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Puzzle Therapy's avatar

"Perhaps memories too are why so many trans-identified young adults estrange themselves from their families. They know their family remembers."

This perfectly gets at a point that I do t think is addressed often enough in this debate: the extreme psychological effects on the individual of living in a manufactured reality they know isn't true. The focus is almost exclusively on the physiological effects of medicalizing, and I understand why. But that implies that a non-medicalized trans identity is a healthy and reasonable compromise and completely ignores the severe psychological effects. How is it healthy to have an identity so fragile that you have to completely erase your past and rewrite it in a way that forces everyone else to remember it the same way? How is it healthy to feel you will literally die if someone uses the wrong name or pronouns, doesn't see you the way you see yourself, or doesn't let you have everything you want? How is it healthy to constantly be focusing on yourself and analyzing and monitoring if you are walking, talking, dressing, holding your arms, texting, ot making the right facial expressions of your "true identity" which somehow isn't coming naturally to you despite it being your "true self?" Even without hormones or surgery, it contradicts everything we know about what brings people stable mental health and happiness.

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Jerry Haas's avatar

Thank you for sharing this difficult, heart-wrenching story. As a physician of more than 40 yrs, I can categorically state that there is no medical indication or rationale for “early transition”. There are ideological reasons, delusional reasons and cultish reasons, but no medical.

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