Guest Post – Seeking Treatment While Trans: tips, tricks and advice

1)  Do your research.  Find trans-friendly medical professionals that take your insurance.

  • Find a local trans group to ask
  • Google search using such phrases as “trans-friendly”, “gender specialist”, or “LGBT-friendly”; “therapist”, “mental health counselor”, or “psychiatrist” in your local area.
  • Find out what mental health insurance coverage you have, how many visits you can have per year, the co-payment, any restrictions in choosing a mental health professional and yearly coverage limits.
  • If you do not have insurance, some doctors accept a sliding-scale payment plan.  Your other options are community mental health centers, big-city gender clinics, and local hospitals.  Not having insurance makes this process more difficult; it just takes more work, making lots of phone calls and luck.

2)  Prepare Yourself for Your First Appointment

  • What are you looking for: a diagnosis?  A letter to start hormone therapy?  Just someone to talk to?
  • What questions do you have for the person you will be seeing? For example, you can ask how many trans people have they worked with, what to expect for the first sessions, and if they can give you want you want (the precious letter).
  • Be nice to yourself.  Taking steps to deal with your gender problem does not make you weak.  This is a big step and congratulate yourself for making it this far.
  • Don’t over-analyze every detail of your life to make sure it fits some sort of fairy-tale narrative you think they want to hear.
  • Be honest with yourself and the person you will be seeing.  The more information, the better.

3)  General Tips

  • Gender specialists aren’t necessarily better than therapists who have only worked with trans people a few times.
  • Gender specialists usually only do well with gender issues; if you have other things to talk about, you might be better finding a more balanced person.
  • If you live in a rural area and you still haven’t found someone within 50 miles, consider calling a local therapist to tell them your situation.  Point-blank ask them if they feel comfortable with trans patients, particularly the part about approving medical treatment.
  • Sometimes, the least experienced professionals (trans-wise) end up being great, particularly if you have other issues you’d like to address (e.g. depression, anxiety, PTSD, grief).

4)  Advice

  • If you don’t like the person immediately, don’t continue the sessions.  You MUST have a good rapport with them in order for you to trust them.  If this isn’t happening right away, find a new therapist and kindly tell the first one that the fit isn’t right for you. This happens all the time – they will not take it personally.  You may have to see a few people before you find the right one.  Trust me, you’ll thank yourself later.
  • If the therapist starts to trace every issue back to being trans, stop them immediately.   Suggest that your other problems are unrelated but just as significant.
  • If the therapist is having extreme difficulty remembering your chosen name and pronouns, they are not the right therapist for this.  If they don’t understand the basics, they will not understand the complexities of trans identities.
  • If the therapist diagnoses you with a personality disorder, find a second (or third) opinion.  Personality disorders are over-diagnosed and they are usually well aimed at trans women in particular.
  • You can discontinue therapy when you get your letter (about 3 months, sometimes sooner).  There is no rule pertaining to the length of therapy.
  • If your goal is to start hormone therapy right away, find an endocrinologist and book that first appointment (the waiting lists are usually long).
  • If you have trouble making phone calls, as many trans people do, enlist a friend/family member to help.  Do not let your phone-phobia keep you from getting help.  I’m aware that it’s harder than it sounds – I went through the same thing – but remember that getting the medical treatment you absolutely need will help you resolve your phone/voice issues.  Think about your future self and how much they would appreciate you  pushing through the anxiety despite the pain.  The payoff is too big to let this get you down – remember how important this is.

[Disclaimer: I am not a licensed mental health professional.  I do, however, have experience with more than 30 therapists over the last ten years.]

Kian currently lives in NH with his two cats. He would be wicked excited if he didn’t have to move to a ginormous city to the south in order to have a fulfulling sex life (he’ll miss the snow and the ice-skating too much.) He can be reached at kian217 at gmail dot com if you’re interested in conversation, an argument or in sending a nicely worded hate letter.

N.A.’s disclaimer: All opinions expressed in guest posts are the author’s own and do not necessarily reflect the opinions of NotAiden.

