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LeaP
03-07-2013, 09:53 AM
Dysphoria pre-hormones: Anxiety, confusion, back-and-forth questioning, break-through crying, panic attacks, dissociation, depression. Fear and flight reactions. Distraction from the inner monologue that gets louder and Louder and LOUDER.

On hormones: The impact now is different. I have been trying to get my finger on this for a while. For a while I thought it was depression returning. But it's not. The symptoms of depression aren't all there. I can be distracted. And when I am engaged in things I can be quite happy.

It's almost like a background of profound sadness. But that doesn't quite describe it either. Resignation? Fatalism? Neither fit precisely. But there are elements of all of them.

Not surrender either, though the thought triggers almost a sweet longing, interesting in itself.

A touch of nostalgia, but for what was not and what might have been. How can you feel nostalgia for that? I don't know, but I do.

Through it all is this lack of motivation. I care about some things deeply and stay fully engaged. My wife and home life, for example.

We were shopping appliances the other day. It was fun! I actually cared! About f***ing appliances! Cooktops, ranges, ventilation, refrigerators, wine coolers. APPLIANCES for God's sake! In the past it would have been "whatever", "get whichever one you want", "who cares", "just PICK one". Or even at its worst, "why don't you just do this by yourself".

No. THIS time around it was like "look, this downdraft is 14" high!", "the little wine cooler is expensive even on clearance, but we really like it ... let's get it!" "I'm glad we came back in after canceling the first order, THIS refrigerator is so much better, even though it's more!!".

Let me tell you, that's a sea change in attitude. And I wasn't faking it, either.

But I'm on automatic elsewhere. I can plug into a meeting, an issue, and do what I have to do. But I just don't care. Flame without fire. This experience, too, is different than in the past. I'm not dissociated ... I just don't care. And I'm thinking and feeling that I don't care consciously when it happens.

Which leads to the happy face that I put on. Fact is, I dread people coming and going into my office. I hesitate picking up calls. I have put it on here, too. My posts recently reflect that and a couple of you picked up on it, commenting to me in PMs. (Hmmm - I thought if there was one thing I could do well, it was hide emotion in my writing. I need to revisit my editing.)

Yet through it all I feel GOOD, too! I mean, WTF? On my lunchtime walk yesterday, I felt terrific! My spirit was soaring. So maybe its all symptomatic of being right with myself in some respects but knowing I'm not right with the world.

As I write this, I am sitting in a comfortable armchair in a Marriott conference area. I often sit here with coffee in the morning as Starbucks is here, it's a hundred feet from the office, and it's usually quiet. Today, a large company is having a conference. I sat for a while just watching people come and go. I feel alive. Connected. Present. It's wonderful! But that backdrop of sadness (or whatever) is still there, too. ... Not to mention comparing myself to every woman there. "I wonder if that hairstyle would look right on me", "she's bigger", "she's smaller", "my God what a beautiful top", and even "I wonder if that one is trans". Non-stop. The inner monologue is running non-stop again. I talk to myself more than a schizophrenic.

Actually, there IS a word for this weird mix of rightness and wrongness, engagement and disengagement, functional and impaired. Dysphoria. Gender dysphoria is unique in its combination of dysfunction and focus. But its focus is oh-so-much clearer on hormones, even if some of the dysfunction is mitigated or feels different. It clarifies the clinical term "impairment," too, taking it from the pre-hormones mood and depression disorders categories to raw functional blockage. Impaired. Handicapped.

Dysphoria and impairment. On steroids.

And yes, I know what the cure is. Not fully facing that yet is part of the problem. Recognizing that, however, is a major reason that decision looms.

Today feels better than yesterday. I'll take that for now.

Kaitlyn Michele
03-07-2013, 10:25 AM
pretty dead on stuff.. day by day improvement in quality of life is what matters more than anything...

i very much recall plugging in to "get'er done" and then immediately plugging out and just waiting to head back to my apartment and do what i needed to do.

For me personally, a day came when i was no longer able to consistently plug in anymore... which ramped up anxiety because i had a lot of things to plug into... can you say vicious circle...

i still dont care about appliances or home design..

melissaK
03-07-2013, 12:44 PM
Nice essay LeaP. So personal, such nice imagery.

