Help With Dysphoria - Blog Posts

I often see more gatekeeping presented as a way to prevent detransition. And while this wouldn’t necessarily be useless, it’s a bandaid solution. Working harder to root out the “right” people to transition from the “wrong” people to transition isn’t going to eliminate transition regret. To get at why we have to ask, who are the “right” people? Are they the ones are suffering the most or who have been suffering the longest? Are they the most gender non-conforming ones? Are they the ones persistent enough to pass through checkpoint after checkpoint? None of these things insure that transitioning is going to work for someone: that it’s going to improve their quality of life.

When I walked into gender therapy I was suicidal and had been off and on since I was old enough to understand what death was. I was already being regularly mistaken for a boy. I was adamant that I needed this. My therapist called me a “classic case” and still we talked for almost a year before I socially transitioned. I then spent another year living “full time” before starting testosterone and spent my first six months of testosterone on a low dose prescribed by a fairly paranoid pediatric endocrinologist. I met every requirement. I passed every checkpoint. I didn’t take any shortcuts. And still, here I am: a woman, a butch dyke, further from normality than ever, bitter about what happened to me. Because none of those measures addressed my underlying problem.

What we really need if we want potential regretters to not be certain that they need this is a shift in culture. We need environments without misogyny that are affirming of lesbianism and gender non-conformity. We need girls to grow up free from abuse, supported in their mental health and knowing that they can be anything they want to be and anything they are. We need to encourage them to love and live in their bodies and provide immediate solutions if they find that they can’t. Because by the time that many girls step into a gender therapist’s office they’ve already made up their minds, for good reason, that they can’t live this way. 

TERF Tips #270

For dysphoria:

Keep telling yourself that you can’t escape your biology! That definitely won’t lead to any suicide!

Forget about your dysphoria!

Keep telling yourself that technically all womynly womyn have dysphoria! And that they all overcome it somehow! Yeah, like my mom knew what the hell was wrong with me when puberty hit me 10× harder than other kids!

Punch a hole through the wall, and pull out that sword that you’ve kept hidden for centuries, and pretend to slice it in half, so that it’s now dead.

if it’s okay for me to ask, can you explain a little further how you “reconceptualized” your dysphoria? how did you go from that to realizing your dysphoria is rooted in internalized misogyny? @tejuina

–Shiro

do you know any ways that alleviate dysphoria without transitioning? i kinda just woke up from my trans nightmare. i'm female if ur wondering. if you don't know, could you redirect me to a blog that does?

Hey anon, so, i had written down my own advice, and also asked my friends, many of whom are detrans and have suffered from dysphoria.

But first I want to say that I'm glad you woke up. It's hard to leave and change a mindset that felt right with our feelings even if not with our common sense.

Forst are my friends' advices. I'm copying it as they are, without paraphrasing (only certain replacement, [like this]. My own advice is below my friends', as i believe theirs to be more experienced.

Without further ado, here are all the advices:

——

— Hello!

It's been a LONG time since I've experienced dysphoria(I detransitioned).

It feels like your mind doesn't belong in the current body you're in and that you want to just rip [your] skin off. (Mental health issue)

For me, I wished I could just close my eyes and never wake up. Or be "reborn" a male instead of female and just some...other thoughts along the lines.

How did I "get over it"?

I...guess I surrounded myself with more positive influences. I grew up in an abusive household that held sexist views. When I left, I could think clearly for myself.

I suppose my suggestion for her would be to try and find some positive influences(ex. Could be as simple as hangout out with loved ones, finding role models,etc) in her life and think critically(ex. "Why would you feel better if you transitioned to male?")

I realized I wanted to transition to escape my life...and also because I had internalise misogyny to where I did not think I was "allowed" to do certain things because I was born a female...

— Something to have her consider is that what she likes, and who she is doesn’t change what she is. She is female. A woman. A girl. Zero percent of her outside world or her mind can impact this. I hear a lot of young women trans [recte transition] because they feel like they enjoy masculine things. Well, if a woman does it it’s a women’s thing. Gender tells us women should only pursue and enjoy certain things and not others. This is just simply, False with a capital F.

Another help is recognizing that the way porn and indeed most media presents women to the world is also False. That is not what and how sex is. You don’t have to like it or accept it to be a woman. It is at odds with womanhood.

To reconnect and learn to love your body and accept it, a trick I learned a long time back is to focus on what your body does for you. Rather than how it looks while it does it.

Look at your bones and muscles working together so you can walk and stand and pick things up. Dance. Run. Your throat and lungs do this cool thing where you can speak. Sing. Your heart, keeps your body supplied with nutrients from your digestive system. Digestive system all on its own without any prompting, turns food into fuel for this amazing robot suit that is your body. Brain can interpret every single impulse from every nerve in your body. In real time. It allows you to connect with the outside world and experience it. But you also get to control it. Meditation, therapy exercises, physical exercise, these things have an impact on your brain. And you choose to do them.