Guest Post: How I Figured Out I Was Trans, the short version

When people ask me how I knew I was trans, I often don’t know where to start.  There were all sorts of signs that I was trans throughout my childhood, but being as this was before the internet, I had no idea that transitioning was a possibility.  Like many trans people, it wasn’t one thing that let me know I was trans, it was a thousand tiny things that piled up into a narrative.  Eight years after transitioning, I still have moments when I remember tidbits from my life that confirm my transness.  These tiny moments didn’t make sense at the time, but in hindsight I can see what they meant.

Some trans people talk about being in the wrong body and some talk about not liking their social role.  For me, it was a strange combination that led me to transition.  The biggest thing, the one that trans people don’t like to talk about, is sex.  Yes, sex – I figured out that I was trans through having sex.  It started in the summer of 2000.  I was a junior in college and had just started dating a older man (lol, he was only 26, but it felt like a huge difference at the time).  The sex was great in the beginning, as I had gone a long time without any sexual contact due to my extreme studiousness and shyness.  After a month though, the sex turned bad; I felt locked up, stoic and frigid.

Being the perfectionist that I was, I spent days poring over sex books to figure out what I was doing wrong.  Convinced that I just wasn’t doing it right, I made it my goal to explore sex like I never had before.  I watched porn, bought toys, went to the strip club, read erotica, subscribed to Abercrombie & Fitch’s catalogue (my first softcore gay porn!), but nothing helped consistently.  I started to think it was physical, so I went to the doctor’s – nothing wrong there.  I practiced kegels, read up on kama sutra and tantric sex, tried the positions with my boyfriend, all to no avail.  Slowly sex became a chore that I loathed doing – a fact that is depressing as hell when you’re horny.  The only thing that helped was having sex right after waking up.  Curious, I started a dream journal.

One afternoon, I was waking up from a short nap in which I hazily remember having sex with a man.  Normally, this would have just been considered a good use of daylight hours, but this time I had a penis and I was the one penetrating him.  The dream was so vivid, so electric, that I thought about it for months, totally confused as to why I would have a dream like this.  It didn’t make any sense.  I tried to put it out of my mind, but a big part of me liked it so much, I started to have this dream every night.

After a few months of this, I furiously started researching the internets.  I came across a picture of a masculine presenting female-assigned trans person.  Floored, intrigued, excited and scared, I slowly I came to accept that my dream was telling me something important and that the only way I would figure it out was to break up with my boyfriend and explore my sexuality with other people.  Three months later, I chopped my hair off, graduated from college and somehow became convinced that I should start my experiments with women.

When graduate school started in the fall, I started dating another grad student – a woman.  My goal was to somehow embody my dream, to somehow feel male, so dating a woman seemed like the natural thing to do and I went with it.  At first it was new and exciting, just like my last relationship, but after a month of sex in which I never took off my clothes, I got bored and anxious.   I also felt like a fraud cause she thought I was a lesbian, but making her come did absolutely nothing for me.  After five months of exploring sex (including BDSM lite) with her, I took to the internet once more.

This time, thankfully, I came across a message board full of queer and trans people.  I spent months reading the archives, searching for some truth that mirrored my own.  I stopped having sex again, started to obsessively study myself in the mirror and make myself as masculine-looking as possible.  I lifted weights every day, starved myself, started shopping in the men’s side of the store and, most importantly, I started having the special dreams again, except this time they were more explicit and longer.  Jolting energy spilt through my penis, like I’d imagine a cis guy would feel and it was very unlike the orgasms and feel of vaginal sex.  I had a masculine chest, fur, fuzz on my face and I found myself furiously sucking my imaginary partner’s cock like I never had in real life.

Up until this point, it had never occurred to me that gay trans men existed.  In my dreams, I was a man having sex with a man, but acknowledging this out loud to other people scared the shit out of me.  So I continued on my quest to look more masculine while entertaining the possibility of sex with lesbians who digged people like me.   Convinced that I was disgusting, not worth dating and certainly not sexy, the attention and ego boost were nice.   I had some odd encounters with lesbians, but the spark wasn’t there.  I felt mostly dead down there when it came to having sex with women.

