coming out as transgender

Coming out as a transgendered male (Female to Male) has not been an easy thing to do. It has been a very confusing road since kindergarten. The hardest part of the journey was puberty. I had a male best friend and I seriously thought that we were of the same genders up until I started developing. When I started developing breasts and he didn’t, I was confused so much that I wanted to die. But when you are eleven, the concept of killing yourself is not completely formulated. You knew you wanted to die, but didn’t know how. You knew that suffocation by a plastic bag would do the trick, but were too scared you would get into trouble with your parents. That fear prevented a lot of suicide attempts, especially during adolescence. The more I developed into something that conflicted with my brain, the more it hurt. But it wasn’t a physical pain like that of a broken limb. The psychological pain was so intense that suicide was all that I thought about. The higher the pain, the deeper the suicidal impulses would emerge. But I had to be a “good girl” and fight what was wrong. I suppressed the feelings of maleness but still acted like a “tomboy” in every fiber of my being. I wore baseball hats whenever I could. My father disliked it so much, he often threatened to cut up my hats when I got “caught” wearing one. To him I was a girl and I should act like one. My sisters did act like their gender roles, but that make up and hairspray were something I was not into nor had an interest in. Boys didn’t wear those things and neither would I.

When my menses started, that really started the hardest part of the conflict to deal with. I was bleeding and I didn’t understand why. I was welcomed into “womanhood” and I wanted nothing to do with it. I didn’t understand why I wasn’t growing a penis. It was a very confusing time and month after month, I hated myself more and more. Even the use of feminine products was abhorrent to me. The more I grew into a freaking woman, the more I hated myself. I prayed for death every night. But no one knew of this struggle. Not even my best friend. With him, we were buddies. I was “Mike” and we played pretend male gendered games such as me being a mechanic or cable repairman. When T-ball season came around, I asked my father if I could play. But he stuffed my dreams of playing saying that is only for “boys” not for girls. I was beyond hurt.

During middle school, my sisters would have boyfriends. I never had an interest in boys. I was a boy so why would I be interested in my own gender. I didn’t have feelings for girls either. For the longest time, I thought I was asexual. It wasn’t until I was in therapy after my family fell apart that my therapist asked if I was gay. I felt really uncomfortable with the question. I just was saying I hadn’t found the right “boy” for me. She didn’t have to know that I was a boy inside just waiting to come out. I had suppressed it so much that I really didn’t think about it at this time.

When I first became suicidal, it was when I was fifteen. My family had fallen apart and I fell apart with it. My father called me a liar and my world ended. I was no longer a good “girl” in his eyes so there was nothing to live for. I started self-harm by cutting, thinking it would bring me to the verge of death, but all it did was bring my internal pain to the outside. After that therapist asked the “gay” question, I started thinking about it, but it was on a subconscious level. I remember being on the train and these really good looking women were on it. And I don’t know what possessed me, but I wanted to kiss them and it didn’t phase me that it was wrong. When I got hold of my senses (I made no such act toward them for fear of being called a freak), I was shocked. I grew up as an Italian Catholic and I knew homosexuality was forbidden. I knew I couldn’t bring it up in therapy. I was too proud to do so. Yet I continued to feel like I was crazy. Then things started to make sense to me. The voices that I was hearing, all were female except for one or two of them. I have been hearing voices since I was five, but that is another issue.

When I was sixteen, a therapist that I was seeing was leaving. I was very hurt. I felt I had nothing to live for with her leaving me. So in April 1993, I overdosed. The pain of living my life as what I was, was too great to bear. Subconsciously, I always wanted to die because I was in the wrong body. And I finally made an attempt to kill myself because of it. Though when I was asked the reasons, I just said I was depressed. No one figured out why I was so depressed. People never talked about being transgendered or being gay. Yet here I was, in the mix of being a confused teenager and had no one to turn to for help. Because I had suppressed so much of myself, I couldn’t even bring it to the surface. I had other issues to contend with, such as the break up of my parents.

