How Dysphoria Contributes to Burnout and What You Can Do About It

WHAT IS BURNOUT?

I have struggled with cycles of burnout for many years now. For a long time I felt like I was making it up, or being lazy, or finding an excuse to avoid the mundane but challenging parts of everyday life. Very little of what I was feeling matched the symptoms of depression but that was the closest I felt like I could come. Until I heard about burnout.

When I’m in a state of burnout, the thought that keeps going through my mind is ‘I just don’t care’. I know I should, and usually do, but I can’t muster up the emotional energy to engage with almost all aspects of life. This is not me. In this state, I don’t feel like myself. And because I don’t have the energy to care, it is very hard to make myself do the things that will help me get out of the state of burnout.

I feel numb, heavy, and drawn to escapism. It feels like the world is happening around me and I’m just going through the motions. I don’t keep up with house chores, I eat less and more poorly, I socialize less, I exercise less (usually not at all), I am often late, and my productivity at work decreases.

If this sounds like you or someone you know, I highly recommend the book ‘Burnout’ by Emily and Amelia Nagoski. Not all of it resonated with me but the parts that did have been very helpful by giving me language to discuss my experiences of burnout with others, different ways of thinking about and noticing how I’m functioning, and practical strategies to prevent and recover from burnout.

HOW DYSPHORIA CONTRIBUTES TO BURNOUT

I have found that dysphoria is a large contributor to my burnout. There are three reasons for this:

  1. It takes a lot of mental effort to ignore the buzz of dysphoria in order to focus on what I’m supposed to be doing. It takes mental effort to check in with myself, identify what aspects of dysphoria I’m feeling, and use appropriate management strategies. It takes mental effort to identify and avoid situations that trigger my dysphoria (as much as possible). And it takes mental effort to reframe the dysphoria or fight it’s effects by using positive self talk and affirmation. So yah, lots of mental effort.
  2. Dysphoria is constant. It goes up and down depending on the day, my emotional state, my physical state, who I’m around, and what situation I’m in, but even at it’s lowest it’s still there. So lots of constant mental effort.
  3. Generally, there is a lack of understanding from others about what dysphoria is and how it affects me (or how it can affect people). The situations where my dysphoria is triggered the most and which are unavoidable are also the situations where I’m surrounded by and interacting with people who do not understand dysphoria. So lots of constant mental effort that is invisible to or misunderstood by the people around me.

WHAT BURNOUT FROM DYSPHORIA FEELS LIKE

For me, certain symptoms of burnout are specific to dysphoria. Three main ones are:

  1. Decreased attention/focus. So much of my attention is taken up by ignoring, managing, avoiding, and fighting the effects of dysphoria that I have less mental space to spend on other things. It is harder to stay on task, perform multiple step activities without getting derailed, maintain momentum on a task, block out distractions, and remember details.
  2. Irritability/easily frustrated. Dysphoria is an internal irritant that is constant and unavoidable. No matter how good I am at managing it, it will never be zero. So I already have a baseline irritation that I am working to ignore. That means that I have less patience for other sources of irritation. Less patience leads to more frustration. The more dysphoria I have, the more easily frustrated and irritable I am.
  3. Physical, mental, and emotional fatigue. The constant mental effort I talked about above is exhausting. The feeling of being misunderstood and invisible and at odds with myself or how people see me is emotionally exhausting. We feel our emotions in our bodies so I end up with a feeling of heaviness and lethargy that means I don’t feel like I have the physical energy to exercise or do any extra tasks (even though that is what would often help me the most).

WHAT YOU CAN DO ABOUT IT

Over the last few years I have developed a number of different strategies to help manage my burnout. After reading the book I recommended above, I have some more language to explain it and some practical strategies to suggest.

Prevention

Identify the sources of dysphoria for you. Develop strategies to decrease as much of the dysphoria as you can (more posts on this in the Related Posts list below). Where possible, avoid situations that trigger high amounts of dysphoria or repetitive situations that trigger even small amounts of dysphoria (such as getting dressed in a room that doesn’t have a mirror).

As much as possible, make these dysphoria prevention, management, and avoidance strategies automatic. Restructure your environment, schedule, or routine so that you don’t have to spend mental energy on remembering to do things in a different way. The goal is to decrease your baseline mental workload, not increase it.

Protection

In psychology they talk about protective experiences that may be completely unrelated to the harmful experience but help build resilience and emotional capacity or offset or heal some of the negative effects. There are a few protective experiences that I have found to be important in decreasing the burnout caused by dysphoria.

  1. Euphoria. Notice moments of gender euphoria and seek them out. Avoiding dysphoria is helpful to tell you what doesn’t work for you but moving towards euphoria tells you what you should do. Moments of euphoria can pass us by or be overshadowed by dysphoria unless we notice them, focus on them, and celebrate them. In this way, they can be a beacon of light to look forward to and to remember when we feel overwhelmed by dysphoria.
  2. Support. Whether through therapy, social support groups, online groups, friends, or family, support from people who understand what you are experiencing and can give you a sounding board to process and strategize with is important. Your support person/people can also help bring your attention to the symptoms of burnout you are experiencing and provide some external motivation to socialize, exercise, or engage in whatever other activities are necessary for you to recover.
  3. Affirmation. Dysphoria is constantly telling us that something is wrong, that we don’t fit in our body or in society, that we don’t look the way we should, and that maybe we’re making this whole gender identity thing up. Finding sources of affirmation, whether from your support network, from positive social media influences, or a personal journaling, self-talk, or meditation practice can be extremely helpful in offsetting the negative thoughts and feelings associated with dysphoria. The more the affirmation comes from an outside source, the less mental work we have to do to provide the same level of protection and, often, the more likely we are to believe it.
  4. Activities and Interests. Part of burnout, for me anyway, is a lack of interest in things that I would usually enjoy. The frustrating thing is that engaging in things I enjoy makes me feel better. The trick is to find activities and interests that do not trigger any dysphoria. This allows you to engage in your activity or interest with less mental effort so that it doesn’t make the burnout worse which results in a net gain of positive emotion and energy.

