Trans

Name Options

Picking a new name is a quintessential part of gender transition. But not every trans person feels the need to change their name. Some are perfectly comfortable with their given name. Some have more than one name and use different ones depending on how they feel or who they’re with. This is my experience.

Meaghan

Meaghan is my given name and is not particularly gender neutral. But this doesn’t automatically mean I am uncomfortable with it. Most of the time, it feels like this name fits me. Even if I’m feeling more male, Meaghan still feels like it represents at least half of who I am so it doesn’t particularly feel wrong, just not wholly representative.

Ray

Ray is the name that I have always associated with the male part of my identity. At times when I am feeling more male than female, this name feels better than Meaghan. However, as a gender fluid person, there are many times when Ray would not feel comfortable so at the moment, legally or socially changing my name to Ray does not feel like a good option.

Meaghan Ray

This is my most preferred version of my name. I think of my name as being both Meaghan and Ray, almost as though it was hyphenated. I am considering changing my middle name to Ray so that it would appear this way on my documents. I have tried introducing myself using both names but everyone either thinks Ray is my last name and just uses Meaghan or just shortens it for ease unless I take the time to correct them or specify that I go by both names. But I am getting better at making it clear how I want to be referred to. And just knowing in my head that this name represents the whole of who I am, and especially knowing that this is how my husband thinks of me, is hugely helpful.

Meaghan With Occasional Ray

This is where I’m at right now. I typically go by Meaghan but use Ray in certain circles (ie with queer friends). The times when I get to use Ray are a breath of fresh air. They help me feel balanced. They help me feel seen. At times when I feel more male but I’m being called Meaghan, I can look forward to the next time I’ll be around friends who call me Ray.

Gender Neutral Alternative

For a while, I searched for either a way to combine Meaghan and Ray into a new name that was gender neutral or find a completely different name that would feel good more consistently than either one. But the more I searched, the more confident I became that these names are who I am. There are two separate parts of me and having two different names makes sense. Sure, navigating how I want to be identified is harder and more confusing for everyone around me but this is who I am. As I spend more time exploring my identity and building confidence, I get better and better at asking people to use the name that feels best at the time and correcting them when they get it wrong, just like with pronouns.

Just because you are trans does not mean you have to change your name. You can keep the one you were born with, use a different one occasionally, or combine two names if that feels best. If you are someone that feels perfectly content with your name even though you are not comfortable with your gender assigned at birth, this does not invalidate your identity or experience. I hope that sharing my experience with my names has helped give you more confidence with yours.

Please leave a comment below with your experience with names. Did you change yours, add a new part to it, or stick with the same one? I’d love to hear from you.

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The Egocentricity of Dysphoria

Having dysphoria can be an all-consuming experience. Especially when it first starts, when you first identify it as dysphoria, or when it shifts. If the dysphoria is stable over a longer period of time, it is somewhat easier to ignore and manage but even then, there are days when it is all-consuming.

Dysphoria causes obsession about little things that no one else would care about. You might brush off their concern or minimize it but this doesn’t give them the validation they need and can result in more obsessing.

Dysphoria can make it difficult to communicate their identity, needs, and wishes to others in a way that will be understood. It is so all-consuming that it makes it difficult to step out of their current experience and see things from another person’s perspective. So they end up using language that other people don’t understand or skipping over basic concepts that others haven’t grasped yet. This leads to more confusion and frustration and leaves them with even less energy and motivation to try to communicate the next time.

Because of the level of obsession on new areas of their body and new behaviours, it can seem like there has been a big change in their personality with the onset of dysphoria. This isn’t necessarily true, it’s just that the dysphoria is taking up all the person’s attention and focus and they aren’t able to express the parts of themself that you are used to seeing or engage in the activities they used to enjoy with as much ease.

The dysphoria induced self-obsession can come across as lack of caring for others or a lack of awareness of others. This is something that should be communicated in a caring and understanding way that acknowledges the impact of dysphoria but looks for ways to help the person cope by focusing their attention outside their body and strengthening supportive relationships.

