This is what I wish people who identify as ‘truscum’ would try to understand.

This is an open letter to transmedicalists.

I’m being direct this time, because I don’t want to talk about you as if you are some faraway, distant other. I don’t think that helps anything. You’re real people, and no matter where we differ, I don’t want to forget your humanity.

I’ve talked in the past about harassment that I’d experienced years ago from trans folks who identify as “truscum” (so, for outsiders, transgender people who believe gender dysphoria and medical transition are necessary to identify as trans — otherwise known as transmedicalists).

Most recently, I took to Twitter to vent about it. And, not surprisingly, a lot of you weren’t super happy with me about it.

Your responses got me wondering if I could’ve done things a little differently. Because I’ll be honest — I don’t know that it ever occurred to me before then to speak to you directly.

I’m not going to pretend that I’m not angry or hurt. But I don’t hate you, as some of you suggested. I just really, really want you to stop hurting other trans people.

Based on your responses, though, I wonder if you even realize that you’re harming anyone. I think you’re caught up in some of your own pain, too, and that doesn’t make this conversation easy for anyone.

So I’m taking a deep breath and doing what I should’ve done in the first place — unpacking, very carefully, exactly what I’m struggling with. I’m going to explain as best I can why this “truscum” thing is upsetting for me as a trans person.

And I want to give you the benefit of the doubt, because even if you don’t see me as part of your community, I still believe that you’re part of mine.

Relentless optimist that I am, I like to think that someday trans folks might join hands around a campfire singing “Landslide” by Fleetwood Mac (I swear this song is a transgender anthem — just a personal, unrelated opinion of mine).

But I’d be pleased if we were just nicer to each other as a whole.

This is the longest blog I’ve ever written by far (sorry in advance). But if you’re wondering if I’m coming from a genuine place? Rest assured, I wouldn’t expend this much energy if I didn’t care about this very deeply.

If you’re rolling your eyes about how exhaustingly long it is, you can also bookmark it at any point and come back to it. It’ll still be here. And I’m breaking it up with headers, so hopefully it’ll be easy to find your place again.

So why am I even talking to you in the first place? That’s a valid question.

To understand why, you’ll need to know a little bit of my history.

The first thing you need to know is that I work in digital media. It’s important to mention this upfront, because it’s my public work as a transgender writer that got the attention of transmedicalists in the first place.

Back in 2015, I started receiving emails and tweets from self-identified “truscum” for a blog that I wrote about how much I hated the word “transtrender.”

I didn’t believe that the stance I took was especially controversial — but it drew a lot of attention to me as a trans person, and led to some targeted harassment, which continued for a while throughout my career.

The fact that I hadn’t yet medically transitioned led these folks to start asking invasive questions about my body. They were barging into unrelated conversations on social media to tell folks I was an imposter, contacting my followers with conspiracy theories about my transition (I’d made it all up apparently), and otherwise trying to discredit my work.

And of course, I was misgendered. Just to add a little salt to the wound, I guess.

The reality is, at that point, I’d never said I didn’t want to medically transition. It was that I couldn’t.

Initially, in 2014, I’d had issues with my insurance because I’d moved across the country. After that, it was my mental health status that led clinicians to deny me access to transition-related care (if you’re curious about how this nightmare happens, I interviewed other trans folks with similar experiences, and I wrote about it here).

So while this harassment campaign was happening, I was privately struggling with dysphoria that I could do literally nothing about. You’d hope that other trans people would see this as a rallying cry to demand better access to care. But these folks didn’t.

Instead, transmedicalists told me my lack of medical interventions made me invalid.

In a word? It was traumatic. I felt betrayed by my own community; I thought if anyone was going to understand my struggle, it would be other trans people.

It didn’t stop when I finally accessed hormones, either. Instead, transmedicalists had decided I was lying about that. When I posted a photo of me holding my testosterone gel, they suggested it wasn’t my prescription, and then they decided that because I hadn’t had surgery, I still couldn’t be believed either way.

Never mind the fact that I was desperately trying to access care the entire time.

These were my very first experiences with “truscum.”

I’ll be honest — never in my wildest dreams did I think that the folks harassing me would be other transgender people.

And it wasn’t just me, either. I watched this happen many times to others as well, including some of the advocates that I deeply respect and young trans folks who had only recently come out.

So I’ll just be upfront and say… you all didn’t exactly make the best first impression.

And I know, I know. You might be thinking, “But that wasn’t ME! I didn’t harass you! What has this got to do with me?”

I understand why the generalization might bug you.

But when you tell someone that they have the ability to determine who is and isn’t transgender, some people will use that mentality to justify some really abhorrent behavior. Whether you’re passively advocating for that or actively doing so, the ultimate result is that people then feel emboldened to play “gender police.”

They feel emboldened to decide who is and isn’t “trans enough.” And that means people get hurt.

That’s the crux of the issue for me. Regardless of what you’re intending, people are getting hurt.

And I have yet to see folks who identify as transmedicalists acknowledge that this is happening, and that there are valid concerns here.

If you’re still with me here — and if you are, I appreciate it — I want to explain to you exactly why transmedicalism as a concept is so troubling to me, with the hopes you can better understand the pain that I’m talking about.

Not because I want to lecture you or that I think you’re incapable of googling this. It’s just that I recognize it’s possible that folks just didn’t take the time to unpack it in a way you could hear it, and instead they became reactive in a way that felt dehumanizing to you.

So let’s establish my starting place (or bias, whatever) here: It’s true that I don’t believe the presence of dysphoria is necessary to identify as transgender.

I understand that from the get-go, that can touch a few nerves. But I want to explain why I think that’s an important place to start from, regardless of how it makes either of us feel.

