Transgender people may be eligible for diagnosis of gender identity disorder (GID) “only if [being transgender] causes distress or disability.” This distress is referred to as gender dysphoria and may manifest as depression or inability to work and form healthy relationships with others. … Moreover, GID is not necessarily permanent and is often resolved through therapy and/or transitioning.
“Transgender” article, Wikipedia
I mentioned K isn’t okay, but not why. Here’s why. She isn’t able to work because she isn’t able to leave the house unless she is with a family member. She is immersed in the personas and worlds she escapes into via video games and the internet. She is on Tumblr and has found a community there she’s comfortable with, but she doesn’t really actively participate. She does a lot of reading and reblogging but she doesn’t communicate directly with anyone. She’s fine on the surface, but right underneath that thin veneer, she’s severely depressed.
K has canceled two of her last three psychiatric appointments at the last minute; she really doesn’t like going. She says she usually just spends the appointments talking about video games. I have no idea how to go about getting her to open up and start talking about herself. I don’t want her to feel pressured, but I want her to make progress. Whenever I bring up anything having to do with real life, she changes the subject. Occasionally she will bring things up herself, but I have to play it carefully because if I seem too excited or eager to continue the conversation, she clams up. I get teensy glimpses, once in a great while. I’m learning a whole new definition of patience.
I hope to see her start opening up more this year. The end of June will mark a year since she started on hormone therapy, and that’s going well. Maybe we’ll be able to get her to the point where she can start attending some sort of group session, and interact with other people who are dealing with the same kinds of issues. I think that could really help move her forward, but so far she continues to resist. It must be a great fear in her and I wish there were some way to break through that. I think it’s going to be a long, long road.