psychiatrists Archive

Accessing Mental Health Care While Trans

Trigger Warning: physically and sexually violent imagery, transphobia

I recently moved to Boston from NYC. Moving can be stressful for a variety of reasons. As a trans man with mental illness, it can be especially stressful for me to try to make sure all of my healthcare continues without gaps.

As The Wheel Turns: New Diagnosis

Three years ago, when I FINALLY got some psychiatric help for an episode that was already almost a year old at that point (thanks for nothing), my then-psychiatrist diagnosed me with panic disorder/agoraphobia, OCD, Borderline Personality Disorder, depressive disorder, dissociative disorder, and Eating Disorder Not Otherwise Specified. Believe it or not, I was okay with that. It gave me something to hold onto, because I couldn’t make sense out of what was happening to me anymore. By the time I got in to see him, it was already too late. The damage was done. I will never fully recover. It’s not pessimism, just plain fact. Too much has happened to me, and rearranged my brain and how I perceive things.

How The American Mental Health Care System Failed Me (And Everyone I Know)

I arrived at the hospital at 8pm. They tell me at 11pm that the psychiatrist is actually not here. So I will have to spend the night, and I would be seen in the morning. This was especially frustrating considering I was used to this. I have been generally ignored by physicians in emergency rooms most of my life. Especially as a mentally ill, disabled person. We are pushed to the back burner. Even in an ER that currently had three patients who were there for bone injuries.

Hospital Epiphanies

I was taken to the hospital via ambulance and certified so that I wouldnt escape. And I spent the night in a holding cell in the Emergency Room. I saw the psychiatrist in the morning and they changed my meds and made me an out-patient appointment so that I could continue to see this psychiatrist and get care as I didnt at the time have a psychiatrist that was following me at all.

What Every Trans Person Should Ask Their Mental Health Provider

For me, deciding to see a therapist about my gender dysphoria was a huge step. It was the first time I had told another human being face to face that I thought I was transgender. I was lucky; the psychologist in the area who is known for taking trans clients was full up and couldn’t take me. She recommended a colleague whom I had never heard of. I gave her a chance, and she turned out to be phenomenal. She was non-judgmental, listened well, asked insightful questions, and in the end became someone whose insights and ideas I trusted.

Fighting for Responsibility of Ourselves

I would like to welcome the newest member of our writing team, Kaity Marie Baldwin. In her first post with us, she talks about taking responsibility for one’s own mental health. Thanks for sharing with us, Kaity!

It took me a long time to realize how lucky I was: a psychiatrist, a therapist, medication. All of these arranged in my life to provide the support I so desperately needed but wished I didn’t. Who wants to see a psychiatrist for the rest of their lives? Who wants to need therapy sessions? Support can sometimes be a reminder of why you need it, and it makes you feel so helpless.

Bad Psychiatry Still Haunts Us

In 1988, when I had just turned 14, I made the life changing mistake of trying to figure out what I was using the materials I had on hand. In this case, it was a copy of the book written by Dr. David Reuben in 1968, “Everything You Always Wanted to Know About Sex* (But Were Afraid to Ask).” The book came from my mother’s top shelf on adult topics, and for a kids just hitting puberty and dying slowly with the changes, I needed answers. Namely, why did puberty feel so wrong, why did I feel a need to be female, and why did I pray every night to wake up right.

A Root Issue Found, Questions Remain

During my last session with my psychiatrist, I was being “very honest and open” according to my doctor, “like never before.” I don’t like to think I hold back, but I do. I guess this particular visit I was sort of worn down, and more than a little tired, so I wasn’t thinking ahead of the curve of my brain/mouth filter. Truth was just sort of spilling out.

Fear of Addiction and the Fall Into Alcoholism

My first experience drinking beer (well, aside from the time my mother’s brother gave me a drink when I was like five telling me it was soda – I spit it back out on him) was at a neighbor’s party when I was 20 or so. Up until that point, I’d never had a beer, and didn’t even like the smell of it. Over the next year and a half of knowing him, I found an affinity for beer, in relatively limited quantities, anyway.

My Experience With Depression (Yael)

I would like to welcome the newest member of our writing team, Yael Cohen. In her first post with us, she tells her story of battling with depression. Thanks for sharing with us, Yael!

Trigger Warnings: Suicidal ideation, rape, sexual assault

I havent always been this way, when I was younger I like to think I was a pretty normal, what we would now refer to as a gender fluid child. I was born with an intersex spectrum disorder. My depression started when I was about eight, as at the time I was being raped by a family “friend.” This would lead later to a diagnosis of Post Traumatic Stress Disorder (at age 9) and Major Depressive Illness (at age 16) after a stay in the psychiatric ward for suicidal ideation. To top it off I spent much of my formative years in hospitals as I was born with several problems physically. Just to add to my depressed mood.