I stand by those points in part because I don’t think dysphoria is a helpful measure in the first place — which I’ll explain in a moment.

I don’t say this because I don’t understand the knee-jerk reaction that can happen when someone says they haven’t been dysphoric. Because yeah, dysphoria is painful. It sucks. When I got my first rejection while trying to access top surgery, I began abusing alcohol to cope — it was not a fun time for me. The pain nearly killed me.

I know it’s hard to imagine someone as trans when they don’t understand that kind of pain, especially when it’s a pain you’ve known acutely for a very long time. I’m with you there.

I’ve reacted that way before, too. I’m human. Sometimes my first reaction to something isn’t always my kindest one.

In a perfect world, we would have some reliable indicator or litmus test for helping folks to figure out if they were trans or not — some singular measurement that erases all doubt. As a fan of simplicity myself, I get the appeal.

But the reality isn’t so simple — many trans people suppress those feelings of dysphoria, or they misinterpret them and struggle to connect them to their gender.

This can make it impossible to discern — especially as an outsider — if dysphoria is present. Requiring dysphoria to identify as transgender, for that reason alone, has way too much room for error.

A personal example: I’ve actually experienced some level of dysphoria for my entire life… I just didn’t know initially what it was.

I don’t want to do a deep dive into my history here, but suffice to say, the background that I came from made it very difficult to question my own gender safely.

So I experienced dysphoria, instead, as feeling profoundly self-hating and “ugly” (I wrote about this previously in this article, if you’re wondering). No one else saw me as ugly or ever said I was, but it was a feeling I couldn’t shake. I felt like, no matter what I did, nothing made that feeling go away.

I just thought it was a stupid teenager thing. Except that “stupid teenager thing” didn’t go away and I became a self-hating, uncomfortable, gross-feeling adult.

If you had met me when I came out in 2012, you would’ve said that there was no freaking way I was transgender. I knew I was miserable and I knew I hated how I looked, but “dysphoria” wasn’t a part of my vocabulary yet. While it had always been there on some level, I didn’t have any way to interpret what it meant.

And this isn’t an uncommon experience, trust me. Plenty of trans people come out and are still learning how to describe their experiences. For those folks, it’s sometimes much, much later on that they realize there was some dysphoria happening for them. Sometimes the label comes first — and that’s valid.

I didn’t grasp how severe it was for me until after surgery. Only when my dysphoria was considerably diminished did I understand just how heavy it was to begin with.

It was a kind of misery I was accustomed to, to the point where I was the fish in the bowl that couldn’t really see the water. You know what I mean? But now that I’m post-op, it’s like I’ve experienced a kind of joy and ease that I didn’t know was possible.

There’s also folks for whom their feelings of dysphoria progressively appear or worsen overtime.

I think of this as a kind of “hibernation.” People suppress all kinds of emotions, and dysphoric ones aren’t some magical exception. But as they start to experiment with language, and explore their identity and expression, those feelings start to surface. As the outside world begins to reject them, that can trigger those feelings they’ve managed to push down as well.

Some people also experience dysphoria only in the form of dissociation, or a state of unreality, numbness, or disconnection. They might not connect this to their gender at all, because it’s not an emotional state they can necessarily identify so quickly in the first place.

For trans people with other mental health challenges, trauma and mental illness might interfere with their understanding of their gender, and dysphoria becomes attributed to other causes (I also wrote about that here).

In other words, our brains work extra hard to try to protect us, which can make self-perception as a trans person a little wonky.

That’s what brains do with any kind of trauma. And this can show up as a total break from our own sense of dysphoric feelings, or misunderstanding the source or nature of those feelings. It’s more common than you’d think.

So when a trans person says they don’t experience dysphoria? It might be their truth at that particular stage in transition. But that doesn’t mean it always will be. Those feelings could surface in the future, become better understood and recognized overtime, or progressively appear as it becomes safer to process them.

But if we accuse trans folks of being imposters from the start, we might closet them before they ever figure any of that out.

So for me? One of the big problems with transmedicalism as a concept is its potential for “friendly fire.” When you use dysphoria as this “infallible” meter stick, you actually end up excluding a lot of trans people who are traumatized or vulnerable, and arguably most in need of support, especially if they’re emerging from denial or dissociation.

Transmedicalists are more likely to harm someone who is trans than successfully cast out an “imposter.” Because in actuality, more of us are traumatized than faking it.

When I first came out, I said that I didn’t want hormones and I wasn’t sure I wanted surgery. I am definitely the kind of “transtrender” that you would’ve rallied against (and, well, you did for a while).

Looking back, I have to laugh out loud. I can’t imagine not having medically transitioned.

With proper mental health care and, yes, incredible community support, I was able to get to a place where I could identify this resistance as a fear of rejection by society and my family especially. I was in deep denial because I was afraid of what would happen if I transitioned.

I didn’t want to lose my family. So instead, I lost myself. It took a long time (and a lot of support) to really come to terms with that.

That’s the thing, though: I needed space, support, time, and compassion to be able to figure out my path.

As of 2018, I’ve been on testosterone for a few years now, which drastically improved my life and my mental health. And I’ve had top surgery, which was the single best decision I’ve ever made. I am so much healthier and happier now.

But when you use a singular measure like dysphoria to decide if someone is worthy of those things, you run the risk of doing a lot of harm to folks who aren’t “faking” anything — folks like me who needed to process things before they could make the right choice.

And there are plenty of reasons why medical transition isn’t an easy decision, too.

Some people can’t access it for financial reasons or are denied access by clinicians. Some folks have chronic illnesses that would make medical transition risky or undesirable. Some folks might consider it safer to remain closeted. Some folks are in abusive environments where they can’t even begin to contemplate something like this.