Also being a fellow traveler in the voyage between M and somewhere not M, and being post hormone and pre-op, I had some similar moments where I realized hormones were changing me. It was so hard to describe how. I was left saying I am less angry, and I cry more - my emotional sensitivity is way up. But it doesn't do it justice.

I started just E for years, and only added Spiro later. The Spiro really made the difference and the before and after comparisons became more describable. Still, finding words to describe it was like trying to describe differences in Monet’s water lilly paintings.

http://www.google.com/imgres?q=monet+water+lily+series&hl=en&sa=X&biw=1272&bih=914&tbm=isch&tbnid=OZHQM4wby3OvyM:&imgrefurl=http://www.artquotes.net/masters/monet/water-lilies.htm&docid=hqAWPK9n_2fBnM&imgurl=http://www.artquotes.net/masters/monet/water-lilies.jpg&w=444&h=465&ei=cck4UYioMcLkrAHvoYBQ&zoom=1&ved=1t:3588,r:1,s:0,i:85&iact=rc&dur=690&page=1&tbnh=179&tbnw=162&start=0&ndsp=24&tx=90&ty=47

I am surprised at the imagery you have to resort to. I have a fair amount of synesthesia and so many of my feelings are coded in that sort of visual and auditory imagery rather than words, I can oft be left wanting for words, but imagery from you, I can see it’s not just me, the experience does transcend words.

. . . I could have languished on the beaches of the island of HRT forever;
http://youtu.be/Qpl9PHcPJhU
perhaps the equivalent of your just not caring?

But after a rest on the shores of HRT I felt there’s something more to be dealt with. Perhaps that’s what your referring to at the end of your post?

And for me, the calm ended with a growing dysphoria pushing toward more change. And that dysphoria was up there with the worst I have experienced in my decades of stubbornness in accepting myself.

My next big milestone was committing to changing myself outwardly. WOW. Turning the key in my closet door lock, pushing it open and stepping outside and beginning to tell some other people was so self affirming. Deciding I was going to change myself some how was so reaffirming.

I’m in that journey. . . and not very far along, but, it’s super cool too.

Barbara Ella
03-07-2013, 02:09 PM
LeaP this is a wonderful painting of the feelings you have. And yes, I have noticed the differences, but could not put them to words so eloquently or precise. I am new to the journey, 4 months, and have been pulled off the Spiro, and am noticing differences, and beginning to get a perspectrve of where I was. Still no idea of where I am going, or if I am going.

Thanks for the insights.

Barbara

Kathryn Martin
03-07-2013, 05:37 PM
Don't you ever call them f*cking appliances again. They are the life blood to a fully functioning kitchen. And functional is really the operative word. Interest in appliances signifies not love for them but rather practical issues of living daily life, raising a family, keeping your loved ones in food cooking your love into your dishes for them. I am glad you care about the appliances.

Right now you are stuck. like a wedge between dysphoria and focus. It is an immoveable state and the illusion of movement comes from vacillating between engagement and disengagement. But in reality, full blockage indeed.

One day you will hit the wedge on the broad end and you will find that in every respect dysphoria goes out the window and focus becomes all consuming in every field of your daily and life endeavors. And "for now" will be stricken from your vocabulary.

GabbiSophia
03-07-2013, 06:09 PM
Boy solid focus on anything but the constant wondering would be nice. Focusing at work takes twice the.energy now.

KellyJameson
03-07-2013, 08:11 PM
Life often seems like it is forced on us because we are brought into the world by others.

Somewhere in the teen years you become freightened because you realize that you have the power to end your own life so now it is not only keeping yourself alive against what may be done to you but "by you".

I believe the impact of hormones during adolescent directly attacks the minds experience of self whether this self is labeled female or not and in this attack intense anxiety is created but the anxiety was always there so now the volume is turned up to unbelievable levels.

The brain does not know what to do with the hormones because the structure does not match the chemical so it feels like you are being chemically asked to be the opposite of what you are so shaped into what you are not.

It is like being dropped into a psychological meat grinder.

Life is experienced as being intensely hostile to the self but the hostilities are primarily happening inside the persons own mind but thought to be only about their relationship to their environment when in truth they are also living in a hostile chemical environment.

The child was already experiencing the fog of gender confusion that could not be articulated because the identity was unconsciously created so "unknown" so they were being made sick by living contrary to this unknown self.

The unknown identity as female conflicts with the evidence to the contrary that is constantly being presented but all this happens out of sight of conscious awareness creating the "mood of dysphoria"

The child is constantly experiencing gender rejection as "self" so being constantly rejected.