Process the Stress

This concept is directly from the book I recommended earlier. The gist is that we experience our emotions in our bodies as a chemical and neurological process. When we are under constant stress (as with dysphoria), our bodies are constantly in ‘fight, flight, or freeze’ mode. Even if we get a burst of euphoria or a period of relief from dysphoria, our bodies still have to complete the chemical reaction or neurological pattern that was triggered by the stress. If we don’t engage in activities that encourage this completion to happen, our bodies remain in the stress state which only gets stronger the next time we experience stress (five minutes later).

So while we can’t necessarily get rid of the stressor (dysphoria) and stop it from triggering a stress response in our bodies, we can do various things to move through the stress response in our bodies, complete it, hit the reset button, so that the responses to this continual stress don’t compound as much. For me, the most useful activities are physical activity of any kind, breathing, affection, positive social engagement, and creativity (writing, painting, and crocheting). With so many options, it is easy to engage in at least one per day, usually more.

One of the tricks to making this as effective as possible for me is to do these activities mindfully. To focus on the calming effect it is having on my body, mind, and emotions. Or, if there was a specific situation that was stressful that I am ruminating on (because my body is still stuck in that stress cycle), I focus on that situation at the beginning of the activity, think through it, feel the emotions that I felt at the time (or didn’t allow myself to feel at the time), and continue the activity until the emotions and the associated physiological response dissipate. The amount of relief this brings in a very short span of time is pretty incredible.

Tl;dr

Burnout sucks and makes us feel numb, exhausted, and irritable. Dysphoria can lead to burnout due to the constant mental effort that is invisible to or misunderstood by the people around us. You can help yourself avoid repeated cycles of burnout by preventing as much dysphoria as possible, protecting yourself against the negative effects of dysphoria, and processing the physiological stress triggered by dysphoria (and any other sources of stress).

I hope this helps you. It is what I needed to hear five years ago. Leave a comment below or send me an email with your thoughts and experiences of burnout. Maybe your experiences are similar to mine and maybe they are very different. Either way, your experiences have value and I would love to hear about them.


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Postpartum Update: 5 Months

We’ve all seen the representations of postpartum people in media who are frustrated with not being able to lose ‘those last five pounds’ when they’re five weeks postpartum. Let me tell you now, this is not reality. At least not for me.

My body did a whole lot more during pregnancy and birth than just put on a few pounds. Therefore, my body finding it’s way to a new, stable normal is not all about losing weight. Maybe I’ll get back to my pre-pregnancy weight, maybe I won’t. But more importantly, what is my body capable of doing and how does it feel?

PHYSICAL ENDURANCE AND MOBILITY

If you followed along with my pregnancy journey, you’ll know that I had severe pelvic and back pain that meant I was using a walker for mobility by week 14. Immediately postpartum I was able to start taking my regular medication and the pain improved quickly. But the impact of six months of limited mobility doesn’t go away over night.

I had a lot of joint stiffness and residual associated pain. I had significant muscle weakness in certain muscle groups (and still do to some extent). And I had extremely limited cardiovascular and muscular endurance.

I have been working on all of these as much as I can (giving the limited extra energy when caring for a baby). Initially I was mostly doing slow easy stretching and gentle movement and short walks. More recently I have done cardio exercise in the form of climbing the stairs while wearing the baby, using my rowing machine, and going for fast paced walks, strengthening exercise while playing with the baby on the floor or using the baby as a weight, and endurance exercise in the form of longer walks at normal pace. I even went skating for the first time today!

Each time I try another activity or try to push myself I come up against a very sudden limit in strength or endurance. I’m going along enjoying the feel of my body moving when suddenly I have no power. My muscles turn to water and my joints cease. I slow down or take a break to stretch, and try to continue. Often I can get a bit more out of my body but at much lower intensity or poorer quality. And that’s ok. That’s just where I’m at. Every bit counts.

Even if I wasn’t trying to improve my strength and endurance, just the act of moving my body and expending positive energy makes me feel less antsy, more patient, happier, and more connected with myself in a positive way.

HORMONE FLUCTUATIONS

At around two and half months postpartum I started having similar symptoms to when I was taking fertility drugs and when I was immediately postpartum. Wooziness, light headed, foggy, weepy, laughter easily becoming hysterics. Yes, apparently this is normal.

There is a hormone shift at 2.5-3.5 months postpartum and again somewhere between 6 and 9 months postpartum. My hormones were taking the next step in leveling out. Ugh. Not looking forward to going through that again but hopefully the next wave of this will be the last.

OTHER SYMPTOMS

  • All birthing trauma has healed (I had nothing severe and no C-section).
  • Despite having low milk supply initially and now decreasing lactation, my period has not yet returned (yay!).
  • I had some increase in hair loss around the time of the hormone shift but nothing extreme and it seems to have leveled out.
  • My belly is still round in a more pregnancy like shape than my typical body shape but is down to about my early second trimester size.
  • I had many many stretch marks that have somewhat faded into a soft, saggy, pouch of excess skin below my belly.

EMOTIONAL EFFECTS

As I am now trying to figure out what being a parent means and often exhausted from caring for my baby, I am definitely not in the same place emotionally as I was pre-pregnancy and never will be and that’s fine. Becoming a parent changes you and I am embracing and navigating that change.