And for some folks, right here and right now? They just don’t want to or aren’t ready to.

Maybe they’re questioning, maybe they’re afraid, maybe they’re overwhelmed, or maybe they’re just fucking tired. That could change and that may not… but it’s not up to us.

It’s not our business why and it’s definitely not our place to interrogate them, especially because we run the risk of doing serious harm for folks who might be going through some shit — shit that maybe they don’t even understand yet and can’t articulate.

You just. Never. Know.

It’s kind of like that quote, about how everyone is fighting their own battle. Even if it’s a battle you can’t see — because with trans folks especially, it’s the battles we can’t see that most often define our experiences.

So listen, I’ll give you this: Some disagreement over how we define “transgender” is bound to happen. It’s not the disagreement part that I necessarily take issue with.

It’s miraculous (and incredibly rare) that anyone agrees unanimously about anything. There are some people, for example, who don’t like Nutella, and that I will literally never understand. The difference here is that when someone tells me they don’t like Nutella, no one is actually being harmed in the process.

I acknowledge that there are going to be growing pains for our community, and I think this is part of that. These aren’t the first pains, and they won’t be the last. Historically, in every community ever, there have been divisions and disputes.

What I’m questioning here isn’t the definition of transgender. It’s what actually happens in the real world when we rely on your definition specifically.

Using dysphoria or medical transition as the way to define transness results in gatekeeping — and gatekeeping doesn’t work, because it’s too easy to get it wrong. And when we get it wrong? Trans people get hurt. Period.

The people who end up hurt most often (like, overwhelmingly so) aren’t actually faking anything and just wouldn’t benefit from doing so.

I was one of those trans people when transmedicalists harassed me in 2015. I was struggling to identify and understand my own dysphoria. I was being denied access to gender-affirming care by clinicians. I was struggling with PTSD and mental illness.

It was a battle you couldn’t see, and instead of offering empathy, I was harmed by folks who should’ve stood by me.

Are there trans people who haven’t experienced dysphoria and never, ever will? There could be.

Regardless of what you think, I’m not convinced that the existence of trans folks who don’t presently experience dysphoria is justification for disbelieving people who come out of the closet.

Those folks might want to access transition-related care in the future anyway, because it could make them happier or healthier. They might uncover that they have been dysphoric as they learn more and gain more hindsight.

Which means that either way you slice it, you can’t know for sure if someone is transgender or isn’t, even by your own definition — because people change and grow all the time.

Otherwise, I apparently wasn’t transgender in 2012 but I was in 2014. I wasn’t transgender when I was too traumatized to grasp it, but I was when I was able to access and process my emotions. Which… doesn’t make any sense.

Personally? I think gender identity is a diverse and complex thing — which to me is pretty exciting — but we might never agree there, I realize.

But you don’t have to understand their experience to respect their process.

Folks need to be able to explore their gender identity without hostility, because we simply don’t know their internal reality and we never will. The paradoxical reality is that the more fiercely you try to keep “outsiders” out of the trans community, the more likely you are to hurt trans people.

It’s not effective. It’s not helpful. It serves no other purpose than to hurt people.

So if someone says they’re transgender? You should believe them (or at least leave them alone, okay?), no matter how you choose to define “transgender” at the end of the day. The risk of driving a trans person deeper into the closet is simply too great.

It’s far more important to make sure that anyone who is questioning their gender has options and support, and that those options are protected no matter what, than trying to suss out who does or doesn’t “belong.”

So the moment they say “I’m transgender,” I congratulate them and I move on. What the hell do I know? That’s between them, their support network, their therapist, and whoever else they choose to involve.

Otherwise, there’s too good a chance that a transgender person who needs support will be denied it, just because of a misguided assumption about how they’re presenting in a particular moment.

We already get that from cis people constantly. Let’s not be like them, okay?

That’s why, when I define transgender as “identifying as a gender other than the one you were assigned at birth,” I do so with very intentional openness.

I want to be inclusive of folks who are questioning, and I want to give folks permission to evolve or change their minds, because that’s the only way to ensure that trans people can make the choices that are best for them.

The reality is, very few trans people emerge from the womb with an immediate and full understanding of their identity.

But people don’t make awesome choices when they’re being shouted at or put on the defense. Or in my case, harassed. Transitioning within a community that feels like a pressure cooker, demanding a particular kind of conformity, is never going to lead to the best possible outcomes.

And honestly? Asking trans people to put the horse before the cart — to know what they need and who they are before they can entertain a label — isn’t how a lot of folks actually operate.

The label is often what connects folks to more information, support, and self-discovery. It helps them uncover what they’ve suppressed and who they might become. So being possessive over the label actually winds up failing a lot of folks in the community, because they need the language before they can find a framework to operate from.

I want to say, too, that I understand it might be hard to let go of that impulse to judge.

When we identify with our struggles, it can feel insulting when someone who hasn’t struggled in the same exact way takes on a label that has so much meaning to us — a label that you feel you’ve earned, while others seem to just be sauntering right up and grabbing it.

Even so, I think we need to all agree — at the very, very least — that this is much more complicated than simply walking up to a label and dropping it into your identity shopping cart.

We’re talking about psychology, culture, language, trauma, biology, intimacy, sexuality, even spirituality — what aspect of the human experience is gender NOT touching on? And that’s ultimately why I think reductionist definitions fail us as a community.

Gender is messy and abstract. If it weren’t, we wouldn’t be debating it literally all the damn time. The very fact that we don’t agree on this is simply proof that this is a complex thing we’re dealing with here.

And for that reason alone, I recognize that we will probably never agree 100% on what it means to be transgender. But I don’t think we have to — we just need to agree on how to treat one another.

You know, with respect.