Your body and your experience in it is really remarkable.

Thighs aren’t fat. They’re strong for carrying you around. Arms aren’t skinny. They are perfect for hugging loved ones. Eyes aren’t too small, they allow you to see the world around you. Focusing on what the body does takes that focus away from what it doesn’t look like. Breasts? Nourish new life in a way nothing else can. Don’t want children. That’s ok. Just recognize what your breasts can do. They don’t have to do it. Uterus and ovaries? Literally creates a human life from two single cells. You have the power of creation in side you. Whether you use it or not. Period? This amazing way your body protects itself from non viable pregnancies and keeps your body safe. Periods are the ultimate cleanse. And your body does it for you. All on its own.

These are the thoughts that help me deal with having a female body and accepting it.

— The thing that helped me most was radical body acceptance. Just 'this is me and I accept that I am the way I am'. Idk how effective it would be for that individual but it was foundational for me overcoming my dysphoria

====

My advice:

~ it's sometimes impossible to look at the mirror. The body feels bad and ugly and overall just wrong. But it's ours. It's ours to keep, and not to destroy. Expose yourself to yourself gradually. Especially the parts that make you at most unease. Treat it like a phobia, or some forms of allergies. Gradual exposure can help. First, love the parts you can't see — your heart, your lungs, dammit, tell your tendons you love them (!) because they're part of you.

Slowly reach parts you feel most dysphoric about. You'll already know how to love your other parts. Your hands that let you touch loved ones, hold them, rub a cute cat or dog. Your mouth and your stomach that tear apart these nutrients into the most basic units. Your skin that protects you and that lets you feel sunlight and raindrops. And then, when you know how to love these more or less basic parts of you, reach the complex ones. You don't need reasons at some point, but you have the love to give and it's enough. You don't need any reason besides it's yours.

~ i suffered (and still sometimes relapse) from body dysmorphia, and well, music and self reminders helped me a lot. I drew on my skin with pens and sharpies, soccer teams logos, random lyrics. My reminder to myself, before i started giving myself good reminders was "don't fear death"" but to not fear death,,, i needed no more reminders of that. then I realized, i can remind myself more important things, of better things. Birthdays, my favorite teams' wins, my most hated teams' worst losses. Then it went to 1238 "grammar teacher said something grammatically wrong", "x mathematical axiom", drew emojis and flowers. I did so to remind me to smile, to breath clean air (as clean as possible at least). At this time of self isolation, you can leave the notes at your house. Sticky note with "the only parabola that matters is the smile" or some other body positive puns. Dysphoria is a different hatred of your body, but all self hatred can be fought with self love.

~ a feeling I still feel a lot is hat i don't deserve to live, i only take too much space. It's what brought me so quickly into dysmorphia. Try to find what brought you to dysphoria pull out the source, or face it so you know how it looks like when it sneaks up to you. Recognition and acknowledgment means you can deal with it better as it won't shock you. You'd be able to throw it out before it attacks you.

~ surround yourself with positive influences, and also avoid negative influences. If your close friend group is sexist and/misogynistic, then distance yourself from them. A lot of the self hatred comes from what we've been taught for years about ourselves. Female role models, positivity, cute little notes, etc, and surround yourself with actual body positivity.

~ creativity: Maybe start a cute bullet journal or something similar. Create things and surround yourself with your own creations. Bullet journals are a fun way to keep you busy while also help you be more productive in school and/or life. You can fill it with quotes and pretty pictures and fun doodles.

~ you and your body are not different entities. It's part of you, part of your life since birth, especially because you're female. It feels a bit degrading at first, but in reality, we are our bodies. When were stressed, our body reacts physiologically. When we see someone we love, our heart beats faster.

I remember reading something another woman wrote, saying her dysphoria is at its worst during her period, she got panic attacks every time she started getting it. We're told that our period is what makes us gross but also what makes us women/feminine, but it only makes us women, not feminine, and it's part of our physiology, it made us have lower social standing but only because men decided so. Some women don't get periods, but all those who get periods are women (and I'm not talking about TiM "periods" but real ones). It's one of the parts that can be the hardest to embrace, but it's also a reminder that we, women, are actually the most ideal creation of mother nature regarding humans. Long lasting, unrelenting, strong and (usually) the actual creating power. We're the power of creation as a means for creation, and men? Most of them only create as a means for destruction.