The onset of dysphoria can seem sudden to those around them. They have been obsessing about it internally for a long time and have a lot of internal pressure built up. Coming out gives them permission to talk about dysphoria and the obsessions that it causes for the first time. This can seem like a sudden onset of dysphoria and a sudden shift to being egocentric to the people around them.

Sometimes, people have a tendency to refer everything back to dysphoria or use dysphoria as an excuse – ‘if you only knew how it felt you wouldn’t say that’ or ‘oh I can’t do that because the dysphoria is so bad’. Dysphoria can be so all-consuming that it can be hard to tell when something else might actually be at fault – burnout from work, relationship stress, financial stress, fatigue from not enough sleep, changes in meds, having a cold, etc. Sometimes it takes an outside view from a supportive person that is close to them to help them differentiate what is dysphoria and what is something else that should be addressed differently.

You might have difficulty getting along with someone who experiences dysphoria because they may be more emotionally volatile or have unknown or shifting triggers. They may have a lack of interest in things they used to enjoy including things you used to do together because of the new focus on ‘solving’ the dysphoria. Try to be understanding and supportive but take care of your own needs and emotional well being too.

TIPS FOR DYSPHORIC PEOPLE

Use self talk to combat the skewed perspective that the hyper awareness creates.
Find activities to do that don’t trigger dysphoria that will help you get out of your head.
Remember that people who do not experience dysphoria will not remember that you do or understand how much it can effect you. Try to be understanding of their ignorance and explain gently. Getting angry with them when they do not automatically realize when you are feeling dysphoric will not help to keep your relationship with them as a source of support.
Make sure to express your appreciation and caring for the supportive people around you.
Find a therapist. Your support people cannot support you and be your therapist. They will get burned out and no longer be able to support you appropriately.
Find concrete ways to manage your dysphoria that require the least amount of time and effort so that you have more time to spend with those you care about.
If your dysphoria shifts, try tracking it to give you a better idea of what causes the shifts and help you predict when it will happen.

TIPS FOR SUPPORTING DYSPHORIC PEOPLE

Build a list of words, activities, and situations that trigger the trans person’s dysphoria so you are more likely to understand when they react negatively at those times.
Understand that getting the dysphoric person to explain their dysphoria to you, especially at times when they are dysphoric, will be hard and often makes their dysphoria worse. Look for other resources to learn what dysphoria can feel like and how to recognize it.
Help the trans person focus on something external that is less likely to trigger dysphoria or encourage them to engage in their self-care activities. They won’t always remember to use self-care strategies at times when they need them the most so external reminders can help.
Find sources of support for yourself other than the dysphoric person – a therapist, friends that might understand, community groups and support such as PFLaG, or online resources.

Living with dysphoria is an ongoing struggle and is different for everyone. Talk to each other, be as open and honest as you can, and find the support you need.

What is your experience of dysphoria or supporting someone with dysphoria? What other tips do you have that I should add to the list?

Let me know in the comments below!

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What’s in a Name and How to Pick One

For many gender non-conforming and trans people, names are super important. Just like pronouns, names often have a specific gender attached to them. There are female names, male names, and gender neutral names.

Often one of the first things that a trans person will do, after coming out to themselves and before coming out to their broader community, is to pick a new name. This name is considered their chosen name. Their previous name is called their birth name. And once someone has socially transitioned and no longer uses their birth name, some trans people call their birth name their ‘dead name’.

So how does one go about finding a new name? I was lucky in that the masculine part of my identity came with a name that automatically felt right. However, this did lead to me having two names which I will discuss below. Jake, my husband, had a very different experience. He didn’t specifically dislike his birth name and if it had been an acceptable gender neutral or male name he probably would have kept it. He tried shortening it to a more masculine version but it didn’t feel right and ultimately chose the name Jake. I discuss more about his process below.

HAVING TWO NAMES

I have two parts to my gender identity, a female part and a male part, and I have a name that matches each. It has taken me a long time to figure out how I want to navigate the world and be identified and I am still figuring it out but here’s where I’m at so far:

In my head and when referring to myself as a whole (to people I am out to or in online spaces like this blog) I use both names as though they are one name ie Meaghan Ray
In my everyday life where I am not yet out as genderqueer or nonbinary, I use my birth name only
In queer spaces when I am feeling more neutral or masculine I use Ray only

Having two names means that when I am in spaces where I am out to people I have to specify how I would like to be referred to each time. Some people are better than others at asking and then using the name I specify. I am slowly getting better at remembering to specify and correcting people when they get it wrong. It’s an ongoing process.