But there are emotional effects from the experience of being pregnant and giving birth that stuck with me for a while. A few weeks postpartum, when the extreme fatigue had worn off a bit, I started having mild panic attacks when I was lying in my bed trying to go to sleep because I would be transported to the moments when I was waiting for another contraction to happen. That lasted for a few nights but, with the help of my husband talking me through it, wore off and hasn’t returned.

Looking back on being pregnant, remembering how it felt, is extremely surreal. Even when I see pictures of myself when I was pregnant. I know that it happened to me, I can remember that it happened, but I have a very hard time actually feeling what it felt like at the time. My body just felt so different than it ever had before and than it does now.

I can remember little things, like what it felt like when my baby had hiccups, what different stages of contractions felt like, and what my baby helping along my contractions felt like. But the overall experience of being pregnant? What it felt like to move around? It is very vague and very surreal. And maybe that’s ok.


So have I ‘recovered’ from being pregnant? No. I don’t even know what that means. Pregnancy doesn’t feel like something I need to recover from. I’m not trying to re-create my pre-pregnancy body. And as debilitating as my pregnancy was, it wasn’t a negative experience.

I am five months postpartum and very happy with what my body is capable of doing these days. I will continue to be curious and fascinated by all the changes just as I was during pregnancy. It is a continuation of the process that began with pregnancy. It did not end at my baby’s birth and will not have reached a conclusion for many months yet. So here’s to the journey.


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Discovering My Identity as a Parent

Recently, I’ve been thinking about my identity as a parent. Yes, as someone who has a child I am responsible for, I am automatically deemed a parent. But what does that actually mean for me as a person? What does it mean to identify as a parent? How does this new part of my identity mesh or clash with other components of who I am?

As a queer person, I have an understanding that identity is fluid, multifaceted, and individual. I have had the experience of exploring new aspects of my identity as a gay person and as a nonbinary person. In drawing parallels with my new experience as a parent, I had a bit of an ‘aha’ moment that I wanted to share with you.

STAGES OF QUEER IDENTITY DEVELOPMENT

For me, discovering and exploring aspects of my queer identity followed a similar process: from unaware/baseline, to awareness, resistance, exploration, acceptance, immersion, and finally, integration. My process of moving through these stages was different when I was discovering my sexuality vs my gender.

Before figuring out I was gay I was assumed to be straight but really I didn’t have much sense of my own sexuality. Figuring out I was gay involved very little resistance for me because of the liberal environment I was raised in. I went from awareness to exploration to acceptance very quickly. I was still in early high school at that point with little autonomy for accessing the queer community. But as soon as I went to university away from home, I entered the immersion stage and became involved in the queer club, went to all the queer events, hung out with primarily queer friends, and went to queer bars. I always had something rainbow on, hung my rainbow flag on my door, and talked about queerness every chance I got. Over a couple years, this faded to being just one component of my identity (integration).

Figuring out I was nonbinary went through the same stages but at a very different rate. Despite having a gendery experience in high school, I remained unaware of my non-cis gender identity for years after and probably would have said I was a woman. During my husband’s transition I became aware of nonbinary identities and developed an awareness of my own but did not feel like I had the energy to explore it or deal with the consequences that exploration might bring. I remained in the resistance stage for at least two years. By the time I finally got the space and courage to explore my gender, I already knew that I was nonbinary and had accepted it, I just didn’t know what to do about it. So I immersed myself in this part of my identity for six months to a year, figuring out all the different facets of my gender, how to explain it to people, and connecting with a gender diverse group of friends. This has slowly faded to a more integrated level but remains a larger part of my overall identity than being gay did.

The ‘coming out’ process started at different points for these two identities. I came out as gay immediately after the acceptance stage, before immersion. I am still working on coming out as nonbinary despite being somewhere between the immersion and integration stages.

HOW THIS RELATES TO MY IDENTITY AS A PARENT

Because of the external and concrete nature of being a parent, the first couple stages don’t apply as much. I wasn’t a parent, and then, suddenly, I was. However, the process of resistance through to integration is more about the emotional and personal relationship with this new aspect of my identity, so I think it still applies.

So where am I at in the process? At this stage of things, four and a half months in, I’m still not really sure what it means to be a parent. I’ve been resisting my new parental identity because I didn’t want to lose the rest of who I am. If I lose who I am, all my emotions will be tied up in how well I feel like I’m doing as a parent. And since there are many aspects of this parenting thing that I have no control over, that seemed like a dangerous game.

Then I realized that ‘losing who I am’ was part of the process – the immersion stage. I had been too scared of what that would feel like to allow myself to move through the stages of exploring this new identity. Since making this connection, I have quickly moved from exploration to acceptance and, a bit nervously, into immersion.

It definitely feels different to allow myself to become immersed in an aspect of my identity and existence that is so strongly dependent on something external to myself. I feel like I have less control over my exploration process (and therefore, how it will integrate with the rest of my identity in the long run) than I did with the queer aspects of my identity. Add to that the fact that we are in the middle of a global pandemic and therefore have limited access to the social activities and groups that I might engage in as part of the immersion stage.

Needless to say, exploring my identity of being a parent will be different from exploring my queer identities. Regardless, I can’t jump straight from acceptance to integration. But maybe, since the identity of being a parent is a more external one, so too is the immersion process. Who I am internally, all those pieces I have fought to understand and accept, can stay where they are. I’m not going to ignore my experience as a nonbinary person while figuring out what it means to be a parent. I’m going to figure out what it means to be a nonbinary, queer parent.


What stages did you go through in exploring your queer identity? How did you feel in your role as a new parent? Leave me a comment to share your experiences. I’d love to know how you navigated these transformational experiences.