~ healthy lifestyle: a lot of things start looking better when we start a healthier lifestyle, especially life. Add a salad to one of the meals

~ lastly but most helpful for me was writing all my negative feelings down and then just tearing the paper apart, and afterwards throw it to different trashcans, like you'd do with an old credit card. It helped me during some of my most depressive episodes.

I think shifting my understanding of dysphoria from something I “have” to a set of feelings that I experience has been really fundamental and important for managing that dysphoria. This for me has meant that I no longer see myself as a person suffering from a condition, but I experience flare ups in dysphoria the same way I experience any other negative emotion, which is that I sit in it and it is uncomfortable and maybe it causes me some pain but that’s fine, and I note the feeling and ask myself what brought that feeling on and then I move on and do my best not to focus unduly on it. I think many dysphoric women especially have traded the constant self watching that is so central to how women are forced to do femininity, for the constant self watching that dysphoria can encourage, and in both cases it is not healthy to be constantly concerned with and trying to actively alter how you are perceived.

I saw that you mentioned butch dysphoria ... can you please post resources or just any knowledge that you have? Im trying to figure out who I am.

Hey there, that’s a huge question, but I’ll share a little of what I’ve learned as a dysphoric butch person myself. I know that plenty of butches experience dysphoria to varying degrees, including women who readily identify themselves as cis — it’s way more common among non-trans people than I think most people realize, especially among gay people (but certainly not limited to them)! You are definitely not alone, and you’re also not doing gender “wrong” if you experience discomfort with social roles or gendered aspects of your body but don’t identify as trans. And if you do determine that describing yourself as trans is the best and most accurate way to frame your experience in the world, that’s an ethically neutral decision despite The Discourse™️ suggesting otherwise. Feeling dysphoric also doesn’t mean you need to commit to any one specific course of action to alleviate your discomfort, whether that means binding, using HRT, or getting top surgery, and it also doesn’t mean that you’ve just got some internalized misogyny/homophobia to unpack and once you do your dysphoria will magically vanish overnight with sufficient therapy. It’s complicated and none of have the one “right answer” for what to do about dysphoria and how it shapes our concepts of ourselves!

It definitely does help to do some serious thinking about your dysphoria — what tends to make it flare up, what body parts or social situations it seems to be attached to, how it impacts your daily life — and then work from there to address it a step at a time. I’m dysphoric about my chest, and don’t bind regularly any more due to compression-induced nerve pain (which can and does happen even with high-quality binders), but I’ve done a lot of mental/emotional work on body image to push back against negative self-talk, wear clothing that conceals my chest without actively compressing it (hence that post on 80s fashion, though I dress like a Winchester brother rather than Marty McFly), and do physical activities that help me refocus on what my body can do rather than what it looks like, such as hiking and swimming. Friends with dysphoria (of various gender identities!) report that this combination of mental reframing of your body as Not A Bad or Wrong Thing, distracting yourself from your image on bad days, and doing positive and enjoyable body-oriented activities helps a lot, even when they’ve had surgery, taken HRT, or otherwise mitigated dysphoria physically. Hang in there! You don’t have to have the answers yet (or ever, honestly), but it helps to remember that you are you, fundamentally, and that any realizations you have and decisions you make about how you occupy your body and the language you use to describe it is just part of your continuing evolution as a human being.

hi, not sure if this blog is active bc im on mobile but you seem v knowledgeable so i hope you are. i have a question if thats ok. ive been id'ing as ftm trans/nb for about 6 years now but havent rlly been able to come out to many ppl or transition at all so im still largely presenting as female. i wouldnt rlly call myself gender critical or anything like that, but i know transitioning is a long & difficult process and im wondering if there is a way to alleviate my dysphoria without going (1/2)

“thru all that. i dont want to transition only to realize that i dont feel better and there was an easier way. in other words, id like to rule out any possibility that im not trans before medically investing in being trans. any chance you have any advice for me? (2/2)”

hey there—still active, if sporadic.

when it comes to healing from dysphoria, there’s no cure-all, no hidden path to healing that you’ve simply yet to uncover. just as there’s no way to guarantee transition will make you happy, there’s no opposite guarantee either. i can only share some of the stuff that has worked for me and some of the hardships i uncovered about living as trans, which i hope you find helpful.

what helps me?

get clear with yourself about what you believe about gender, ideologically. i personally feel, if my beliefs do not stand up to critical thought, if they cannot be supported by rational arguments, then those beliefs are not worth holding on to and i need to let them go. this is what happened to me WRT transness, gender, and all that.

