Might Fuck Around And Read A 500 Page Physical Published Book In One Sitting Like It’s 2006 And I’m

Just some ADHD moods:

i have never done anything in my life and im not starting now

everyone hates me because of this One Thing I Said/Did

WHY AM I NOT DOING ANYTHING

i am playing my favorite game in the world and im still FUcking BORED

EXXXXCCCCCIIIIIIITTTTEEEEEDDD!!!!!!!!!!!!!!!!!!!!!!

this is all im talking about for the next ten hours whether you like it or not

this is all im THINKING about for the next ten hours whether i like it or not

Why Don’t I Have Anything To Chew On

I LIKE MAKING NOISE!!!!

if anyone says anything im going to kill them

time to shake

i heard or made a weird sound and now it is echoing through my head please make it stop

i have done………. nothing all day i wish for death

I WANNA DO SOMETHING STUPID

if i dont do this now im never going to do it *spends 30 hours hyperfocused on it*

if i dont do this now im never going to do it *doesnt do it*

its been 16 hours and i havent eaten and im not hungry

its been 3 minutes since i ate and i want SO MCUH MORE

all i want is CAFFEINE

*gets a drink* *doesnt drink it*

this sensation is bad and i will wash my hands until it goes away

if i didnt have adhd, i would be too powerful

if i didnt have adhd, maybe i would be able to do this

why did i SAY THAT i want to SHOVE MY FOOT IN MY MOUTH NOW

im never speaking again

DONT!! YELL!! AT!! ME!!! I’LL DIE!!!!!

i dont like this person because 6 years ago they said my hyperfixation was dumb

WHY!! DO I!! CARE!! SO!! MUCH!!

why am i crying

why am i NOT crying

sorry im really happy and excited and i know you’re sad but im very happy and i have forgotten how to be sympathetic

Bisexual hacker queen Darlene Alderson in every episode of Mr. Robot (season 1). 

Mr. Robot - 4x13 - Come on. This only works if you let go too.

The voyeurs who think they aren’t a part of this despite being here for all of it.

My father picked me up from school one day and we played hooky and went to the beach. It was too cold to go in the water, so we sat on a blanket and ate pizza. When I got home, my sneakers were full of sand, and I dumped it on my bedroom floor. I didn’t know the difference. I was six. My mother screamed at me for the mess, but he wasn’t mad. He said that billions of years ago, the world shifting and the oceans moving brought that sand to that spot on the beach, and then I took it away. “Every day,” he said, “we change the world,” which is a nice thought until I think about how many days and lifetimes I would need to bring a shoe full of sand home until there is no beach, until it made a difference to anyone. Every day we change the world, but to change the world in a way that means anything- that takes more time than most people have. It never happens all at once. It’s slow. It’s methodical. It’s exhausting. We don’t all have the stomach for it.

– Mr. Robot 1x05, ‘eps1.4_3xpl0its.wmv’

‪Getting real fucking tired of people telling me that I have to be chill & that I can’t get angry when family members deadname/misgender me. I get that it takes time for people to get used to new names/pronouns, but I’ve been out as trans for almost a year now. You’ve had time. And now, when family members STILL get it wrong, it just feels like they don’t even care enough to try to use my correct name/pronouns.‬ Ugh.

Hi! I was wondering what exactly I have to do to get t, and who I need to talk to? I know I probably need a note from a therapist, but what after that? Sorry if this has been answered before ;;

Ren says:

This really depends on where you live! I can tell you a little about the US.

[Note: Lee has added in some links!]

Option #1:

Informed consent. This means that you discuss the effects of transition with a doctor, typically an endocrinologist (AMAB folks can also see urologists for HRT services, I have no idea why that’s the case), and confirm that you understand what you’re getting into. You’ll have to read and sign a document that lists all the changes to expect and potential health risks. (Examples of that document are here). You’ll get some tests done and then you’ll be good to go!

Important to note: You must be 18 years of age or older to consent for yourself. I haven’t heard of any minors getting informed consent with their parents’ help, although it may be possible. Also, not all insurances will cover informed consent services. If you want insurance to cover your HRT, speak to your provider (call the number on the back of your insurance card).

Resources: ICATH has some good US-specific resources for informed consent. @plannedparenthood also provides informed consent services for HRT in some locations (source). This Google Maps list here has a lot of informed consent clinics listed as well to check out, although it’s not a full list of all of them.