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Gender in Isolation

In the time of the COVID 19 pandemic, many of us are living in physical isolation. We have significantly less social interaction, especially with strangers, and the majority of our social time is over the internet using video chat. Depending on your situation, this time of isolation may have been helpful or harmful as it relates to your gender. For me, it has been a bit of both.

My experience of isolation, in general, has been positive. I live with a supportive spouse, I have job and housing security, and I haven’t had any major medical incidents (other than giving birth to our baby). I know this is not the case for everyone, especially queer and trans people. Many are isolated with family members that are not supportive of their identity or even abusive. Many have lost their income. Many have had major mental or physical health crises. If your experience differs from mine, I would love to hear about it. Please share in the comments or send me an email. However, I will stick to my own experiences for the purposes of this post.

HELPFUL ASPECTS OF ISOLATION

Separating Physical and Social Dysphoria Triggers

When I am home alone, or with only my spouse, the majority of my dysphoria goes away. This has made it even more obvious to me how much of my dysphoria is triggered by social interactions and how important it is for me to build a life for myself where I am predominantly in supportive environments. The flip side of this is that it also has shown me what aspects of my dysphoria are present regardless of social interaction. These are physical and part of my experience even when I’m by myself.

For example, I always assumed my dysphoria related to my chest was triggered by having other people see me as female as a result of the shape of my chest. Turns out I have almost the same amount of dysphoria even when I’m by myself, it’s just easier to ignore because it’s not compounded by all the other socially triggered parts of dysphoria.

Decreased Social Dysphoria

About 75% of my dysphoria is triggered by social situations. This includes being misgendered, hearing female language used to refer to me, and being expected to look and act a certain way. Since being in isolation, I have had so much less exposure to these triggers that I have way more energy and emotional bandwidth to spend on other things, like taking care of my four month old!

Seeing how much of a difference this has made has given me incentive to try to be open about my gender when interacting with new people and even work on coming out to other people in my life. Hopefully over time this will shape my social environment into a more supportive one that has fewer triggers for dysphoria.

Space to Experiment in Safety

Though I haven’t felt the need to experiment in the last few months as I have done a fair amount of this already, I have found isolation necessary to experiment in the past. Trying something in private has always been the first step in seeing how I feel about it gender-wise. If it feels good, I’ll try it in a queer inclusive space next. If it doesn’t, I’m always glad I tried it on my own first.

The isolation isn’t just good for the experimentation but also for the process of building up courage and taking care of myself afterwards. Sometimes this means laying out what I want to try and just holding it up to myself or feeling it before trying it on. Sometimes it means having time to take pictures or look in the mirror. Sometimes it means changing into comfy clothes and working out or cleaning afterwards to get rid of excess energy and re-ground myself in my body. Almost always, it means having time to journal about the experience either immediately after or a day or two later. Having to interact with others while feeling vulnerable and confused about the experience is extremely taxing. So doing the experiments is always easier during a period of isolation.

DIFFICULT ASPECTS OF ISOLATION

Testing Public Reactions

Often when I make a change to my appearance or behaviour I am doing it in an attempt to influence how other people see me and interact with me. Seeing how the change influences others can’t be done without social interaction. This means that while I may find ways of being that I am very comfortable with for myself, it may not have the effect I’m hoping for when I’m out in public or at work. This stage of experimentation will have to wait for when the social isolation has ended.

Coming Out and Reinforcing the Change

Being in isolation may have given me the bandwidth to build up courage to come out to more people and shown me how necessary it is but it doesn’t allow me to reinforce the changes that others have to make as a result. Coming out as trans or nonbinary requires a bunch of work from the other party. For me, this usually includes changing the pronouns and language they use to refer to me. Most people can’t do this without significant practice. And most people need to be corrected when they get it wrong before they start to correct themselves or get it right on the first try.

Without the regular social interaction following coming out, I can’t do this repeated correcting and reinforcing. Sometimes this means the change in how they refer to me happens slower, and sometimes it stalls and doesn’t happen at all and I have to repeat the coming out process at a later date.

Separation from Queer and Trans Support

While the global pandemic has led to many support groups moving online and therefore becoming accessible to me even though I don’t live in the area, it has also led to not having access to my in person, local group of queer and trans friends. There’s something different about meeting in person that I don’t get from an online group. I miss it and I’m looking forward to the days when I can get it back.


How has isolation influenced your relationship with your gender, either recently or in the past? Leave me a comment or send me an email with your thoughts and experiences!


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Making Sense of Myself by Writing Poetry

Back in 2008, a few years after my initial gender questioning experience but many years before I actually figured out my gender or heard the term ‘nonbinary’, I wrote a poem for an LGBT publication at my university. I was going through boxes of notebooks and found the one I had written it in. Reading through it, I found it incredible how accurate it still feels. I don’t even think it was chosen for the publication but it means a whole lot to me so I thought I’d publish it here.

Both

Neither boy nor girl.
Not neither, both. 
Sometimes one more than the other, 
But always both. 

Gender is fluid, always changes.
It's not black and white, 
not static, 
not for me. 
Gender fluidity.

It's not visible like race. 
It's who I am and part of all I do. 
The way I walk,
the way I talk,
the way I punch your shoulder. 
The clothes I wear defy gender, do not conform,
instead show who I am. 
And the way I sit - have you not noticed?

Of course not. 
I use the women's washroom
(every time glancing at the men's sign).
I check the 'female' box on forms
(wishing it didn't matter).
It's in the language:
Masculine, feminine, he, she, him, her. 
It's defined, as it should be, 
as it needs to be,
for society. 
But not for me. 

I'm not butch, that's just an image. 
Don't call me a tomboy, that's just a name. 
I don't need a category, 
I don't want a label. 
I'm me and will forever be
neither boy nor girl. 
Not neither, both. 
Always both. 