So far, I don’t feel the need to change my name legally. At some point I may change my middle name to Ray but for now I am comfortable with where I’m at.

FINDING A NEW NAME

When Jake was looking for a new name we used a few different strategies. I have also heard some others mentioned by other trans people. Here are a few ideas:

Look up baby names from the years close to when you were born
Ask your parents what you would have been called if you had been born as your current/true gender
Make a list of names used in previous generations of your family
Make a list of names that start with the same letter as your birth name or middle name (if you like it) or other first letters that you like the sound of
Flip through a baby name book and make a list of names that feel right for you
Shorten or alter your birth name to version that matches your gender

There is no one way to find a name. Some names are more common in the trans community so connect with the community online if you can and see what other people with your identity have chosen. Maybe you want a common name, maybe you don’t. It’s your name and it is completely your decision.

TESTING YOUR NEW NAME

Choosing a new name can feel daunting and huge. This is the name that will represent you for the rest of your life! So, give yourself a trial period before you start telling everyone. Here are some suggestions of how to test your new name:

Use it as an alter ego online or as a character name in a video game
Ask a few close supportive friends or family to test it out for you (we learned that this doesn’t work very well with only you and one other person because you never use first names unless there are three or more in the group)
Try writing a journal entry about your day in the third person using that name
Participate in a queer social group that you have never met before and put your new name on the name tag
Pick one of the names on your shortlist and mentally use it as your name for a week, switching to a different name for the next week

Many of the above strategies will also work for testing out pronouns. Don’t be afraid to try out different names and change your mind. But be aware that it is often difficult for the people closest to you to adapt to a new name. So the more ways you can test it before telling the whole family or coming out at work the more confident you will feel that you are choosing the right name for you.

Remember that you also need time to get used to your new name. It will sound strange when someone refers to you by that name for a while. The longer you can give yourself to get used to it internally or with a small group before coming out publicly the more it will feel like your name when you hear people using it.

If you changed your name, what strategies did you use to pick a new name and test it out? If someone you know changed their name, how did you feel about the change? Leave me a comment below with your experiences!

Pros and Cons of Pronouns on Correspondence

Lots of people have added their pronouns to their email sign-off or even their business cards in an attempt to normalize the practice of indicating your pronouns to others. This is encouraging for me to see but also makes me nervous. Here’s why.

Pros

It shows an awareness of how challenging it can be to have to derail a conversation, come out to someone about your gender identity, and hope they don’t make a big deal out of it
It shows an understanding of how important pronouns are to gender non-conforming and trans people
It makes an implicit promise that this person will respect your identity and pronouns and helps people identify allies
It takes the edge off the constant analysis about safety and creates a relationship and space that starts off as at least neutral

Cons

Doesn’t actually normalize pronouns until it is the standard
In a specific workplace, it would be possible to make this practice mandatory, however that would take away the indication of pronouns as a flag that this person is an ally
Indicating pronouns on correspondence could be uncomfortable or even unsafe for people who are questioning their gender identity or are not yet ready to come out to everyone
It can be difficult for gender fluid or gender expansive folks who use multiple pronouns or different pronouns depending on the day and their current presentation
It may lead to some non-binary erasure for non-binary folks that prefer pronouns that match their gender assigned at birth due to cisnormativity

I have seen some people at universities and some people within the queer community indicate pronouns on correspondence. I am happy when I see it but immediately wonder what I would put on my email sign-off. I prefer they/them pronouns but I’m comfortable enough with she/her that fighting to have everyone use they/them would not be worth it for me. Combine that with the fact that I work in a hospital and I am not yet out to the majority of people at work and I wonder if I would be comfortable putting they/them.

I know for sure that if I only put she/her I would feel invisible, inauthentic, and generally shitty every time I saw it. Because I would have actively chosen to put it there. I would have effectively misgendered myself on every email I sent. This would feel way worse that it does when the people I am not yet out to misgender me.