Option #2:

Therapist’s letter. This is the “traditional” method, based on the (now-sorta-outdated) WPATH Harry Benjamin Standards of Care. Basically, you talk to a therapist for several months. Usually, the therapist is one who knows about gender identity issues, or even specializes in them, but it doesn’t have to be - the main idea is that you’re looking for someone who can keep up with you and isn’t going to tell you that you’re mentally ill because you’re trans, so finding an LGBTQ-friendly therapist is a must. They write a note, hand it off to insurance and your doctor, and you’re on your way.

How long you have to see your therapist before their letter will work for you depends on a) the therapist, b) the doctor you want to see, and c) your insurance (if you plan on seeking coverage). You’ll have to communicate with all of these people in order to work out their requirements. The timeframe is typically around 3 months, but it can be longer or shorter depending on those factors. Information on getting a therapist is here.

An example of that letter is here.

Important to note: Not all insurances will cover HRT with a therapist’s letter, either, although many states are making it illegal to deny transition-related services. Be sure to check with your insurance provider first!

Finding a doctor can also be hit-or-miss. You can speak to your GP (general practitioner; i.e. the doctor you go to for regular checkups) - sometimes they know what they’re doing, and I’ve definitely heard of GPs prescribing HRT or hormone blockers to their patients. However, most of them will refer you to an endocrinologist (and many insurance plans require referrals before you can skip off to a specialist, too) for the actual hormones. Some doctors won’t let you do HRT. It’s okay if you shop around. Look around online; call their office first to make sure they work with trans patients. Remember, if a doctor refuses you healthcare, you have a right to refuse them your business!

Once you get to a doctor, you’ll get a preliminary blood test and a general health screening to check for contraindications (any medical conditions that might make it difficult or impossible for you to be on HRT). Nearly every contraindication is possible to work around, though, so don’t worry too much! They’ll likely be looking at your cholesterol levels and heart and liver functions in particular, although this may vary from doctor to doctor and treatment to treatment.

Finally - as long as all medical conditions are sorted out - you’ll be prescribed your hormones. You can choose which delivery method you receive. For testosterone, there’s injections (which involve needles, but typically only need to be administered once a week or every 10 days), patches (daily, can badly irritate sensitive skin), and creams / gels (daily, have to be careful so that you don’t get it on another person). AMAB folks will need to take both estrogen and an anti-androgen. Typically, estrogen is oral, but can also come in the forms of injections; anti-androgens are nearly always oral.

Stick to the instructions they give you in terms of dosage and administration - they give these instructions for good reason! Your doctor should monitor your hormone levels and health status / conditions, and will likely adjust your dosage as time goes by to ensure it is still accurate, so make sure you continue to go in for checkups.

This post on convincing your parents to allow you to start HRT is also a good place to look!

TOP 50 TELEVISION CHARACTERS (as voted by my followers): #50 - angela moss (mr. robot)

“I have an idea that will change the world. I know it sounds really stupid, but I know how to do it. I think it could actually work.”

Lee says:

These are links on getting insurance to cover your medical transition. Many insurances now cover HRT (estrogen and testosterone) and top and bottom surgery.

A lot of insurances require you follow the WPATH standards of care and require you to get letters from mental health professionals saying you need to have surgery because of your dysphoria before the insurance will cover it.

The WPATH-SOC requirements 

Aetna’s Gender Reassignment Surgery requirements (You may have a different insurance company, this is just to demonstrate how it’s often the same as the WPATH requirements) 

Lee’s testosterone and top surgery letter

Sample Referral Letters for Hormone Therapy and Gender-Confirming Surgeries

Getting a therapist and being in therapy

Is dysphoria a diagnosis?

Gender dysphoria diagnosis

Gender identity disorder codes

Trans-related insurance info:

FAQ: Equal access to healthcare

Finding insurance for transgender related healthcare

Colleges and Universities that Cover Transition-Related Medical Expenses Under Student Health Insurance

What Are My Healthcare Rights?

What Does Medicare Cover for Transgender People?

The affordable care fact sheet

Transgender health care

Corporate Equality Index: List of Businesses with Transgender-Inclusive Health Insurance Benefits

O'Donnabhain v. Commissioner and more info on that

Medicare and other health insurance information (Facebook Group)

Appealing a denied claim:

Tips for Appealing a Denied Health Insurance Claim

A Patient’s Guide to Navigating the Insurance Appeals Process

How to Appeal a Health Insurance Denial

How to appeal an insurance company decision

Top surgery:

Top surgery letter template

Step-by-step guide to obtaining insurance coverage for top surgery

Top Surgery Insurance Coverage: What You Need to Know

Top Surgery Insurance Tips From a Super Mom Who Won’t Take ‘No’ For An Answer!

Dr. Mosser’s Guide: How to get your top surgery covered by insurance

Top surgeons who accept Medicare

Top surgeons who take insurance