Then suddenly women were attractive to me, something that has not happened before and I liked it. I thought I was crazy and that no one would understand. I felt isolated and despondent. There wasn’t a gay person that I knew and this was before the age of the internet so it wasn’t like I could ask Google what to do. Instead I internalized and compartmentalized. Then one day in January when I was 17, I started cutting myself and I didn’t stop until I was satisfied. But I didn’t know I did it. I knew I did it as I was holding a razor but I didn’t cut myself. I dissociated. That landed me in the hospital. I met a homosexual male and asked him about being gay. He told me that it was natural and that I wasn’t crazy. I took a chance and told the staff I was gay. I didn’t get a lifetime commitment in the psych ward. I felt a huge burden was lifted off my chest. But my Best friend that I had known since I was in diapers, didn’t like me being gay. He felt if we had sex, that would change me. But we already tried that and every time we were intimate, things turned off. I just wasn’t attracted sexually to males.

Fast forward to now. Around the time I was thirty-three, I started realizing that I wasn’t going to magically become a male. I came out in my therapist office and started crying like a baby because it was the source of my suicidality. I had been really suicidal and for the life of me, I couldn’t figure out why. Then when my menses came, I immediately became suicidal. Since I put two and two together, I realized that I was a male and it was time that I stop repressing myself. I wear male clothing all the time, except for that time of the month that I am forced to endure. Trying to stop the female reproductive system has been the hardest task for me to endure.

I was recently hospitalized and am just a little over a week since I have been discharged. The reason I was in the hospital was because I had overdosed on some pills. I couldn’t take the self-hate anymore about being a transgender. There were other reasons too, but being in the wrong body took precedence over the others. I hate feeling like this. I know there are treatments out there but there is a lot of stigma that prevents it from coming to people like me. I am not sure I want the sex organs either but I do know I want a double mastectomy. There are days when I am okay with having breasts and then there are other days, I can’t stand them. I hope one day I can take the next step forward. But I got to first like myself because if I don’t have that, I won’t have anything to like or live for.

TG issues 4

TG issues 4

I brought up my transgender issue with my therapist today. I really feel like if I go ahead with the process, there is no going back. But then what happens if it turns out to be a huge mistake. I will just end my life. My mother today called me “Miss” and I nearly lost it. I feel like I am drowning and no one is noticing or cares.

I asked my therapist how I am a transgender and she said she doesn’t know, basically. She gave me a lot of what I termed, bullshit answers. I don’t really remember what the actually words were, I just heard Blah blah blah. I feel so isolated and not having anyone to talk to about this except my therapist is really getting hard.

I have been thinking a lot about ending my life the past few days. It never goes away. I always seem to think about it when I get into this mood that I am in. I got my fucking menses, again. And I just can’t deal. I really can’t. It’s like the last straw. I want to cut ties with everyone and just go do what my thoughts are telling me to do. I should not have to live like this but I don’t have a supportive family. Hell, I don’t even have friends that I can just call up and talk to. Being disabled really took away everything I have so why not just end my life? What purpose do I still have being on this earth??

Psychopharm for Suicide Prevention

Psychopharmacology for Suicide Prevention

Baldessarini and Tondo, in Suicide in Psychiatric Disorders, Tartarelli, Pompili, and Giardi, Eds 2007

I read this chapter in this book because I thought it would be interesting. Once you read that clozapine and lithium were valuable in the reduction of suicide, the rest of the article fell flat on its face. It talked about SRI’s (serotonin reuptake inhibitors) and how only fluoxetine was approved for adolescent use. The rest were “black boxed”. Maybe I was tired when I read this as I have been up most of the day and despite having two cups of caffeinated drinks, I am still tired. But the article, I felt was ridiculous. It listed more references than sentences. I hate articles like that. And the graphs made absolutely no sense. So unless you suffer from schizophrenia or Bipolar I disorder, you are fucked. I got more depressed reading this article.

I really wanted to kill myself after reading this. I don’t know why. Maybe because it said that I was in the age range that suicides happen and I am “untreated”. It did talk about how studies excludes those with suicidal thinking, which is a shame. But what was unclear was if the RCT (Random clinical trials) did anything if the subject became suicidal during the study. And what really pissed me off was they quoted “suicidality” like it wasn’t a word or something. It was really a bizarre article.