So, at the moment, if this became a mandatory workplace policy out of good intentions, I’m not sure what I would do. Whatever pronouns I decided to put down, I would definitely be having some in depth conversations with my manager and/or HR.

How do you feel about indicating pronouns on correspondence? Would you feel comfortable doing this yourself? Leave a comment below!

When the Stereotypical Trans Story is Wrong

‘True Trans’ Narrative

When you think of a generic trans person, what comes to mind? Is it someone who feels like they were born into the wrong body, who knew from a very young age that they were meant to be the other gender, who preferred the ‘wrong’ toys and the ‘wrong’ clothes? This is the stereotypical trans story. Within the trans community, this type of experience is called ‘True Trans’ implying that because their experience matches the stereotype, their identity as a trans person is somehow more valid than other people.

While it is true that people with the stereotypical trans experience will be questioned less as to whether they are sure and will have to explain their experience less often, this in no way makes their experience or identity more or less valid than any other. There is no hierarchy of transness.

Other Trans Narratives

Some trans people didn’t realize that their discomfort was related to their gender until they were a teenager going through puberty, or as an adult having kids, or as an older adult going through menopause/andropause. Some trans people don’t feel like they were born into the wrong body at all. Some trans people are only uncomfortable with how society views their body and how they are identified as a result of their body but are completely comfortable with their body on it’s own. Some trans people prefer the activities and clothes typically associated with the gender they were assigned at birth.

These trans experiences are poorly represented by mainstream media and therefore poorly understood or acknowledged by the general public. People with trans experiences that do not match the ‘true trans’ stereotype have a harder time understanding themselves, finding the appropriate words to convey their experience to others, and sometimes fall back on descriptions that match the stereotype just so they can get the validation they deserve from people in their lives and medical professionals even if this is not true to their experience.

The Role of Stereotypes

Identities are complex. Social structures such as gender, race, ethnicity, class, disability, sexuality, etc are all infinitely complex. Stereotypes provide a short hand for people who do not have personal experience with a specific identity can have a basic image or understanding of what other people are referring to.

Stereotypes are often the first step in increasing the visibility of a particular identity and eventually normalizing it. Initially this can be helpful but the stereotype quickly becomes something that the people who live that identity need to fight against and correct.

The Harm of Stereotypes

Stereotypes become harmful when people outside that identity don’t recognize it as a stereotype. They believe that the image or understanding they have of that identity is accurate to everyone with that identity. This is especially true for medical professionals who are in a position to refuse a diagnosis or treatment to someone when that person doesn’t fit the medical professional’s personal definition of ‘trans’.

As I mentioned above, stereotypes can also create a hierarchy within a marginalized identity where the people who’s experience match the stereotype are seen as more valid or more deserving of recognition. This can lead to people being excluded from the community that they need support from the most.

Broadening the Trans Narrative

Members of the trans community have pushed back against the stereotype using phases such as “I am trans enough” which got shortened to “I am enough” and “All trans people are valid”. These have been hugely important messages for many people to see and internalize. Just like cis men don’t have to be hyper-masculine to identify as a man, trans men shouldn’t have to ignore or hide their more feminine interests in order to be recognized as a man or seen as ‘trans enough’ to receive medical treatment (if they want it).

The increasing visibility of non-binary identities and non-binary trans people is also a huge step towards broadening the trans narrative and combatting the ‘true trans’ stereotype. Awareness and acceptance of a minority often ends up benefitting the majority in some way, for example sidewalk cutouts for ramps were originally mandated to improve accessibility for wheelchair users but end up making cityscapes much easier to navigate with a stroller, trolley, bicycle, skateboard, or roller blades. I believe that bringing awareness and acceptance of identities that fall in various places on the gender spectrum, identities that are fluid, and identities that don’t always match the person’s presentation will also benefit cis people by making it acceptable for them to explore interests and presentation options that would have previously been deemed ‘inappropriate’.

How have stereotypes been beneficial or harmful to you? What strategies have you used to correct people’s assumptions based on a stereotype? What other stereotypes of trans people have you found? Leave a comment below!