Slowly my dreams became more elaborate and I started wondering what else was possible.  Just going to a gay porn website was enough to make me start shaking and sweating at this point.  It felt forbidden and wrong.  It took me a full year of thinking before I finally downloaded some gay porn.  At first, I was confused.  I mean, I had sex with plenty guys growing up and I’d seen plenty of penises, but seeing gay porn for the first time made me feel completely ignorant of male sexuality.  I watched the twinks giving each other blowjobs, examining their bodies and noticing how skinny and smooth they looked.  Then one of them starting topping the other and my mouth literally gaped open – I thought “that’s exactly what my dream was like!!!”.  A part of me didn’t want to watch anymore (they weren’t my type and they looked rather sickly), but I couldn’t look away – it was calling my name.   Scared to death that I was really a gay man, I told myself that it wasn’t my cup of tea and that perhaps I was into the type of sex that has never existed in real life.

Meanwhile, I took steps to start testosterone therapy for my physical transition and graduated from college.  I moved to a new town and met some gay men for the first time in my life at age 23.  This is when my life started – I’m not exaggerating.  My new role as a man was being accepted rather easily with the help of testosterone-induced masculinization, a very trans-friendly community and top surgery, but making that step into gayhood became some sort of looming monster.  The closer I became with one of my gay friends, the more apparent my sexuality became to others, the more I couldn’t ignore the truth.  I finally came out, which surprised no one (apparently I make a rather fey man).  In less than a week after coming out, I was making my privates hurt from the constant masturbation from just the release of finally accepting myself.  Soon, I went after the real thing and for the first time in my life, my sexuality felt easy, not forced.  I no longer had to get in the perfect position, think of England, or imagine I was somewhere else.  I could be in my body and feel the electricity and most importantly I could share it with someone else, like humans were meant to do.

This isn’t to say that my sex life is easy and that I have no issues.  When I’m with a cis guy, I immediately feel less than a man – how do you come to terms that someone ran off with your penis before you born and not feel inadequate?  A lot of times, men aren’t interested in having sex with me once they know I’m trans.  On the street, if you saw me you’d never know that my package was manufactured at some plant in China.  Naked, well, you’d be really dense not to notice that my penis is quite small, much like an overgrown clit (testosterone makes it grow, a lot) and that I can’t fuck you with it.   Some don’t care that I have a vagina and some really like it.  I try to tell myself that being trans is like being short – it’s much harder to find people that are into you, but it’s not impossible.  Sometimes, my lack of a penis keeps me from cruising for a date.

Those times I’ve had sex with men who didn’t care, who fucked me all night (yes, I’m a bottom), who either didn’t notice or didn’t care that they had the only penis in the room when there were usually two, have given me years of contentment.  I was a gay man with them, just like any other guy and we enjoyed each other’s bodies like gay men tend to do.  I’ll never forget those times when I could forget that I was born female.  Like the dreams that started it all, they are seared into my brain and they make me feel alive even when I’m alone for yet another saturday night.

I may not make sense to you.  That’s alright.  It took me years for me to make sense of myself.  But I do exist – I’m not weird, or disgusting…. I’m just gay and male and trans.  For a few years I lived my life as a straight women, but not since my first gay sexual experience have I felt any longing for my former life or like I could just turn back.

You’ll never know what it’s like to be trans (unless you are actually trans) and that you’ll never know what it’s like to be a gay trans man (unless you are one), but that doesn’t mean you can’t accept it.   This is me.  I am gay and I am a man.  Take my word for it, otherwise I’ll have to bore you with more details of my mostly uninteresting life and then you’ll be really sorry you asked because you couldn’t understand.

Kian currently lives in NH with his two cats. He would be wicked excited if he didn’t have to move to a ginormous city to the south in order to have a fulfulling sex life (he’ll miss the snow and the ice-skating too much.) He can be reached at kian217 at gmail dot com if you’re interested in conversation, an argument or in sending a nicely worded hate letter.

Requisite disclaimer: All opinions expressed in guest posts are the author’s own and do not necessarily reflect the opinions of NotAiden.

