am trying to come to terms with my gender identity disorder but it's hard to do when mental illness is at the forefront. One positive is that my self harming has stopped.

I still experience very distressing thoughts which make living and interacting hard. My medication continues to be tweeked which causes withdrawls. Hopefully I'm on a path to findind the right dosage.

I was living in a shared house. I now live with my parents. I was working full time through out all this but gave this up and am currently a student. I can't imagine going back to 9-5. I used to go out with friends but now I find it really hard. I look different and act different and my mind in on mars. How can I go out and have a good time?

Sometimes I think about how long it's going to take to recover from this and I feel like it's all too hard. I honestly don't know what the future holds for me. Everything has been turned upside down.

If there is anyone out there who has suddently been hit with something like this out of the blue and can offer any advice, I'd love to hear it. All I can do to get through each day right now is breathe.

Thanks for listening,

Kate

24 replies

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In response to: Intro- mental illness and gender

Re: Intro- mental illness and gender

@Adge

Thanks so much for reaching out. I appreciate it.

I too am seriously thinking about transitioning. It's a huge step and one that needs alot of thought but as time goes on, I feel more and more like the opposite gender. My main concern is telling family and friends. They have known me to be a certain person (albeit a fairly depressed one) for all my life. It would come as a huge shock to them as it has to me. I don't think they would support my decision to transition.

I suppose all these things take time, like you have said. My psychiatrist also mentioned PTSD to me, largely from the trauma of gender dyphoria and psychosis. Its a tough road.

I'm glad to hear things have settled down for you after all this time. I think everyone deserves support but it can be hard identifying your needs and getting access, particularly when you are in a poor state like I have been.

In response to: Intro- mental illness and gender

Re: Intro- mental illness and gender

@utopia

The 'disorder' topic is one that I haven't thought about much. I called it gender identity disorder because it genuinely feels like I was born with a brain that doesn't quite match my body. It feels quite biological, like something went a little haywire along the way (hence disorder) but this isn't necessarily a bad thing. Perhaps my thinking on this will change in the future. My experience with dysphoria is that this happens because of the disorder- ie. I have moments when I feel really uncomfortable in my body which is because my brain works like the opposite gender. This is all stuff that I am learning along the way so I could be right off track but this has been my experience. I still feel a long way off being comfortable but remembering I'm 'perfect just how I am' helps- thank you 🙂

In response to: Intro- mental illness and gender

Re: Intro- mental illness and gender

I don't think your description is wrong @kef. That's how it feels to you. That's also how my family member described it. Not feeling comfortable or right in your body.
I hope that once your psychosis settles down with the help of your treating team - then you will have the space and the energy to think about gender & how it will fit within your life.
One step at a time. One day at a time.

In response to: Intro- mental illness and gender

Re: Intro- mental illness and gender

Good advice @utopia. One step at a time.

In response to: Re: Intro- mental illness and gender

Re: Intro- mental illness and gender

I identify as trans masc and have (partially) physically transitioned. (I don't want to fully transition). The realisation for me wasn't sudden. I think I've always known, even when I didn't have words to describe it. I can relate to a lot of what's said in this thread though. Welcome @kef

In response to: Re: Intro- mental illness and gender

Re: Intro- mental illness and gender

@-Rayne-

It's good to hear from someone who has experienced transitioning.

I'm still struggling to understand how this realisation happened suddenly for me. I've spoken to counsellors who have said that gender dyphoria doesn't just appear out of nowhere- it's usually something that becomes apparent in childhood. All I can say is perhaps I have been so disconnected from my life and buried everything deep down from an early age that I didn't even let myself think about who I really was or what I really felt. I never felt safe enough or confident enough to express myself. Strange I know but that seems to be what's happened.

I just remember being dressed as a girl when I was two or three and never questioning it. Until now, 30 years later. Do you mind if I ask you about your experiences with transitioning? For some reason, I feel a great deal of fear about it but also that it's something I need to explore. I'm not sure I want to fully transition either but I am certainly considering how I can express myself more fully.

In response to: Re: Intro- mental illness and gender

Re: Intro- mental illness and gender

@kef yeah it doesn't really sound strange to me that you would not notice it through childhood, especially if the environment you were in wasn't supportive. It definitely wasn't the most urgent and distressing part of childhood for me either - I know it is for some people. It was there but mostly not just background, if that makes sense, until puberty at least. It became more distressing then.

I don't mind questions on transitioning.

In response to: Re: Intro- mental illness and gender

Re: Intro- mental illness and gender

Thanks for being open to questions. How has your mental health been whilst transitioning? Did you socially and medically transition?

In response to: Re: Intro- mental illness and gender

Re: Intro- mental illness and gender

@kefmixed I would have to say. I'm on low dose of hormones and I'm hoping to have top surgery later this year. That's all that I want to do.

There's a strong sense of relief in just finally feeling like you're being authentic with yourself and others, which is great - I've heard others say that too and I think that aspect is universally good for mental health. But transition is also stressful - both physically at times and also in terms of coming out and explaining it to others. I came out as lez more than a decade earlier and so thought this wouldn't be so hard, times have changed, people are more tolerant etc. The difference is when you come out as LG or B you get to chose who you tell and who you don't. If you medically transition, it's out of your hands - visibility not just disclosure - so that's hard sometimes.

Also, depending on your diagnosis, it can take a long time to get approval for hormones or surgery. That's not a reason to not pursue it if it's what you want/need, but be aware it can require a lot of patience.

I hope this doesn't discourage you. Asking questions is good though. It's a big deal.

In response to: Re: Intro- mental illness and gender

Re: Intro- mental illness and gender

@-Rayne-

Thanks so much for your honesty and advice- I really appreciate it.

I think transitioning is going to be tricky for me because of my mental health. I regularly experience anxiety, depression, and obsessive thinking. Add in borderline personality disorder (although still awaiting final diagnosis) and things aren't looking good. I can't imagine being able to a) get approval given my state of health and b) being strong enough to get through the long process. The odd thing is many of these issues (such as bpd) stem from not being about to be my true self so transitioning would actually help me. At least I think it would.

Has the low dose of hormones changed the way you look very much? Ive seen some before and after pictures of people that have transitioned and they have become unrecognisable. I'm not sure that's something I want. I was thinking of the same approach as you- low dose of hormones and top surgery although as you said, its all a very big decision.

I totally understand what you are saying about being visible and having to disclose it. I hadn't given any thought to that so you make a good point.

Might be a dumb question but do you ever miss your old self? And how have your family been? I'm sorry for so many questions. I've just had these buzzing around in my head and it's great to finally ask someone. Thanks so much.

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