So what do we do, then? For me, I’m just trying to do the least amount of harm. I’m asking you to consider doing the same.

There are so many different paths that people take to arrive at an understanding of themselves.

But if we close the door too swiftly on people who aren’t exactly like us, we run the risk of shutting the door on someone who needs us — someone with whom we might share a lot more in common with than we’d expect.

Personally, I don’t think people choose to be trans in a world that isn’t terribly kind towards trans people. And even if they did put on some kind of weird act, I’ve accepted that I can never know that for sure, nor can I really do anything about it.

But I can be kind and gracious with the hopes that, wherever folks end up, they find the path that’s right for them. Extending that kindness to them doesn’t harm me in any way, shape, or form.

At the end of the day, it’s more important (to me, anyway) to create a community that allows trans folks to thrive. Gatekeeping doesn’t allow for that — it makes us suspicious of each other, callous, and combative.

If we want trans people to be able to come out, we have to make our community a safe enough place for them to do so.

When I came out in 2012, I had so many incredible trans folks to look to, and I owe so much of my happiness and health to them now. If I hadn’t had their support, I would still be closeted, if I’d even be alive today.

Every person deserves the chance to question their gender and explore it freely, without pressure, harassment, or gaslighting. This isn’t just a “be nice” issue — this is about the mental health and resilience of this community.

And I so badly want to believe that the majority of transmedicalists don’t actually approve of the harassment that folks like me have experienced, and don’t want to see what happened to me happen to anyone else.

I want to believe that if they knew the full story and really thought it through, they would’ve been there for me, as a trans person who knows how hard it is to be trans.

But the only way to guarantee that we aren’t caught in the snares of gatekeeping, and harming one another, is if we end this culture of interrogation altogether.

When in doubt, we need to do the kind thing instead, and let people live. You may not understand where they are in their journey right now, but they deserve the freedom and dignity to walk that path and see where it leads them. They deserve all the time and space they need to figure it out.

They may or may not continue on that path — but it’s not for us to decide.

I’ve given you all the benefit of the doubt here, because I believe every one of us deserves it.

Will you please extend the same to other folks in this community?

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Debates About My Gender Have Convinced Me Of One Thing: It’s Time To Get Louder

If you’ve been following me on Twitter, you may have noticed that I’ve gone down the Laci Green rabbit hole. Green, a popular feminist YouTuber and sex educator, gained quite a bit of popularity — and now, incredible notoriety — in social justice circles, positioning herself as an advocate for comprehensive sex education and gender equality.

I’ve been subtweeting about Laci for a hot minute, especially recently. She’s gotten cozy with anti-feminist YouTubers, whose vitriol have fueled a great deal of harassment targeting feminist and marginalized content creators. Lately, she’s been tweeting and creating videos that perpetuate transmisogyny (which I talked about quite a bit in this Twitter thread), even going so far as to call Kat Blaque, a Black trans woman and fellow YouTuber, a “sociopath.”

She has described herself as being a proponent of open and respectful dialogue, yet has responded to feminists calling her in in dismissive, hurtful, and arrogant ways. Most recently, she hosted a live debate around gender and the existence of non-binary identity, suggesting that invalidating and policing our identities should now become a spectator sport. This kind of “dialogue” has relied upon the assumption that the opinions of cisgender people are somehow of equal importance and validity to those of trans people when discussing our own lived experiences.

And while I believe that there’s a lot of worthwhile education that can happen with an open dialogue, this is not the dialogue I think any of us had in mind. I find it highly suspect that this “debate” is being dominated by cisgender folks (many of whom are openly hostile and even violent towards trans people), and led and organized by a cis woman who is not trusted or even respected by the community to begin with.

However sympathetic Laci claims to be, her insistence on positioning herself at the center of this conversation — the “rational,” moderate authority — legitimizes a ciswashed account of gender, sex, and identity.

She encourages a kind of cultural voyeurism in which transgender and non-binary people must repeatedly defend themselves for sport, while a white cis woman plays referee.

Sigh.

As a non-binary writer, I’ve personally felt the cultural backlash against non-binary people as we’ve made real strides in visibility. As someone who has published a lot of written work around gender and non-binary identity, I’ve been the recipient of harassment and abuse from total strangers who take issue with how I define my own experiences. I’ve also watched as other non-binary folks in my community have had to endure the near-constant pain of erasure, invalidation, and even violence.

But these aren’t the conversations that cis people want to have. They want to have the “is he or isn’t he lying about his identity” conversation, the “let’s turn your lived experience into a fun intellectual exercise” conversation, or my personal favorite, the “I see no problem with suggesting you don’t exist” conversation. And Laci has no problem capitalizing on it, either, even if she self-identifies as an “ally.”

But there is one thing I have to give her credit for: I’m pissed. I have never tweeted so furiously, for one. And I’ve never felt more fiercely protective and invested in my non-binary community. I started to ask myself, “When was the last time I donated to a non-binary YouTuber’s Patreon?” “Have I messaged any non-binary activists to thank them lately?” “Am I subscribing to, supporting, and boosting the signal on other non-binary content creators?

And I wondered, when so many of our battlegrounds are digital… maybe more of us should be taking up space as loudly and defiantly as possible.

So quietly, I pulled up my bucket list, and crossed “Start a YouTube Channel” off of my list. Because I figured, if you’re going to tell me that I don’t exist, you’re going to have to say it to my face. And because I hoped that, by building community with other non-binary folks on YouTube in particular, I could help to reclaim a dialogue that continues to be derailed by the folks who have the least at stake, with little consideration of those who could lose the most.

I’m annoyed that I have to give Laci, or any binary person with feelings about how I identify, the time of day. But that’s exactly why I want to see more non-binary folks connecting with one another, networking, signal-boosting, donating, and showing up for each other — because so long as our existence is relegated to the status of “debatable,” making noise and taking up space is one important way that we can resist.