Educating Others Without Compromising Your Boundaries

Sometimes those of us with experience and knowledge of trans related topics want to help educate those around us and sometimes we don’t. And that’s ok. You should never feel like you have to compromise your own mental health for the sake of addressing someone else’s ignorance. But how do you politely tell people to bugger off and educate themselves through other means? And when you are comfortable having some of those conversations, how do you know what you’re comfortable sharing and what you’re not? How do you make them aware of your boundaries without derailing the conversation or damaging your relationship with that person?

Throughout my husband’s transition and my own gender explorations I have had many different conversations with many different types of people about gender and trans related topics. Many times towards the beginning of this process I was already knee deep in a conversation before I realized that I was well past the line that this person shouldn’t have crossed. I am a very open person and I am often comfortable sharing much more personal information with others than most people are so I wasn’t personally uncomfortable with the content. What concerned me more, and often only in retrospect, was that the person I was talking to had no awareness of which questions were appropriate and which ones they should have asked special permission for (and respected my response if I said no). If you have people in your life that have a similar lack of understanding of what is appropriate to ask about or say, see my post How to Interact Respectfully with a Trans Person, or, better yet, send that person the link.

How far do you go before you recommend resources and leave the conversation? That is completely up to you. Everyone will have different boundaries relating to their privacy depending on the type of information, their relationship to the other person/people in the conversation, and the setting where the conversation is taking place. Boundaries are healthy. They are self-protective. The more experiences we have that are threatening, the more self-protective we are likely to become.

The problem comes when you don’t know where your own boundaries are until they have been crossed. This can make you vulnerable, defensive, antagonistic, and can even put your safety at risk. Often, the other person/people in the conversation don’t even know they have crossed a line. Your sudden change in manner can be a shock to them and even to yourself.

How do you avoid this? Think about your boundaries in advance. Below are some guiding questions to get you started. I recommend you add to it any time you get asked a question that triggers a warning bell in your head. Revisit this exercise every few months, when you are nearing a major transition related event, or when you’re going to be interacting with people you haven’t seen in a while (family gatherings). For each question, try to answer it for a variety of different people in your life – a co-worker, a friend, a parent, your doctor, another member of the trans community, etc.

General Info: Are you comfortable…

disclosing your birth name?
explaining why you prefer the pronouns you use?
talking about your experiences of dysphoria?
talking about specific strategies you use to change your appearance or presentation (binding, packing, tucking, padding, etc)?
talking about how supportive your family, significant other, or other people in your life are?
talking about what support groups you attend/are a part of?
talking about wait times, difficulties finding a trans friendly family doctor, and other systemic barriers?

Medical Info: Are you comfortable…

talking about medication you are on related to transitioning?
talking about changes you are experiencing as a result of those medications?
disclosing what surgeries/surgery you are interested in having/have had?

Legal Info: Are you comfortable…

talking about legal documentation changes?
discussing transphobic politics and policies?

This is by no means an exhaustive list of topics that might come up related to your own or your partner’s transition or gender identity. If your partner is the one who’s information you would be sharing, go through this list with them so they can tell you what they are comfortable with you sharing with people in your life. My husband is typically a fairly private person (at least compared to me), but often had much looser boundaries when it came to me sharing info with my coworkers or friends if they were people that he was unlikely to interact with.

Now that you know your boundaries, what do you do or say when someone asks something that you are not comfortable talking about? Try saying exactly that – “Sorry, that isn’t something I’m comfortable talking about with you.” Another phrase I use a lot (because there is rarely something I’m actually not comfortable talking about with someone) is “That is not actually something you should typically ask about a trans person.” They usually respond with “Oh, really? I had no idea.” You can also add phrases such as “Thank you for your concern” or “Thanks for trying to learn more about my experiences/trans issues” or “If you want to learn more about that I would recommend [appropriate resource].”

So whose responsibility is it to do the educating? I believe that no amount of reading on the internet can substitute for face to face conversation and personal anecdotes. But that doesn’t mean that it is always up to the minority to educate the majority. People from or connected to the trans community should not be responsible for providing all necessary information to everyone around them (especially medical professionals). That would be more than exhausting. But you will need to provide the people in your life with enough information to get them from unconsciously ignorant to consciously ignorant and explain how important it is that they educate themselves further. It will also help if you can provide them with specific resources that speak to you. They are much more likely to absorb the information they are getting from other sources if they are confident that it is relevant to your experience.