start small—what is gender? is gender innate? do we have gendered souls? how could we have gendered souls if gender is a social construct? okay, so we can’t have gendered souls, so what is gender, if not innate? is gender the social expectations and norms attached to the two sexes? is it possible to break those roles and expectations? does breaking those roles and expectations change anyone’s sex? no—males can behave in typically feminine ways and females in typically masculine ways and that does nothing to change their sex. so what would conceivably make someone (or myself) trans? inhabiting the social roles and expectations of the gender associated with the opposite sex. since we already established that gender isn’t innate and we don’t have gendered souls, there’s no merit in the “born in the wrong body” narrative; it is not possible to be born in the wrong body. we each get one body, no matter how we change it. but if i wasn’t born in the wrong body, why do i feel so uncomfortable with mine, especially with the sexed aspects of it? if you’re female, the likely culprit is misogyny. you don’t actually have to hate women on a conscious level to be suffering from internalized misogyny. we live in a misogynistic world, it saturates everything. if you’re female, it affects almost every factor of how you move through this world—how people treat you, what opportunities you’re given, which behaviors are encouraged for you and which are discouraged, etc. if you are inclined to prefer masculinity—for whatever reason—society will encourage this in males and discourage it in females. having your way of being subtly discouraged all the time can easily lead to feeling disconnected from your body, perhaps even hating it, especially since you know that your way of being would be ENCOURAGED if only your body were male. and that’s when many of us encounter trans ideology that tells us we CAN be male—in fact, we actually were all along! all we have to do is change our bodies drastically with lifelong medication and surgery, all we have to do is trade money and time and health to convincingly imitate the opposite sex—THEN society will finally recognize that our way of being is okay—because we were actually masculine MEN all along, it was simply our female bodies obscuring that. does this feel like a good or healthy trade to you? it doesn’t to me, but i can’t make these decisions for you.

there IS an important caveat, a shortcut that bypasses this bad trade entirely—and that’s realizing that your way of being is ALREADY okay. masculine females and feminine males are healthy and good. it’s not always easy to comfortably BE that way in a society that does not embrace masculinity in women and femininity in men, but the solution is not to change your self, it’s to change the society. and the only way you can do that is by carving out that path—BE a masculine female/woman and you’ll show little girls today that there’s a place for them in this world.

i did try out the trade for myself, however, and i learned a few things you might find useful—maybe these lessons i learned can save you the time and money and pain i’ve already spent.

1) you never actually change sex. you’re always chasing the aesthetic imitation of the opposite sex with transition, but never becoming the opposite sex. in this and so many other ways, transition never ends.

2) passing is conditional. when your sense of self is predicated upon others seeing you a certain way, it can be taken from you in a second. i could be treated like one of the guys for a year, until one of them finds out i was born female. now that he knows, he cannot unknow. now my experience is tied to how he sees me—does he see me as a woman now that he knows? is he comfortable with me in the locker room? it was stressful and uncomfortable for others to have this level of control over my experience of the world and of myself. it’s also out of my control whether he decides to lend manhood to me now—will he use male pronouns with me? will he call me a woman? will he out me to the others? will he sexualize me or sexually assault me based on my female body?

3) as stated above, transition never ends. no matter how well you pass, transition always requires maintenance. you’ll need bloodwork as long as you’re on hormones—that’s time and money you wouldn’t have otherwise spent. you’ll need supplies for your hormone shots—time and money you wouldn’t have spent. there will be instances where you need to disclose your trans status, thus repeating the coming out process infinitely—doctors or EMTs, new intimate partners, friends. this process is exhausting and othering, it’s an ever-present reminder of the fact that you’re trans.

4) medical transition is expensive in terms of money and heath. taking hormones is always a risk. there’s potential for: cardiovascular risk associated with testosterone, vaginal atrophy and sexual side effects, changes to mood (some for the better, some worse), not liking how hormones change your body. then there’s the financial aspect. in the USA at least, this costs money—money for doctor’s visits, money for the hormones themselves, money for the supplies to administer them. there’s risk in any surgery—risk of death or serious complication, loss of function and sensation, improper healing, chronic pain. and of course, the monetary cost associated with surgery. removing the uterus can have lifelong consequences—early onset dimentia, lifelong need for synthetic hormones, osteoporosis.

5) there is no “actually trans.” there’s no meaningful distinction between “true trans” people and others. trans people transition and identify as trans. their dysphoria isn’t any different than mine was. there’s no method for parsing “real dysphoria” from something else. transness is an ideology. i liken it to religion. there are no “real christians” and fake christians, there are only people who believe and those who don’t. that’s the salient difference between myself (detransitioner) and trans people—belief. and if something requires me to believe in it to be real...well that’s a good indication it probably isn’t.

good luck out there. these are heavy questions and weighty struggles. there’s no harm in focusing on other aspects of your life when you’re having trouble answering Big Gender Questions. rooting for you.