There are some parts of this that I’ve changed my perspective on or have a deeper understanding of. I now understand that race can be as invisible as gender, just as difficult to navigate as gender, and is absolutely as inherent to someone’s identity as their gender. I also do appreciate labels as a way to communicate who I am in a variety of ways depending on who I’m talking to and what the situation is. But the labels typically given to me by society feel just as wrong or irritating now as they did when I wrote this poem.

Even without accurate language to describe it, much understanding of it, or much experience exploring my own gender, I was still able to communicate the emotional experience of living as a nonbinary person in a binary-gendered society.

If you’re stuck on a strong emotion and keep going around in circles no matter who you talk to or what advice you hear, try writing it down as a poem. I have relied on this as a tool of expression, communication, and self-discovery many times over the years all the way from elementary school into adulthood. Even if you’re not the poetry type, or don’t think you’re good with words, it doesn’t matter. It doesn’t have to be eloquent. If you start from a place of strong emotion and use words that represent that emotion and the experience that triggered it or what it feels like to sit with it, you may be surprised how powerful your words can be.

Give it a try and, if you’d like to share, post your poem in the comments or send it to me in an email. I’d love to read it.


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Goal Setting 2021

If the year 2020 taught us anything, it was that anything can happen and we need to be flexible in order to survive. One of the ways I failed in this was when I set my goals for 2020.

Every year in December I set up my bullet journal for the next year. This includes writing down my goals and deciding how I’m going to track them. Having goals that work for me helps me keep my sense of progress and growth. The act of goal setting forces me to decide what I feel is most important to focus on. And having a way to track my goals and a timeline for when I’ll check back keeps me accountable and shows me concretely how I’m doing.

Last year I picked five goals for the year and broke them down into four parts, one for each quarter of the year. I planned to update the tracker at each quarter to see how I’m doing but life got in the way in a big way. Three out of five of my goals were no longer feasible after the first quarter and another by the end of the second quarter.

So this year I’m picking three goals and only writing them out for the first quarter. At the end of the quarter I’ll revisit my goals and if they’re still accurate, I’ll write them out again for the next quarter which will reinforce my commitment. If not, I have space to adjust the intensity of the goal or pick an entirely new goal.

I’ve tried a number of different goal setting strategies and found one that I like the best. It includes five sections: topic, goal, why, how, and tracking. Here’s what goes into each section:

Topic

This the area of your life that the goal relates to. Ideally, each goal should relate to a different area of your life so that if one area is greatly affected or changed, you won’t lose all your goals; the goals from the other areas of your life sill hopefully still work for you. Examples: Health, Creativity, Work, House, Money, School, Fitness, Sport, Relationship.

Goal

What exactly do you want to accomplish? Is it a finite goal (finish something, achieve a certain level or score) or habitual (complete an activity a certain number of times each day, week, or month)? State the goal and the target. Chose things that you have control over. Examples of finite goals: Finish my novel, run 5K without stopping, save $12,000. Examples of habitual goals: Exercise 3 times/week, write in my journal every day, vacuum the house every week.

Why

Why is the goal important to you? What will you gain by having it as your focus? What benefit will you notice from completing it regularly? Write a list of the top 3-5 benefits that are most important or the strongest motivators for you. Examples: More energy, less stress, clearer mind, financial stability.

How

How will you accomplish this goal? How will you keep up your motivation or find the time you need? Who will you need to coordinate with? If you respond well to rewards, how will you reward yourself? What other habits will support this goal? Examples: Get dressed in running clothes before breakfast, write for 30 minutes before work, plan housework into weekly schedule.

Tracking

How will you measure your ongoing progress? Will you keep track on a calendar, a spreadsheet, or right next to where you’re writing out your goals? Will you use stickers, check marks, or colouring something in? Is the completion of each milestone a yes/no or are there levels in between? For finite goals, I like to break them down into weekly targets but if biweekly or monthly works better for you, use that. Habitual goals are easier – if it’s daily, track daily, if its weekly, track weekly, etc.

I can’t stress how important it is to track your progress towards a goal on a regular basis. Seeing good progress can be motivating. Being aware of poor progress quickly allows you to adjust your strategy, build in new habits, or redouble your commitment to your goal. There’s nothing worse than getting to the end of the goal period and having to do a bunch of work to find out if you have accomplished your goal only to realize you didn’t keep track of some key information.

I hope this helps you set motivating goals that are important to you and help you maintain a sense of progress and growth in your life. Share your goals in the comments below! Or if you have a completely different goal setting strategy that works for you, I’d love to hear it. Send me an email or share it in the comments!


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Feeding My Baby as a Nonbinary Person

PLANNING

When I was pregnant and looking ahead to having a newborn, it was very hard for me to tell how I would feel about nursing. I have dysphoria around my chest that fluctuates and when I read information on or listened to people talk about ‘breastfeeding’, my dysphoria would get worse. I didn’t always know if that was because I was feeling more masculine at the time I was absorbing the information, because the language used was dysphoria inducing, or because the act itself would cause dysphoria.

So we planned for all options. I learned what I could about nursing (which turned out to be just the basics because it would inevitably make my dysphoria worse). We purchased a set of bottles, nipples, a sterilizer, and formula. And I looked up information on pumping and bought a basic manual pump to try. No matter how I felt about nursing or how our baby did with it, we had a way to feed them.

NURSING

The first time I tried nursing was nothing special. There was no feeling of euphoria or ecstasy, no overwhelming feeling of connection with my baby. But it went well and within the first few days both of us had figured out the mechanics. During this initial phase, it was all about learning a new skill and as long as I focused on that, the dysphoria was secondary.