What other topics or questions would you add to the list? How do your boundaries change depending on your situation or the person you’re talking to? What phrases do you use to identify your boundaries to other people? Was there a situation where you shared something that you realized in retrospect had crossed your personal boundary? Tell me what happened in the comments below!

How to be Respectful Towards a Trans Person

Most of the people I talk to about my husband’s transition are open-minded and accepting but generally ignorant. They want to treat trans people respectfully but don’t know how. They want to learn more about my husband’s transition and my experience as his partner but don’t know how to ask the questions in a respectful way. So I thought I’d give you some suggestions or guidelines depending on your relationship with the trans person.

STRANGERS AND ACQUAINTANCES

Use the correct name and pronouns by which I mean use the name and pronouns that they ask you to use regardless of how they present at the time. If they don’t specify their pronouns you can ask or use the pronouns that is your best guess based on their presentation until they correct you. If they use other gendered terms to identify themselves then you should reflect their language back to them and use the corresponding pronouns unless they have specified otherwise.

You should not be asking anything about their transition including the name they were born with, whether they’ve had surgery (especially don’t ask if they’ve had ‘the’ surgery), whether their family is supportive, how old they were when they realized they were trans, or how long they’ve been on hormones.

Phrases to Avoid:

Are you a guy or a girl?
You look so good! I never would have known you were trans.
I have so many questions!

Phrases to Use:

My pronouns are ___. What pronouns do you use?
…blah blah blah… [incorrect pronoun]… sorry…. [correct pronoun]…. blah blah….

FRIENDS, COWORKERS, AND EXTENDED FAMILY

If this is the level of your relationship, the trans person may have shared more about their transition process with you. This may include frustrations and struggles, medical components such as starting hormone therapy or having surgery, and legal components such as completing their official name change on various documents.

The most important thing you can do remains using the correct name and pronouns. Even better, correct the people around you if you hear them get it wrong. Not only will this help you and others adjust more quickly but it will also show the trans person they have your support and establish an expectation for everyone that it is not acceptable to misgender someone. Correcting people’s pronouns is exhausting for the trans person especially when they have to correct the same person repeatedly. To help you adjust, change their name in your phone/contact info and put their pronouns in brackets next to it. Each time you think of that person, repeat their name and pronouns in your head five times. Don’t worry about sounding awkward and hesitating if that’s what it takes to use the correct name and pronouns. If you make a mistake, apologize and move on. Don’t derail the conversation and make it all about the trans person and their pronouns every time someone makes a mistake.

It is a long process with lots of barriers and frustrations. Drawing attention to how long the process is taking makes it harder for the trans person to deal with. Transition is not a step by step process or a recipe that people follow and does not always have a specific end point. Everyone’s transition process is different. Not everyone will be transitioning to male or female (they may identify as non-binary). Not everyone will take hormones. Not everyone will have top surgery or bottom surgery but some people might. The length of time between parts of their transition vary wildly. It is not your place to ask about this unless the trans person offers the information first. If they confide in you, it is not acceptable to share that information with anyone else without their permission.

Do not compare your frustrations with changing your last name after getting married to the trans person’s experience with changing their first name and gender. Forms that have categories for getting married do not have options for first name and gender changes. People that process name change paperwork are familiar with the process of last name change with marriage status but not first name change with gender. Talking about your name change with marriage does not put you at risk for discrimination or having people question your identity the way it does for a trans person. This example applies to almost any aspect of transition including hormone replacement, surgery, or other types of coming out experiences.

Try not to treat the person any differently once they transition or once you learn about their status as a trans person. Do not try to educate the trans person on ‘how to be’ their new gender. Do not second guess the trans person’s identity, even if their presentation or interests are not stereotypical of their stated gender. They have second guessed their identity enough, long before you became aware that they were trans.