Guest Post: It’s the little things

When I wake up in the morning, the first thing I do is run my fingers through my belly fur. This may seem odd, but feeling the long curly strands against my slightly rounded belly is one of my favorite sensations. The rest of me is quite hairless – you can barely see the hair on my arms and my beard hair is practically non-existent. Even my eyebrows are lacking – they only extend half the normal length and my eyelashes sadly match. My legs are slightly hairy and the hair on my head is slowly disappearing, albeit much faster this past year. My belly hair is at least five times thicker than any other part of my body, save my special bits. When people comment on my general hairlessness, which happens quite often, I lift up my shirt to show them my treasure. I love the squeals it elicits. Some say it’s too much, that I should shave it because it doesn’t match the rest of my body and a part of me agrees. Symmetry is important, but I can’t bear to lose something I waited and worked so hard for. Had I been born with the male body my brain imagines when I close my eyes, I most likely would be trimming it so as not to unduly surprise my lovers. When I started transitioning seven years ago, I prayed that it would make me hairy, or at least make my eyebrows whole. I’ve been sorely disappointed in that department, so every time I long for more hair on the rest of my body, I put my hands under my shirt, rub them around and breathe a sigh of relief. It may not seem like much to you, but it’s the best feeling I know.

Bio: Kian is a gay trans man living in New Hampshire. He currently enjoys politics, gardening and activism.

Requisite disclaimer: All opinions expressed in guest posts are the author’s own and do not necessarily reflect the opinions of NotAiden.

Guest Post: Advice to newly out gay trans men

Three gay FTM old-timers have gathered the following tips that might help you to become part of the gay community.

Personality and Dress

  • While you may feel the need to play with your masculinity and put on personas while you figure things out, please use an editing eye. For instance, say you like having a big bulge. Instead of going for the biggest one in the store, take it back a notch and get a medium-sized one to start. Same goes with other things like mannerisms. Perhaps you still sing-song like a typical woman and you’d like to start “speaking like a man”. Well, you could make your voice super monotonous and lacking of any emotion (how boring!), or you could find a balance between expressing yourself and embodying a stereotype of a man. You get to choose, so do it wisely.
  • If you must wear baggy clothes to feel comfortable during the early stages of transition, please do not continue after starting T. Your body shape will change, the hips will disappear (for the most part) and guys pants will start to fit well. This is when you need to update your wardrobe. This ties into learning to feel right in your body after so many years of hating it, so you must unlearn your old habits of dress. Start watching how men wear their clothes – you’ll start to see that looking like a 15 year old boy isn’t really that attractive. Find your own style.
  • Don’t use gay men as something of a guinea pig for your experiments with masculinity. While it is ok to be adventurous and curious about sex, it is not ok to be so while looking down on or being disgusted by the people that you date.
  • Don’t become a caricature of a gay man. You are not required to swish, squeal, giggle and wiggle but if you do, just make it your own and not copy your mannerisms from other people. Be natural and let the gay man inside come out but don’t force it.
  • You will try things on that don’t fit and some that do. If you’ve tried X and you find you don’t like it, then don’t do it, regardless of how many trans men have told you that you must do X in order to pass. If you like Y and every trans man you’ve met has told you to never do Y in order to pass, then keep doing it. Courage of conviction is a must when you are in the early stages – you must stick to your guns and believe you are who you say you are despite many others trying to convince you otherwise. And whenever someone says that you will only pass if you do X, Y, or Z is simplifying the entire process and leaving out the most important part – your happiness.
  • It doesn’t hurt to be creative in dress and hairstyle. Be delicious.

Social Aspects

  • Forget what you learned about gay men from the media and start learning from actual gay men.
  • Recognize the diversity of gay men, because they’re not all the same, just as not all trans men are the same.
  • Don’t throw slurs around until you know which ones are being reclaimed/used in your particular area.
  • Do not mock gay men and/or gay culture.  Most guys don’t mean to do this, but it’s the one that’s likely to piss people off the most — and alienate you from any stealth trans guys who may be watching. Do NOT make fun of anyone until you are close enough that everyone knows it’s friendly. Don’t make gay jokes, don’t whine about Peter Pan syndrome or immature queens, don’t suddenly start acting like Kurt from Glee when really you’re more like Artie. It’s a vastly annoying phase that many guys (cis or trans) go through and the more you can avoid it the better.
  • When you go to a new gay male place, just stay in the background for a while, and learn how people are behaving.  There are lots of rituals, the way people flirt and make contact. Make friends, get to know people.  If you behave well and people know and like you, gay men will approach you easily, often even when you are not passing yet. Men are easy to understand and easy to have, not like with women.
  • Remember that gay men are independent and much less group-oriented than women/lesbians are.  Men don’t control each other the way women do.  They don’t do the telepathy/empathy thing.   When a man says something, it is implied that he says it only about himself.  Never expect that he will check in if he might somehow hurt you with what he says, because he is only speaking about himself.
  • Be entertaining and friendly. Many gay guys make an art of being a good conversationalist, and good manners are certainly something that will endear you to people. Be funny, or if you can’t, be kind.
  • Gay men actually like men. As in, really like them – not just men’s bodies, but men’s culture, men’s ways of relating to each other, the way men smell and taste and sound. A certain amount of misandry is tolerated among lesbians and the genderqueer types, and even among straight women, and it’s easy to soak that up, but gay men can smell it and it turns them off (even as potential friends) before you even open your mouth.
  • Don’t act like you’ve figured out how to be a man that is somehow how better than the versions you see from cis men. You’re not going to earn any friends that way and you certainly won’t get laid if you complain about all the misogyny and sexism you see. Cis gays are real people and they deserve respect, even if that means biting your tongue at times. Pick your battles. If you must call someone out for misogyny or sexism, do it in a funny or polite manner – they are your potential friends and mates, not pawns of the enemy.
  • If you have trouble finding your place, don’t fret, you just haven’t met the right people yet.