By the fourth day we had pretty much gotten the hang of it but my baby was still looking a bit jaundiced and was showing signs of dehydration. It turned out that although my milk was coming in, my let-down was nearly non-existent. My midwives explained that this is common after receiving an epidural. So they showed me how to hand express during nursing to increase the flow.

This worked well and my baby quickly improved. However, hand expression meant I had to be constantly engaged with my chest during nursing every few hours. My let down didn’t seem to improve a whole lot and after a week of doing this my dysphoria had increased to the point where I needed to keep myself, and therefore the baby, covered during feeding. I would express by feel and be able to watch tv as a distraction without the view of my chest in my peripheral vision.

The juxtaposition of the baby that I had a lot of love and connection to and my chest that I was increasingly uncomfortable with was very emotionally taxing. But due to the intense fatigue that comes from recovering from a four day labour and sleep deprivation from having a newborn that needs feeding every 2-3 hours, I was in survival mode and didn’t recognize how emotionally drained this experience of nursing was making me.

In addition, nursing sessions were lasting longer and longer, often an hour or more. According to everything I had read and been told, once my milk came in and the baby learned how to suck and swallow efficiently, nursing would get faster and faster, eventually down to about twenty minutes. I didn’t know why this wasn’t the case for us but I knew it likely wasn’t good. Not to mention the longer sessions were increasing my dysphoria significantly faster.

At our two week follow up with the midwife we found out that the baby wasn’t gaining weight like they should. Despite all the physical and emotional energy I had been putting into nursing, it wasn’t working. Without warning, I broke down into tears. I felt like we had been doing well. The midwife explained that between the baby’s lower body weight and the long nursing sessions, it sounded like I didn’t have enough milk supply. The baby was burning more calories than they were getting. So we decided to start supplementing with formula.

BOTTLE FEEDING

The plan was to nurse at each feeding time for 15-20 minutes per side, then offer formula in a bottle until the baby decided they were full. We discussed other supplementing options like a supplemental nursing system or SNS but since we already had bottles and it would mean that my husband would get a chance to be involved in feeding (which he was excited to try) we decided bottles were the way to go. Besides, an SNS would likely only increase my dysphoria further.

Luckily our baby took to bottle feeding very easily. Maybe it was because it was a clear source of the nutrition they had been struggling to get from me but without all the effort. My husband did the first bottle feeding session using a paced feeding technique. At the second meal, I tried it. The emotional experience of feeding my baby from a bottle as compared to nursing was significant.

I was able to stay engaged, watching my baby figure out how to coordinate sucking, swallowing, and breathing. I could enjoy the cuddles without experiencing dysphoria at the same time. Since both my husband and I were feeding the baby this way, it was a completely gender neutral or gender irrelevant experience. It was lovely.

Once I discovered how much better feeding my baby from a bottle was, I was reluctant to keep nursing. But I wanted to feed my body as much human milk as I could because of the health benefits and the ease of digestion for their still developing gut. So in order to keep increasing my supply without nursing, I had to start pumping.

PUMPING

I started using the manual pump I had purchased while pregnant. It was fairly easy to figure out. I still didn’t have much let-down due to low supply and therefore had to continue to hand express while pumping which meant the dysphoria was just as bad with pumping as with nursing, but it wasn’t competing or overshadowing the positive emotions I had for the baby. I could experience my love and bond with my baby separately.

I also had a feeling of altruism because I was doing the hard work of extracting the milk so my baby didn’t have to. Unfortunately, pumping 4-6 times per day with a manual pump while hand expressing takes a toll on your hands pretty quickly. My hands started getting too sore to express and too sore to pump more than 3 times a day. So I had to be satisfied with whatever milk I got from those sessions (one eighth to one fifth of what my baby was eating) and say that it was better than nothing.

Luckily, my midwives were connected with a publicly funded, trans inclusive lactation clinic in my area and put in a referral.

LACTATION SUPPORT

As soon as we discovered that I had low supply, I started taking supplements to help increase my supply slowly. I was reluctant to take the stronger, recommended medication in case it increased my supply more than I could handle in terms of dysphoria. I really disliked the few times I experienced the feeling of being engorged while my milk was first coming in. The supplements or the pumping seemed to be working because my supply was increasing. By the time the initial visit with the lactation consultant came up, I was consistently producing a fifth to a quarter of what my baby was eating.

Despite knowing that the lactation clinic was trans inclusive, I had significant anxiety and dysphoria leading up to the initial appointment. But they turned out to be great. The intake form that I filled out online in advance didn’t ask explicitly about identity and pronouns but it used inclusive language for the most part and had a fill-in-the-blank box at the end where we could put anything else we thought would be relevant.

They clarified my pronouns right off the bat and asked about my goals. They made it clear that their role was to support me in achieving whatever goals I had, whether it was to increase supply, maintain current levels, or stop lactation altogether. They were understanding and respectful of my experience of dysphoria and my need to balance that with the desire to feed my baby as much using my milk as possible.

Ultimately, I started taking the standard medication to increase supply and rented a hospital grade, double electric pump. I was nervous about how this style of pump would feel and it definitely took some getting used to but it allowed me to set it and forget it while still getting as much milk as possible. I adapted a sports bra to hold the flanges in place and was able to watch tv or play on my phone while pumping. Best of all, I didn’t have to wear out my hands to get milk. Sure, the altruism factor related to the hard work was less but being able to stay covered up and ignore it was great.

WHERE WE ARE NOW

Now, at three months postpartum, I am producing three quarters to 100% of what my baby eats. We have noticed a big improvement in our baby’s amount of gas and therefore their ability to sleep through the night. Even that, without any other benefit, is enough encouragement to keep me going. I am still taking the medication and my supply is still increasing slowly but with minimal feelings of engorgement and only pumping three times per day.