Phrases to Avoid:

Why does your ID still have your old name?
When are you getting the surgery?
And your spouse/S.O. is ok with this?
I can get your name right but I just need a little more time to get your pronouns, you understand right?
You’re still not done yet? You’ve been working on this for a while!
I knew you as [birth name] for so long, it’s going to take a while to adjust
What bathroom are you using?

Phrases to Use:

I want to learn more about your experience. Do you have any resources I could look at?
Is there anything I can do to help support you?
…blah blah blah… [incorrect pronoun]… sorry…. [correct pronoun]…. blah blah….

CLOSE FRIENDS AND IMMEDIATE FAMILY

Everything from the previous section applies to you as well, especially the part about name and pronouns. In addition, you may be one of the first people the trans person is coming out to. Your support is the most important factor in helping the trans person get through their transition. Literally. The suicide rate for trans people is extremely high. The number one factor that prevents suicide among trans people is family support. So learn as much as you can about the transition process and let them know they have your support, even if you are struggling to accept or understand their new identity. Let them know that they should tell you if you do something or say something wrong or upsetting. Make sure you spend time with them doing things that you both enjoy that have nothing to do with their transition. It is a good way to stay in contact and get used to changes as they happen but not make everything about being trans.

If there are aspects of their transition that you are struggling with, let them know and tell them you are working on it. Find other people to talk to about it. Unless they have given you permission to tell other people, this will likely be a therapist. If they know that you are struggling and need to talk to someone and you ask if you can tell a specific friend or one other family member, they may be open to it. Never tell someone that this person is trans without their permission. Once they start telling people, you may become a conduit for information for the rest of the family or group of friends. Talk to the trans person about how they want you to answer typical questions and how much information they are comfortable with you disclosing. This type of conversation will happen repeatedly as the group of people they have come out to grows.

Offer to go with them to medical appointments and other difficult tasks even if they seem trivial to you. It often takes a lot of courage to get those steps done and having backup definitely can help. If they ask you to, try to be willing to attend therapy or support group sessions with them.

Phrases to Avoid:

You’re not going to get surgery though, are you?
These changes are permanent! What if you change your mind?
You really should tell [specific person]. They deserve to know.
You don’t really need to get the surgery, since you’re married. If you were single it would be a different story.
You can come over for dinner, as long as you don’t talk about your transition.

Phrases to Use:

Would you like some company when you’re going to… (eg: HR, passport office, fingerprinting, registry for name change)?
I support you and your decision to transition but it will take me some time to adjust. Is there anyone you would be comfortable with me talking to about this so I can work through my own feelings faster and not put them on you?
Let me know when you are ready to start telling other people and I will help you with that in whatever way I can.
What can I do to affirm your identity? You have told me what not to do, but are things I can do that feel positive for you?

MEDICAL AND HEALTH PROFESSIONALS

If a patient enters your practice seeking treatment from you and you are either aware of their trans status or become aware of their trans status during the interaction, the first thing to do is confirm that you are using the correct name and pronouns and then stick to those. Make sure your patient database on your computer system reflects the correct name and pronouns. If you are unable to change them in your system for legal/billing reasons until the person has completed their legal name and gender marker change, find a way to indicate in your system what name and pronouns the patient uses so that all the staff in your clinic identify the patient correctly.

As a health professional it is your job to know what aspects of the patient’s status as a trans person are relevant to your medical field and which are not. Learn how to ask questions about the relevant areas in a respectful, straightforward way that makes it clear why it is relevant.

You should not be asking any questions related to any aspect of their transition or experience as a trans person that is not relevant to your area of practice. If you want to learn more you can ask the patient for resources they would recommend, but, better than that, you can do your own research just like you are expected to do when a patient has a history of a medical condition you are not familiar with. It cannot always be up to the patient to educate the professionals. It is not only exhausting for the patient but unprofessional.

Keep in mind that trans people will have had many unpleasant, inappropriate, transphobic experiences with other health professionals before you. They are coming into this interaction with their walls up expecting a negative experience. It only takes one misstep to confirm their expectations that this interaction will be like all the rest. If you realize you have made a misstep, apologize for it taking full responsibility and move on. Stay focused on why they are there to see you and only what is relevant to that condition/concern/complaint.