Fat and disabled enbies, non-binary folks of color, agender elders, all of us — every one of us is a necessary part of this conversation. Start a blog. Become a YouTuber. Write a letter to the editor. Become a patron, send a supportive tweet, or share a video — if nothing else, let the folks doing this work know that you affirm and appreciate them. (And hey, tweet me and let me know what you’re up to and how I can support you. I’ve got you.)

My hope is that if non-binary folks take anything away from the Laci Green nightmare, it’s that we need to take ownership of this conversation. Hike up your leg and take a long piss on this “debate.” It’s ours.

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BREAKING: Local Resident Comes Out as Non-Binary, World Doesn’t End

Originally published at Wear Your Voice Magazine and republished here with permission.

OAKLAND, CA – Residents are profoundly underwhelmed today after an Oakland resident, Tyler May, announced their non-binary gender identity. What was expected to be the literal end of times, residents say that they were shocked to find that the event has had little to no impact on their daily lives.

“I said over and over again that acknowledging more than two genders would signal the apocalypse,” a local cisgender man explained. “But then nothing happened. Literally. Nothing.”

“I had designed a bomb shelter and stocked it up with canned goods for the next five years,” another resident said. “Come to find out, all Tyler wants is for us to switch pronouns.”

Many locals had believed that by in any way challenging the gender binary, it would spontaneously combust, resulting in widespread fires and a complete breakdown of the social order.

But to the surprise of residents, some are beginning to speculate that someone else’s gender may actually be none of their business, and that when identities are mutually respected, the lives of residents may actually improve.

“This might sound wild,” one resident said, struggling to grasp the words coming out of his mouth. “It’s almost like… if we treat others the way we want to be treated, things are… better?”

Still, some residents are disappointed, seeming to prefer conflict.

“I’m a real transgender person, a transgender man,” one resident exclaimed proudly. “I don’t believe in this non-binary thing. I think it’s just a ploy for attention. I’ve talked about this at length on my blog, YouTube channel, Snapchat, Twitter, and Tumblr!”

Pulling the microphone closer to him and smiling, he added, “Is this being broadcast? Is this going to be online?”

Other transgender residents felt similarly. “I find it insulting that they can just identify with a gender they weren’t assigned,” a transgender woman explained. “Like, who do you think you are?”

“It’s almost like someone’s gender has no bearing on my life,” another cis resident complained.

Cisgender and transgender residents alike agreed that they had hoped for more chaos or at least something to live tweet about.

“Tyler tweeted that they were non-binary,” a cisgender resident recalled with horror. “And then everything stayed the same. No pyrotechnics, no street fighting, nothing.”

With tears streaming down his face, a cis man quietly explained, “They said who they were, and nothing happened to me.”

“Naturally, I started to wonder about their genitals, how they have sex, what bathroom they go in,” a cis woman explained. “But then my friends told me I was being inappropriate.”

Pulling a pocket mirror out of her purse and gazing into it, she whispered, “Am I… a creep?”

Perhaps the most devastating part of this experience was the introspection that transpired after Tyler May explained their identity. Many residents were visibly distressed after reconsidering the idea that two genders could really encompass the complexity of the human experience.

“It’s too much, it’s just too much,” one cisgender man explained, tearing at the hair on his head. “What’s next, telling me that I’m my own individual, not defined by the presence of a penis?”

Asked what they thought of their neighbors’ reactions, Tyler May looked bewildered. “Why do they care how I identify?” Shaking their head, they added, “People are so weird.”

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Am I the Only Transgender Person Sick of Transitioning?

This is not your “before and after” video that shows me ten thousand times hotter than I previously was, confirming your suspicion that transition takes you from an awkward caterpillar into a glamorous butterfly.

This is not your “I found myself” testimony, where I explain how transition fixed all of my problems and how I’m now living my best life in my best body, the life and body I was meant to have.

Nope. This is your “this sucks, why does this suck, why didn’t anyone tell me that this would suck?” blog entry, by a trans person who is just as confused as before, only this time with more acne.

As a genderqueer person whose desired body leans masc, desired expression leans femme, and overall identity seems to be “alien boy” but I’ll call it “well fuck, your guess is as good as mine,” trying to transition has been a puzzle at best, and a cluster fuck at worst.

About eight months ago, I threw testosterone into the mix hoping it would ease some of the social and physical dysphoria, and maybe answer some of my lingering questions (questions like, do I want to live my life being perceived as a man? how much body hair is too much body hair? can I grow a better beard than my brother? will this make my butt more compact? you know, the important shit).

Spoiler alert, on testosterone I’m totally emotionally unstable, I’m greasy and covered in acne, I have the ability to braid my leg hair, I’m building muscles in places I didn’t know I could develop muscle, and I’m growing (admittedly very cute) whiskers on my face.

So in other words, I’m a moody cat on steroids that desperately needs Proactiv. These were not my #TransitionGoals.

Everyone tells me that, having only been on testosterone for less than a year, I should be patient. But the thing that no one told me is that medical transition – and really, transition generally – can suck SO HARD.

No one tells you that not every aspect of transition will feel right or feel good. That the side effects of medical transition may make you more uncertain than ever of your choices. That sometimes it’s trial by fucking fire, learning what you want and what you don’t as you go.

That it can take a long time before you look in the mirror and say, “Aha!”

That some of us – and this is critical – don’t know what will work for us. We only know what isn’t working, and that’s valid, too.

For non-binary folks, this delicate balance is even more challenging to achieve. Some of us end up back pedaling with our dose or coming off of hormones altogether, trying not to swing too hard in one direction of the binary or the other. Some of us have to settle for something imperfect, others of us are too afraid to begin.