Sex

  • Know yourself and know what you want/don’t want. When you want something, you have to take care of it yourself.  Don’t expect that your partner will somehow think for you.  You have to be outspoken at all times.  Say no and say yes immediately.  A guy will never sense that something is wrong with you, because he expects that you take responsibility for your boundaries and needs, just as he is taking for his own.  Be outspoken about it without being bitchy.
  • Socialize with cis men as friends before you try to date or sleep with them. If you can’t get along as one of the guys, figure out the problem before you start trying to bring a sexual element into it. Straight women can get laid with guys they don’t like and can’t relate to (usually with guys who similarly don’t like and can’t relate to girls), but gay men expect at least a little bit of common ground, even the ones looking for NSA (no strings attached) stuff.
  • Don’t be too aggressive and not take no for an answer. Shrug the rejection off and move on to the next guy.  There will be guys that don’t feel comfortable sleeping with trans man and you must accept this.
  • Don’t cry transphobia for everything – no one likes to be called a douchebag for no reason. This is especially true when getting turned down for sex, it’s not always because we’re trans. “Not my type” encompasses everything from clothes to hair to height to genitals to sexual interests. I know I’ve turned down trans guys for reasons unrelated to their crotch, cis gay guys should have that option too.
  • Don’t be grossed out by stuff. If it isn’t your piece of cake, just leave. There are other places. Don’t give people the feeling that they are perverted or something.
  • Don’t go into a gay male back room with a group of early transition FTM, (esp. when the guys who are in there have known you as a lesbian for years) and demand that they have sex with you. If the guys feel uneasy about it, don’t call them transphobic – that won’t enhance your chances to fuck them.

Bonus material:

Norah Vincent talks about her experiences with passing in straight male communities:

http://www.npr.org/templates/story/story.php?storyId=5171860

Written by ShipofFools, Kian and Not Aiden.

Requisite disclaimer: All opinions expressed in guest posts are the author’s own and do not necessarily reflect the opinions of NotAiden.  (Except where they do…gotta love group efforts.)

Guest Post: Sexism Exists!!!! Thoughts and solace from a gay trans man.

Ever since I was a little trans boy living as a girl, I’ve felt the need to protect the girls and women in my life from those who are abusive.  Perhaps it was my childhood environment that led to this – I grew up in a dirt-poor, “white-trash” household with a distant mother, a sister who was sexually abused, and an estranged father.  I didn’t know love, affection, respect, boundaries, discipline, and feminism.  Life was hard and women were treated the worst.

Lucky for me, I was a very strong “girl” – I could beat any boy in the class at arm wrestling, sprinting or basically anything to do with strength.  I was very rough and tumble and was often referred to as a tomboy because I was so dominant and refused to wear dresses.  I don’t bring this up to brag, in fact, I hated standing out that much, regardless of how much I actually used my talents.  You see, I am a gentle soul – I am very sensitive, highly anxious, and slightly autistic.  I’m also extremely protective of what I hold dear – perhaps a reaction to my childhood – which directs my attention toward people who get treated unfairly, usually women  I’ve never fit in myself, so when I see injustice, I feel the need to stop it.