The mood instability can take many forms depending on the unique temperament of the child but it is driven by the unnamed identity crisis.

The child tries to become what they are while not knowing what they are trying to become unless they live in a gender neutral environment that supports experimentation where they feel safe to articulate and discover who and what they are.

From this continuing trauma the brain shuts down and goes into a fugue state and continues to live there so you live much like a zombie living between panic attacks where it is an all or nothing experience of numbness with bouts of unnamed terror but a complete absence of understanding of self because there is no self as "gender" so you live genderless even though your subconscious has a gender identity trying to make itself known.

The brain and mind are under two different assaults, one chemically as hormones and one psychologically as social because gender is a learned experience.

Gender dysphoria is a two front war, one about the brain and the other about the mind.

HRT addresses the brain issues so affects the mind as a relationship between "mind and brain" so the psychological is affected by the chemical but there is still the other war to be fought which is purely psychological as "mind".

The problem of the psychological is not only about gender dysphoria but has many other levels.

Because the person has been living under siege from the hormonal assault on their brain and suppressed identity they have not had the available resources to address many of the problems of life because they survived the experience by entering into a constant fugue state.

Once the experience of relief created by the hormones wears off from having lived this way for so many years the mind than asks " Now What?"

Living in pain never allowed this question to be really asked because who has time to ask the question when you are relentlessly under attack by hormones and identity conflicts.

You are now living with the luxury of choice and you are not quite sure what to do with it.

It is a very human problem that everyone must confront but gender dysphoria never allowed it because we always live in a reactive instead of proactive state.

Childhood is primarily a reactive state because a child does not have adult powers and gender dysphoria somewhat mimics this state because it disempowers us.

The psychological experience of gender dysphoria has similarities to the psychological profiles of children who live their lives in a war zone but these children have the advantage of identifying what is causing their stress so they have the stress without the confusion of what is causing it.

It is not being able to point to the pain that makes the pain much more terrifying.

Gender dysphoria causes trauma because the mind is separated from reality both chemically and socially so the mind is alienated from the brain chemically and from being able to touch the minds of others from the experience of gender recognition and expression.

I found both intensely painful and relentless. Once you know yourself you want others to know you. Once you know yourself you want to live this self so want others to allow you to live by their acceptance.

I never understood why I felt such intense fear when people tried to control me but now I know. I was fighting for my life as my gender expression.

You have left the war zone so now are confronted with the complexities of building a life.

The nostalgia is understandable because the past is a known quantity so there is comfort in the familiar even though there was no feeling, where the future promises feeling, both good and bad.

Pain is comfortable because it removes the contrasts of movement from one state to another with all its disappointments and trepidations. Emotion is both very pleasant and very unpleasant.

Your mind was numb with pain (fugue state) and the HRT has opened you up to experiences beyond pain so now you live not only in the world of pain but pleasure which will completely redefine your experience of pain and attitudes toward it. You have been born so now are alive.

You have the connection because you are able to experience and accept the contrasts that allow emotion. You will feel your courage being tested in this regard.

It is very tempting to go back into this unfeeling state but once you leave it if you go back you will not survive because it is only possible to go into it as a reaction not a choice so you will go into severe depression by "giving up"

You are moving toward becoming a fully self actualized person.

In my opinion the hardest thing about being transsexual is the psychological work

LeaP
03-09-2013, 10:13 PM
Right now you are stuck. like a wedge between dysphoria and focus. It is an immoveable state and the illusion of movement comes from vacillating between engagement and disengagement. But in reality, full blockage indeed.

One day you will hit the wedge on the broad end and you will find that in every respect dysphoria goes out the window and focus becomes all consuming in every field of your daily and life endeavors. And "for now" will be stricken from your vocabulary.

Ouch. Right through the heart.

I am mindful here of Marleena's "Tough Love" thread also. Kathryn, there are some who would read this and think your comment harsh. I do not. Thank you for your honesty.

Marleena
03-10-2013, 04:34 PM
Nicely written Lea! I had a reply on how HRT has affected me in a similar fashion but deleted it. Take your time with all of this and just see where it's headed. Sometimes less is more.

*edit*

Or you can ignore this post. You seem to have a better handle on being TS than I do. I just refuse to get talked into anything I'm not comfortable with.