Pass the Tylenol, please – navigating hormones in a binary world is enough to give anyone the migraine of the century.

Truthfully, I spend most days worried about how testosterone hasn’t been this magical, life-affirming journey that has made me more certain of myself – feeling like I’ve done something wrong, or made the wrong choice if I’m not perpetually ecstatic about it. 

I’d like to think that there’s room for trans people to feel something other than endless joy – that actually, it’s an unrealistic expectation that every transgender person on hormones will have the time of their life.

I’m not unhappy, I’m just waiting for it to come together. I look at myself in the mirror nowadays and like anybody else whose body is rapidly changing, I’m just really weirded out. I haven’t had that big moment (is there even a big moment for everyone?).

I’m just sitting around like, “Whoa, bodies are totally STRANGE” and “Did my face get uglier or is it just the acne eating me alive?”

If anything, medical transition has raised more questions than it’s answered. Questions about my relationship to masculinity, what gender identity truly is, about the layers of my dysphoria, about the fluidity of my own gender (and if it’s so fluid, how do I choose a static representation?), and most importantly, what it means to transition as a trans person who is genderqueer.

I did not sign up for some philosophical obstacle course, but here we are.

Mainstream narratives convince us that transition is reserved for people who are brimming with certainty and clarity, neither of which I have. Mainstream narratives convince us that transition will be revelatory and complete us, but I have yet to feel enlightened or whole.

Is it just me?

I’d like to think that it’s okay – and that we can make room for these experiences, too. Transition is not amazing all the time. For some folks, it isn’t amazing at all, but necessary still. And if we don’t acknowledge this, we’re just being really fucking dishonest about what transition is actually like.

So y’all, I’ll just say it: I’m tired. All these bodily changes, all these lingering questions, and the work that goes into deciphering your non-binary gender in a binary world – it’s exhausting, and it sucks.

Word on the street is that it’s worth it, though. And I may not know exactly what’s in store, but there’s no way in hell I’m going back.

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Being Non-Binary and a Trans Guy Isn’t a Contradiction

When we think about non-binary folks, we often think about agender, neutrois, or “gender neutral” people who do not identify with the categories of man or woman in any conceivable way.

Those folks are real, and absolutely deserve visibility and validation.

But I also think this is a very limited understanding of what it means to be non-binary. If we only think about non-binary identities on these terms, we fail to encompass the diversity of this community and the radical ways of doing (or not doing) gender.

Non-binary is defined as someone who does not identify exclusively as masculine or feminine (thus apart from a cisnormative binary). This can actually include quite a number of people and (a)genders.

But we forget sometimes that non-binary can encompass more than just someone who disowns the binary altogether – it can include someone who reclaims it for their own ends, expression, or performance.

For me, I am a very femme and genderqueer trans guy, who occupies masculinity and femininity and androgyny in a pretty equal and eclectic measure.

My non-binary identity is important to me – but so is my identity as a trans guy. They are totally inseparable.

My experience of my gender is fluid and moving, non-linear, queer. So while I do identify as a trans guy, my masculinity and my body are experienced through a very queer and non-binary lens.

In other words, I can be a trans guy and be non-binary simultaneously.

I do not exist in an exclusively masculine, binary space. I can embrace all the queer, femme, glittery, tender, and alien parts of my gender while simultaneously honoring the masculine identity that they are wrapped up in.

And I would argue that if we held more space for folks identifying as men or women to queer their gender and expression, we might find that non-binary community exists in more places and in more ways than we’d ever thought possible.

I don’t believe that being non-binary is about rejecting the binary out of hand for every single person. For some of us, it’s taking back the binary from oppressive and rigid social norms and breaking down those expectations.

I think that there is a way to take what is meaningful, resonant, or beautiful about what we’ve uncovered within the binary and take back what’s rightfully ours, making it our own.

For me, there are elements of being a “trans guy” that speak to my experiences – but it’s not quite enough to hold all the other queer, femme, and fluid aspects that make me who I am.

Non-binary, for many of us, is a placeholder because nothing else could contain us.

And at the end of the day, who’s to say that there aren’t men and women that are so queer, so infinite that they need that space held for them, too?

We should talk about the power dynamics and privileges embedded in how aligned someone is with the binary, sure. But that’s a very different conversation from the ones I’m being asked to have.

I have found a certain amount of skepticism of my non-binary identity since I started claiming “trans guy” as an identity as well. Many folks felt these categories were at odds, and that I shouldn’t call myself a non-binary writer or seek to represent the community if it wasn’t my experience.

But I believe that non-binary is a spectrum of experiences that can be held by people of many (a)genders, and that we can make room for all of those experiences without stepping all over each other or denying someone a label that really resonates with them.

If non-binary is to mean “not exclusively masculine or feminine,” we should be open to the possibility that anyone of any gender – especially in a binary system in which few, if any truly fit – might find themselves looking for language that gives them permission to be who they are.

And really, we should always be cautious and self-critical if our skepticism of someone’s truth is turning into identity policing. Denying someone the right to identify as non-binary is simply upholding the binary and imposing it onto someone else.

As non-binary, isn’t the imposition of that binary the last thing we want to be participating in?

I don’t believe that non-binary men or non-binary women are contradictions at all. If anything, it’s an indication that people are catching on.

The binary, on absolute terms, serves very few – and at least for me, being non-binary is about making room for every part of myself. I’m not surprised that others feel that way, too.

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Medically Transitioning is Not a Walk in the Park. (Sometimes, it Actually Sucks.)

If you follow me basically anywhere on social media (like this Facebook, that Facebook, my Twitter, or my recent fave, Instagram), you probably already know that my mental health has been garbage recently.