When I was young, my version of stopping injustice involved beating the perpetrator up.  Sure, I wouldn’t recommend it, but at the time, it seemed appropriate.  If the boys decided it was “Friday Flip Up Day”, in which they hassled the girls who were wearing skirts, I patrolled the area where my friends were hanging out at recess.  This is not an exaggeration.  My first fight involved me punching a boy who tried to kiss my friend on the cheek and then chased her when she refused – this was in 1st grade.  At recess I stood guard always making sure that my friends didn’t have to worry about what they boys were up to.  For my work, I was rewarded with loyal friends and boys who hated me for humiliating them.  To me, it was a fair trade-off and I continued until I could no longer fend the boys off (about sixth grade).  [I would like to point out that I was never officially punished. In fact, many of my teachers thought it was awesome.]

To this day, I abhor sexism and the insidious ways that it keeps women and girls in their place and elevates men who don’t deserve the praise.  I became an official feminist in college, although it never became my field of study (I prefer math and science), but I definitely dabbled and had friends who were also ardent feminists.  They taught me a lot of what they learned in classes and I appreciated the knowledge.  This knowledge led me to all sorts of places and perhaps the most important – accepting my transsexuality.  When I came out to my friends, I was under the erroneous assumption that they would accept it as well, but I was wrong.  They didn’t understand, they refused to talk about feminism anymore, they called me a traitor, they stopped calling.  I felt betrayed, cast away, discarded.    Often I wondered how much is due to the underlying anti-trans sentiments of some feminist arguments or to the ingrained transphobia in our culture.  Most of me, though, no longer cared, as I had lost everything that was dear to me for speaking my truth.  My world felt twisted and upside-down – it didn’t make any sense.  How could something that felt so right for so long, suddenly make me feel like a monster when I had done nothing wrong?

What I can see now that I couldn’t see then is that both sides felt betrayed.  We all lost innocence about feminism that day or at-least were faced with the limitations of feminism.  As someone who was assigned female and was forced to live the life of a straight woman for 20 years, I do have insight into how women are treated.  But I maintain that I will never know what its like to actually *be* a woman.  I never was one.  I just looked like one – an impostor, a fake, a doppelganger.  My friends believed that I was a woman, so when I told them that I really wasn’t one, they thought I was denying my womanhood and implying that manhood was much better.  They thought I was buying into the patriarchy and believed that to be a woman was one of the worst things you could be.  This is very far from the actual truth of why I transitioned and their assumption that my motivation was flawed led to all sorts of recriminations.  I transitioned because my mind says male and my body said female.  I wanted them to match and for that I have been called a traitor, an impostor, a liar, a chauvinist pig, a tool of the patriarchy, etc.  It took me a long time to come to terms with the accusations I faced from my feminist friends.  A part of me agreed with them and felt extreme guilt that my decision to transition could make me just as bad as the boys who harassed my friends as a child.  I didn’t want to be like them.  I didn’t want to be that guy who thinks they are better than women solely because they’ve been trained to think that way.  I was also aware that gaining male privilege can make trans men become sexist jerks.  I vowed to not become that kind of man.

I’ve been living my life as I’d always wished for 8 years now.  I am an effeminate gay trans men who loves the company of women.  It took me a long time, but I have finally come to terms with the limitations of feminism and understand that my former friends did the best they could do with the information they had, as did I.  Neither side won or lost.  I still fight against sexism and believe that women need their spaces away from men.  I’m somewhat of an outsider now, but I like to look in to see how strong and powerful women can be and just happy that slowly things are getting better.  I know that I can’t give them the male privilege that I’ve gained, but I can still watch out for their safety.  I can still stand up for them when they need it.  I can still be their friend and listen when they need an ear.  I still care and no matter how hard they push me away, I will always be there.

In closing, If you’re a trans man reading this, please take this to heart.  Let your former life guide you, but know that you are not betraying anyone by transitioning and living your life to the fullest.  By the power vested in me you are now absolved of all guilt you are feeling.  Just one thing before you to take the plunge — don’t forget about the sisters you left behind.

Kian has been living as a gay transman for most of his 20s.  Nerdy, quirky and fey, he often spends his time thinking and writing about gay and trans politics.  He loves to learn and cook and looks for hairy men who do the same.

Requisite disclaimer: All opinions expressed in guest posts are the author’s own and do not necessarily reflect the opinions of NotAiden.