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How does a psychiatric evaluation for gender dysphoria go?

Discussion in 'Gender Identity and Expression' started by redstatic, Dec 31, 2022.

  1. redstatic

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    Hi. I want to start T, but in my country you need a gender dysphoria diagnosis, no informed consent options, from a psychiatrist and I'm terrified of it, specifically at the possibility that I won't be given the diagnosis. I'm aware the process might be different depending on where you are, but I'm curious about other experiences.

    Would anyone be willing to share their experience?

    Thank you.

    -Theo
     
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  2. Rayland

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    Why are you afraid of not getting a diagnosis?

    My psychiatrist required for me to see a psychologist first, before he gave me a diagnosis, but I've heard some others got the diagnosis right away and you can always change your psychiatrist too, if one don't give you a diagnosis. You will be fine. Just tell them what you wish and why.
     
  3. redstatic

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    I'm afraid because I don't have the 'typical' trans experience. I didn't know I was a boy when I was 2, I didn't show any signs in childhood, I'm not severely impaired by my dysphoria. I just know I'm a man and I can't stand being a woman, and I feel light anxiety and a lot of frustration regarding my situation. And since this country isn't that progressive, I'm scared they won't give me the diagnosis unless I say I'm suicidal or something.

    I used to think that not getting the diagnosis would be good for me, would mean that 'I'm not actually trans' and that I could live on knowing for sure I'm a cis woman. But now that possibility seems earth shattering, as if I wouldn't be taken seriously and that no matter what I do I would be seen as delusional. I don't want some psychiatrist to deny me living at peace with myself for the rest of my life.

    Here, psychiatrists who work with trans people are very underground, I'd need to talk to the national LGBT Organizations to guide me. And I think I might need a letter from my therapist? But I'll need to talk to her first, once I get back after the new year's.

    -Theo
     
  4. Rayland

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    Tell them you know you're a man and want hormones and say that you feel that anxiety and frustration, because of this situation. My country isn't very progressive either and my city don't have any professionals, who know a lot about it all. My psychiatrist first told me, that he needs to consult about it with someone more knowledgeable and I only got the diagnosis after my psychologists talked to him and he also knew I had anxiety because of this entire situation. I waited to get a diagnosis for a while. There are no gender clinics in my country either. I don't know how it's there, but here I need to see a committee to get hormones and their main concern is that people deal with their mental health and if getting on hormones helps to better your quality of life, then it's for the best and they wont deny you. I think also that it's good idea to talk about it with your therapist and contact the LGBT organization. In here we got told, that you at least need to have had the diagnosis for 2 years, before they even talk to you, but it really wasn't too much of an issue either, if you knew less time than 2 years. We have a lot of confusion about that rule here.
     
  5. redstatic

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    Afaik you need the diagnosis and then go to the endo and then you get hormones. It's a bit lengthier than that, there's hardly any specialists who work with trans people and they're mostly in the capital, and the process is also quite expensive. Nothing is covered by insurance. I'm not sure what other rules there are to start HRT, but I'll look more into it.
     
  6. Rayland

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    Yeah do look into it. I'm afraid I only know how the process is in my country, so I'm not very helpful for you there, but even I had to do ton of research about how all of the process works. The specialist I saw didn't know much about it, so my main resourse was our lgbt+ centers homepage and we also have lgbt+ discord and facebook group community, where people put up information about their own experiences and I found that very helpful.
     
  7. BLAH BLAHHH

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    good luck
     
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