You may have also figured this out when I wrote my last blog entry about my friends helping me through some pretty scary depressive episodes.

What I’m saying, y’all, is that it’s an established fact that the universe is giving me a lot of shit lately (and you know, I couldn’t resist the opportunity to plug my social media #shameless).

I’ve been running back and forth between doctors, all of whom want to know why, after about two years of relative stability on my medication regimen and a life that I am really content with, I would suddenly be rapid cycling and spiraling down so quickly.

If I haven’t been locked in my bathroom, pondering why in the hell I am still alive and how it’s possible to feel this depth of emotional pain, I’ve been hypomanic and convinced I am the singular most important being that has ever walked the earth.

If you’ve never rapid cycled before, take it from me: Neither of these states of mind are particularly fun, especially when they happen in rapid succession.

We thought it was fluctuations in my hormone levels, but after a shift in medications and a stable dose of testosterone, this is starting to seem less and less likely.

And now the doctors are wondering if testosterone is simply a trigger for my bipolar disorder, if it’s my sensitivity to hormones overall, or if it’s severe PMS that necessitates a hysterectomy.

In other words, the hormones are fucking me up.

And I want to talk about this because no one – and I mean no one – prepared me for what hormone replacement therapy can mean for a transgender person with mental illness.

Not just the mood swings that have been the equivalent of a hurricane raging through my life, but the realization that the best thing that has ever happened to me is becoming my worst nightmare.

I still don’t know how to hold space for these two coexisting realities.

Sometimes the very thing that brings you total affirmation and joy can also be the thing that drives you so close to the edge that you almost tumble right over it. Sometimes the very thing you cannot live without is also the thing that leaves you feeling like you can’t continue living.

This contradiction – that these hormones can be both life-giving and life-threatening – is impossibly hard to negotiate and is a testimony to just how complex this intersection of transness and mental illness can really be.

The emotional turmoil of knowing you cannot go back, and yet realizing that it is terrifying and even dangerous to move forward, is not an experience that I was ready for.

Somehow I thought that hormonally transitioning, even with my bipolar disorder and anxiety, could not devastate me the way that it has. I didn’t know that throwing testosterone into the mix could distort my mind so deeply.

But it did.

I didn’t realize hormones could seep into my psyche this way, rattling my brain in ways that I haven’t experienced in many years.

Some days it has felt like the universe is just punishing me for being transgender. Some days I have just blamed myself for all this, as if I had any other option than to start HRT.

This experience has been profoundly lonely, and with it, there have been a lot of emotions and contradictions that I still haven’t been able to process.

And I can’t help but wonder what happens for neurodivergent trans people who do not have competent care and are left struggling – either being given more psychiatric medications to no avail, or being advised to stop HRT altogether, neither of which are real solutions.

I wonder how many folks who occupy this intersection are rendered completely helpless, faced with impossible decisions about whether or not hormones are safe for them, whether or not it’s worth the risk, whether or not the options available to them (like hysterectomy) are even feasible.

I was supposed to increase my testosterone dosage today. I walked away from the clinic being told that it wasn’t yet safe to do so. Because it’s not – not now.

I would be lying if I said I wasn’t grieving that, even if I understand and know that this is the right thing to do.

I would be lying if I said I didn’t walk out of that clinic, turn to my partner and say, “I wish someone had told me this might have happened.”

I wish someone had said that HRT can make you lose your mind. Even if that’s not what we want to hear, sometimes it’s what we need to hear.

But I’m not saying that HRT is the wrong choice for trans folks with mental illness, or that we’re doomed.

If I had known the road would be this difficult, would I have chosen differently?

No. Absolutely not.

I’ve written extensively about all the joy that it’s brought into my life, joy I wouldn’t trade for anything.

Even on my worst days, being able to look in the mirror and see the self I was meant to be is indescribably beautiful. And I would rather endure this than never know what it was like to come home, to fill my own shoes, to be at peace with myself.

HRT was never a “choice.” It was, in many ways, inevitable. And it’s ridiculous to suggest that we should will ourselves to be content without it if it’s what we need.

But no one said testosterone would be this difficult. No one said it could set off a catastrophic episode. No one said that I should be ready for anything.

Nowhere in the literature or in the conversations did they say “psychiatric breakdown.” They said “mood swings, maybe, but it’s uncommon.”

The honest truth is that HRT can be the best decision we make for our mental health. But for a small but still important minority, it can be absolute hell before we get there.

As a part of that minority, I’m left mourning the revelatory experience I had hoped for and even, in the beginning, had. But it has been replaced with an ecstatic turmoil, conflicting emotions that seem impossible to navigate or negotiate.

I’m scrambling to find a space to just affirm that, yes, this is the best thing I’ve ever done and it’s also the hardest thing I’ve ever been through.

I’m left wondering if I’m the only person to fight with my own body like this.

I have to believe that I am not the only person whose body said, “What you need will save you and destroy you all at once.”

Here’s what I know for certain: Sometimes the most worthwhile things that we do will hurt. Sometimes they’ll hurt like hell. Sometimes they’ll sneak up on us when we are least prepared, when we aren’t ready, when we’ve just gotten comfortable.

I still believe that it is worth it just the same.

I also believe that there are trans people who struggle with their mental health and are afraid to get help. Afraid that it will simply “prove” that transitioning was a mistake, or lend legitimacy to the idea that trans people should be denied care, especially those of us with preexisting disorders.

I worry about those folks. I was almost one of them this week.

I’m recognizing that we need to create a larger conversation about the complexity of being a trans person with mental illness, especially when it comes to both accessing care (an astonishing number of us lie to our providers so that we won’t be denied hormones or surgery) and as we go through our transitions (during which there are countless triggers, biochemically and emotionally and socially).