My plan is to continue what I’m doing for another three months. I will stop taking the medication after about eight weeks on it or once my supply is to the level I want, whichever comes first. Once my baby is six months old and starts eating solids, the lactation clinic will help me decrease and ultimately stop lactation.

I am happy with how this journey has turned out, despite the struggle at the beginning. I have had phenomenal support from my midwives, the lactation clinic, and especially my husband. Regardless, I am definitely looking forward to the day when I can wear my binder again.


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When Your Name or Pronouns Fluctuate

Many people that have a fluid gender identity use different names and/or pronouns at different times. Figuring out how to make this work for you can be a challenge, and then following through and making it happen is even harder.

I’m still learning how to do this but I thought I’d share what I’ve learned so far.

KNOW YOURSELF

The first step to knowing what pronouns or name you prefer at a given time or in a given context is to figure out how your gender fluctuates. I did this by tracking my gender daily on a scale of 5 female to 0 neutral to 5 male for the span of a month and a half. You can make up whatever scale works for you.

I also made note of my other activities, habits, emotional state, and menstrual cycle. Correlating the shifts in my gender with these other factors gave me a much better sense of what influenced my gender and how the shifts in my gender influenced my mood and behaviour.

Tracking my gender daily forced me to check in with myself. I learned what to pay attention to within myself to indicate where my gender was sitting and what strategies would be useful to minimize dysphoria and maximize euphoria. This is a hugely important skill for anyone who’s gender fluctuates. Even now, a couple years after the gender tracking that I did, I am much more in tune with where my gender is sitting, when dysphoria is affecting me, and what I can do about it.

Once you know how much your gender fluctuates and what influences it, you can have a better idea of when you’d be more comfortable with one name or pronoun over another. This still takes real world testing to be sure. So finding an online community who will refer to you however you wish on a given day (or a platform that allows you to change your username at each log in) or an in person group of at least two friends who will help you trial names and pronouns.

Now you know how your gender fluctuates and what name and pronoun you want people to use with each state of your gender. Next you have to decide how to find a balance between the different states of your gender and how to go about asking other to refer to you.

STRUCTURED APPROACH

My gender doesn’t fluctuate a whole lot and usually sits close to an equal balance between my male and female components. So I’m almost always most comfortable with they/them pronouns. But in my case, I don’t have a single name that is gender neutral, I have one name for my female side and a different name for my male side.

My job is such that it doesn’t feel feasible to have people refer to me by anything other than my female name and she/her pronouns. So in order to find an overall balance, I decided to use my male name and they/them pronouns almost exclusively in queer spaces.

Maybe you have a supportive work environment but you’re not out to your family yet. You may chose to use your ‘trans’ identity at work because you are always referred to by the name and pronouns you were assigned at birth when you’re at home.

Whatever the case, if there is one area of your life where you feel restricted in your ability to come out or advocate for yourself, this approach may be the best option to still allow you a sense of balance and a chance to experience all aspects of your identity.

GO WITH THE FLOW APPROACH

For some people, their gender fluctuates too often or on too wide a spectrum for the structured approach to feel comfortable. So the other option, if your life circumstances allow, is to go with the flow. This means that however you feel at a given moment, you indicate or request to be referred to by the corresponding name and pronouns.

This approach give you a lot more flexibility and perhaps a stronger sense of authenticity but it requires more clear signaling and more frequent self-advocacy.

GLOBAL APPROACH

Another option is to find a middle ground of where the different components of your gender overlap and use that as your default with the option to request a different name or pronoun if needed.

Or perhaps your gender is in one state the majority of the time and only occasionally fluctuates to a different state. You could use the most common state as your default and only specify when it differs.

Or, like me, perhaps you have a way to refer to yourself that encompasses your entire identity. I am 100% of the time comfortable with they/them pronouns and prefer to be referred to by both my names as though they are hyphenated. I can still specify differently if I need to but this gives me a lot of safety and authenticity.

Whichever system works for you, or if you come up with a completely different one, you will need a way to indicate or express to others how you wish to be referred to.

SIGNALING

One way to indicate to others which name and pronoun to use is via non-verbal indicators or signals. This can be anything from clothing to jewelry to behaviours to pins or name tags.

If you feel most comfortable presenting in a distinct way with each different state of your gender, you can use your general presentation to indicate to others how they should refer to you. This will still take a bit of explanation initially and maybe a few reminders but, in general, would be pretty straighforward.

If you present fairly similarly regardless of your gender or your presentation doesn’t relate to your gender in that way at all, you can use other means to signal your gender. I have a necklace that has Meaghan on one side and Ray on the other. Most of the time I wear it inside my shirt but if I’m in an environment where it is safe to do so, I will wear it outside my shirt with the Ray side facing out as a reminder to others of how to refer to me. You can do something similar with a bracelet, name tag, pronoun or name pin, or more subtle means such as a certain piece of jewelry indicating a certain name/pronoun combo.

Keep in mind that the more subtle the signal is, the more explanation and reminders it will take for people around you to pick up on it and get it right. But if you’re in a potentially unsafe environment, subtle might be necessary for safety.

ADVOCATING

No matter what signals (if any) you choose to use, you will always have to have some sort of conversation with those around you to explain that your gender fluctuates and you wish to be referred to by a different name and/or pronoun depending on the situation or the day and how they will know which one to use. This initial coming out conversation is difficult for any trans person but especially for those with a fluid gender that doesn’t fit binary notions of gender. See Related Posts at the bottom of the page for ideas on how to have this conversation.