I also read today that 6 transgendered people killed themselves so far this year. I feel like I should be #7. I also read that Bruce Jenner, the athlete, is now a she. That totally blew my mind. It kind of gave me hope but I am feeling so shitty that all I can think about is killing myself because I hate myself so damn much. And that stupid article just gave me enough reasons to go ahead with it. I am going to write a will, so that my family knows what to do with my stuff. I want my books donated to my therapist in the hope it might help her. My journal articles might as well be recycled. They were of no value to anyone except me. My Suicide and Life threatening journal can be donated to the MGH library or a library that doesn’t have these important articles.

I am just so tired of living this way. My foot is throbbing big time and I didn’t even do anything to it the last few hours. It just exploded about an hour or two ago and the pain meds hasn’t even touched it. I think I am becoming psychotic again. I keep hearing my father’s voice and he isn’t here. And my regular voices have been really quiet, which is unusual. I know once I go to sleep, I probably will feel better when I wake up. I just feel so wired yet tired. Damn, it’s 0200. I don’t know how the hell time keeps escaping me. Maybe that is why I feel so disoriented. I know I have been playing on my laptop for the last few hours. I know because I have had to log out of one account and then log onto another back and forth to get the items I need for the one account I am working on. All for this stupid game I am playing. Maybe I should take my antipsychotic tonight. I usually take it every other night because otherwise I get nasty side effects. I hate them because they are so uncomfortable and I can’t do anything but SPAZ out. My arms and legs become very spastic. I hate it. But the drug keeps the bad voices away. I don’t know why I am hearing my father’s voice. He isn’t commanding. It’s just like remnants of a conversation more than talking to him like he is there. I don’t know if that explains it very well. Maybe I will take a trilafon and see if that helps.

TG Issues 3

Fortunately, I had therapy today. My therapist was able to get to her office today, but there won’t be therapy tomorrow because they canceled school again. I know out west got hit harder than we did, where she lives. Just sucks but at least I got to talk to her a little bit today.

I told her about the strange dream I had this morning. In the dream, I went to my friend Chris’s wake. I went there with a mutual friend. He went off being a social butterfly that he was and I was left to my own devices. There was a guy I recognized from way back and so we chatted. He asked me my name and when I told him, he looked at me up and down with disgust. I awoke from the dream feeling full of self-loathing. I couldn’t stand to be my own skin. My therapist calls it gender dysphoria. I don’t care what it is called. I hate myself, no, I loathe myself way too much, to the point where I just want to kill myself. We didn’t discuss that part. I thought it was self-explanatory. She should know by now that anything to do with self-loathing is going to bring up suicidal thoughts.

Then we discussed my paper that I am working on submitting for a contest. I think it sounds too depressing, so I added a few sentences about hope. It read okay in my mind but I am still having my doubts. Top prize for this is $1500, though I really would love just to win it for the sake of having my writing mean something. Once the winners are announced, I will post my piece.

But the writing got me self-doubting and it really hurts me to think that is what my life is. I am stuck in the wrong body and it is hurtful. Then towards the end of session, my therapist tells me that she called the LGBTQ clinic inquiring about whether suicidality will hinder transition and if private therapy will have to cease. None of these conditions are true. I just need my PCP to recommend them to their primary care place for evaluation. They are willing to work *with* me on the transition. I couldn’t talk about it anymore as I was drowning in sorrow and relief. This could happen this year and all I have to do is put one foot in front of the other.

I woke up from the self-loathing dream around 0630 and couldn’t go back to sleep. I went to the bathroom and then when I came back to my room, I got really nauseous. I thought I was going to throw up so I took my Zofran (anti-nausea pill). I couldn’t sit up so I laid back down and fell asleep. I didn’t wake up till around 11 or so. By then I was really hungry so made eggs and bacon. Now I am feeling sick to my stomach again and I am really tired.

No mail has come yet. I hope it comes soon and my prescription is in it. I need my pain meds or I am going to run out. I haven’t been in too much pain today but then I have been resting for most of the day.

I haven’t showered yet. I think I might do that later tonight, if I don’t get sick. I keep thinking about the TG issues and the self-loathing. I really, really, loathe myself. I find myself despicable. I just am not a good person and I should die. But my therapist would miss me so I can’t kill myself as much as I want to. I’m going to go to sleep after I take some Ativan. I hope I am in a better mood when I wake up.