Can we just pause for one fucking second and acknowledge that transition is HARD?

Like, y’all, can we take a minute and admit that transition, whether it’s medical or just social, is not always beautiful or magical?

Or that sometimes it is everything at once – sometimes it is both beautiful and awful, affirming and destroying, everything we needed and yet not at all what we hoped for?

Sometimes it’s just a mess of contradictions and that’s okay, too.

And that’s true for those of us with mental health struggles (which, hell, sometimes feels like it’s most of us, right?) but also true of those without.

Transition. Is. Hard.

So I’m writing this now to just hold some space for those of us who are so there, who are so done, so exhausted, so depleted.

Those of us who look in the mirror and say, “I’m happy with what I see but I’m not happy with how I feel.” Those of us who are fighting within themselves to know what the “right thing” to do is. Those of us who feel like there’s no easy choice.

I’m here for those of us who are tripping over obstacles we didn’t know would be there.

I’m pushing back against the reductive narrative that tells us that hormones solve everything, as if it is quick and easy and simple – the be-all and end-all – because while it may be true for some, it is far too simplistic to make room for everyone’s experiences.

And yes, at this messy intersection of queerness and mental illness, I’m here to say that sometimes shit is complicated.

I’m also here to say that we’re gonna get through it.

You and I? We’re in this together.

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Trauma and Transness: Why I Didn’t ‘Always Know’ I Was Transgender

There are a number of transgender people who have known, from a very young age, that they were a gender other than the one they were assigned at birth. Their stories are encouraging , interesting, and important. Their stories are also not mine.

I knew as a child that I was different – but not because of my gender. I knew this because I had early onset bipolar disorder. My life, in so many ways, was consumed as I struggled to keep my head above water. While other children my age contemplated their place in the world, I contemplated hurting myself for reasons I couldn’t explain.

This disorder derailed my life – impacting my relationships, my self-esteem, and of course, my stability – until I finally started getting treatment for it when I was eighteen years old.

It’s not a coincidence that when I started receiving treatment for bipolar disorder (and anxiety, a later diagnosis), questions about my gender began bubbling to the surface. The only person who didn’t seem surprised was my therapist at the time.

“You might have had to suppress or avoid questions about your gender to focus on your survival,” she told me. “Bipolar disorder might have required all of your attention. Now it doesn’t.”

Bingo.

While every trans person with mental illness has a different story, I think that I was put in a sort of auto-pilot because of my trauma. There was no room to contemplate gender identity. I assumed the role and took the validation that came with it. I put my mental and emotional resources into surviving bipolar disorder and weathering the damage it did on a daily basis.

It’s hardly surprising that when my mental health began to rebound, I started to consider the possibility that I might be trans. As therapy and medication helped me to cope more effectively, I began to interrogate my assigned gender in ways I never had the space to before.

In this way, it’s impossible to talk about my trans identity without talking about my struggles with mental illness.

I believe that, in the face of trauma, I was unable to contemplate or comprehend my own truth (and not just about gender – mental illness made me feel less like a person and more like a body moving through physical space, aching).

There was no room to consider gender for a long time. It was deemed “non-essential” by the part of my brain that determined what I could and could not handle.

And honestly? I’m grateful for that.

Sometimes I do wish I’d started testosterone sooner, or understood my gender a little earlier on, or embarked on this journey at a younger age. But then I ask myself: Was that really possible?

I think about how much pain I suffered through earlier on in my life. I try to imagine if I could have handled a transition at the same time – the upheaval in my family, navigating social pressures and even societal violence, trying to advocate for myself and find resources in my small Midwestern suburb… all during a time when trans people were scarcely visible.

Could I have done this when I was in the throes of a mood disorder, being pulled into suicidal lows and manic highs?

I say that I’m “grateful” because I started to come into my own as a trans person at a time when my life was beginning to stabilize. It was a time when I had social support, a time when I could find other queer people, a time when I had more agency than I did as a kid. I was ready.

Not all trans people realize they are trans at a time that they’re ready to – they simply are, and they have to navigate that whether they are prepared to or not. And while I’m not suggesting that trauma is a privilege, I will say that my journey as trans could have been more difficult than it has been.

In some ways, I feel lucky that I came to know myself as transgender at a time when it was safer for me to come out. My transition could have put my mental health in further jeopardy had I begun at a time when I wasn’t mentally healthy or supported. Instead, it happened when I had full autonomy over myself and had a community rallying behind me.

When people ask me how I “knew” I was trans, the answer is much more complicated than they realize. Because while I could sift through my past and find moments that seemed to indicate the kind of discomfort or confusion they might expect, the truth is that it was the furthest thing from my conscious mind for most of my life.

Keeping myself alive in the face of mental illness was the only thing I knew for the first eighteen years. It was the only context for my pain. I had no concept of who I was or any future ahead of me – I only knew the turmoil of bipolar disorder and the trauma that I had lived through.

I’ve often said that I didn’t feel like my life truly began until I was 20 years old. Which, not-so-coincidentally, is both when my medications began to work and my transition began in earnest.

Trans people with mental illness are not a monolith, either, and I imagine many of us have different stories and trajectories. We’re all affected by our illnesses differently.

But for me, I was only able to see myself clearly when my recovery began. And I don’t think being a “late bloomer” in some respects makes me any less trans.

To say that gender is an objective, static truth that we all intrinsically understand from the moment we are born – as if it is untouched or unaffected by our trauma – erases the journeys that many trans people have been on.

It’s impossible to say who or where we would be without our trauma. But what I do know is that who I am now – both as a trans person and as bipolar – is at this intersection of everything I have endured.

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