As with any trans person, you will also have to correct people when they get your name and/or pronouns wrong. When your gender fluctuates and the name/pronoun you use changes, it takes even longer for those around you to get used to it and inevitably causes even more slip-ups. So decide how often you want to correct people and how best to do it. This will likely depend on your relationship with that person and the context you’re in at the time.

One good practice to get into the habit of is introducing yourself using your name and pronouns every time you meet someone. Not just someone new, even people who know you and already understand your gender. Something like ‘Hi [friend], I’m Ray and using they/them pronouns today’ works well.

Also let the friends and family you interact with regularly and who you’re out to that if you forget to inform them of your name and pronoun at the beginning of an interaction, it is helpful for them to ask about it or cue you to indicate if it isn’t clear from your signaling. How they ask is up to you and again, will likely depend on your relationship with them and the context.

Sometimes, all it takes is having one ally in the room who you have informed ahead of time what name and pronoun to use. Their role is to find an opportunity to refer to you using that name and pronoun within the first minute of you arriving and as often as necessary throughout the event.

IMPORTANCE OF GLOBAL IDENTITY

When you have a fluid gender identity with multiple components it can be easy to get caught up in the parts and forget about the whole. For me, it important to take a step back to make sure I am achieving an overall balance that works for me, even if I can’t get people to refer to me the way I’d prefer in every situation.

The goal of all this work and advocacy is to be able to experience and be comfortable with all parts or aspects of your gender. To get to express yourself in the most authentic way no matter what your gender is. So try not to get caught up too much in the details of every interaction and instead aim for an overall more authentic and gender-filled existence.

I hope this helps give you some ideas of how to navigate the world when your gender and therefore name and/or pronouns fluctuate. Comment with your own experiences, send me an email, or reach out on social media. You can find me on instagram @meaghan.ray.peters.


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Contextual Voice Dysphoria

Note: I refer to gender based vocal pitch ranges throughout this post. All ranges are based on cis averages used in vocal pitch analyzer apps and choral voice ranges. This is not my preferred way to talk about it and I wish I had better language to use that was not cis-normative but for ease of communication I have stuck with this phrasing.


Most of the time, I like my voice. It generally sits in a mid to low female range but I can easily push it to an androgynous range on days that I feel more male. The natural speaking range of my voice has lowered since my husband transitioned. As his voice dropped from Testosterone, mine sounded higher in comparison and I had more and more days where I consciously lowered the range I was using. Now it’s fairly natural in that range and doesn’t bother me very often.

However, there are certain situations where I raise the pitch of my voice intentionally or unintentionally. Some of these situations that I’ve noticed are:

  • To be heard in a loud, echoing environment
  • To be heard through a quiet microphone or speaker like at a drive through or over zoom
  • When speaking fast and trying to articulate clearly at the same time
  • To sound as non-threatening as possible
  • When talking to pets, babies, or kids

The recent context of my job has involved many of these situations and I have noticed an increase in dysphoria and voice awareness as a result. I also had a sick pet recently and noticed that my voice was higher when I was talking to him in a calming sympathetic way and it really started to irritate me.

So I’ve been wondering: Why do we do this? Do we have to or is it just a habit? Do higher voices actually put people, pets, and kids more at ease? Or is it just playing into stereotypes associated with femininity and masculinity via female vs male vocal range (which is a cis-based average to begin with)? Can’t I come across as calming and sympathetic while speaking in a lower range?

Regardless of why or whether I have to or not, I’m trying to listen to my dysphoria and train myself out of the automatic increased-pitch reaction to certain situations. I’m worried that once I have a baby (only six weeks to go now!), if I’m constantly talking to them with a higher voice and triggering my dysphoria, I will begin to associate the dysphoria with those interactions and it will negatively affect my relationship with my kid and my overall mental health. Hopefully it will just take practice to train myself that it’s fine to talk to the baby in my lower vocal range and be just as soothing.


Have you had this experience? Do you raise or lower the pitch of your voice based on context? Does it trigger any internal discomfort (dysphoria or otherwise) for you? Are you trying to train yourself out of this habit or does the versatility work for you?

Leave me a comment below and let me know your thoughts and experiences!


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My Body, My Identity, My Experiences

Lately, I have struggled to feel excited and comfortable with the idea and experience of being pregnant. I have felt like the more visibly pregnant I get, the more invisible my nonbinary identity becomes, both to myself and others.

Recently, someone in one of the online groups I am a part of stated something similar to what I have written below and it resonated a lot with me. I wanted to put these thoughts into words so I can remind myself of them as often as I need to in the upcoming months. Hopefully they will resonate with others as well.


I identify as nonbinary. Regardless of how society views me, I am the only one who gets to decide how I identify.

My body is my own. It is the body of a nonbinary person. Regardless of how society views my body, this means my body is a nonbinary body.

For me, the experience of being pregnant and gestating a child, something that my nonbinary body is able to do, is a nonbinary experience. I cannot separate these experiences from my own identity, nor should I have to.

For most people, being pregnant is a female experience because they are female. But for me, it is a nonbinary experience. For a trans man, it would be a male experience. Not all people who get pregnant are women and the ability to get pregnant is not required in order to be considered a woman.

If everything goes well, I will get to be a parent, a mother. For me, parenting will be a nonbinary experience. All the aspects of parenting that are typically associated with motherhood will be nonbinary experiences. Motherhood will be a nonbinary experience.

My ability to have these experiences does not diminish or negate my identity as a nonbinary person. Nor should my ability to have these experiences as a nonbinary person diminish anyone else’s identity as a woman.

No matter what society tells me, and even if all the people around me that relate to these experiences are women, my body is nonbinary because I am nonbinary, and therefore, my pregnancy is a nonbinary experience.


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