Phrases to Avoid:

Oh! You’re trans? That’s so interesting! I’d love to talk to you more about that.
Have you had the surgery?
When will your transition be complete?
Anything irrelevant to your profession or the reason they are there.

Phrases to Use:

I admit I have very little experience with trans patients so if I say something inappropriate please tell me right away or if you think there is something relevant that I haven’t asked about, please feel free to mention it if you feel comfortable doing so.
I’ve been trying to find information on trans people’s experiences with this condition. Are there any resources you would recommend?
I understand from your history that you are trans. Have we been using the correct name and pronouns for you? If yes, let us know anytime if that changes. If no, what name and pronouns would you prefer?

I hope this information helps you feel more confident that you will be able to treat trans people in a way that conveys your respect for them. Did you find any of this surprising? If there are areas you want to know more about, take a look at the Resources Page or search for other similar posts under the Partner tab.

If you are trans and reading this, what other suggestions do you have? What is your reaction when someone uses one of the phrases that I recommend people avoid?

Visibility and Representation

VISIBILITY

I define visibility as feeling seen by those around you, consciously or unconsciously. This can be specific to a particular aspect of your identity or a recognition of the complexity and intersectionality of different parts of your identity.

Visibility is also being recognized by a stranger as belonging to the same group giving a sense of solidarity and community. Being visible as a queer person can give unspoken support for someone in the closet who may be struggling. This can be done using symbols, colours, flags, or expression styles.

Initially, as a gay person, I used rainbows for visibility. Then, after Jake and I started dating (before Jake’s transition), I was much more visible as being queer by being part of a gay couple and talking about my wife. When Jake transitioned I loss this visibility because I am now seen as part of a straight couple and I talk about my husband. I struggled with this loss of visibility because it felt like a loss of identity. Once I recognized it as a visibility issue I went back to my previous habits of using rainbow symbols and talking about the queer aspects of my identity more openly. It took a bit of work to find ways of doing this that didn’t out Jake as trans but it’s definitely possible.

More recently, I’ve wanted to be visible as genderqueer or nonbinary. This is still fairly new and since I’m not ready to be as open about it with everyone in my life I have to rely on symbols/flags that other genderqueer people will recognize or changing my appearance such as cutting my hair short. More on this to come.

REPRESENTATION

I think of representation as seeing yourself in media, or at least seeing realistic portrayals of a particular aspect of your identity. Often, appropriate representation isn’t spontaneously available and I have searched for it online.

As with visibility, the representation I feel connected to has shifted over time, through Jake’s transition and into my own gender exploration process. Initially, lesbian role models spoke to me the most, then trans masculine role models while I was trying to understand Jake’s identity and experiences, and now, nonbinary and genderqueer role models are what I connect with the most.

I have found both visibility and representation to be extremely important to me, especially with aspects of my identity that are typically invisible. Do you find visibility and/or representation important? How has your need for and type of visibility and representation changed as your identity has evolved? Leave a comment below!

Why I Don’t Identify As Trans

The root word trans typically means across or change. As a queer identity it has two main meanings. The binary version is that a trans person identifies with the opposite gender from what they were assigned at birth (still the way society interprets the label). The gender spectrum version is that they do not identify with the gender they were assigned at birth (this is the definition that I use). None of these definitions really fit me as I still do identify with the gender I was assigned at birth but I also identify with other parts of the gender spectrum at the same time.

experience with a label is important

My experience with the trans label is primarily through my husband’s transition from female to male. This involved a change of name both socially and legally, a change of gender pronouns and legal gender marker, and various components of a medical transition. None of this applies to me or what my personal acceptance and exploration path looks like (at least not yet).

Trans is not the same as ‘not cis’

For me, Trans is a specific identity that covers many different types of experiences but not necessarily all identities that are not cis. Many people use it as an umbrella term to cover any identity that is not cis-gendered (their gender matches what they were assigned at birth). Technically I would fall under that umbrella term. But that is not how I define trans. I don’t see ‘trans’ and ‘cis’ as opposites. Someone else with an identity similar to mine is totally free to use the label trans if it suits them.

Presentation

Even though my presentation is often fairly masculine, I am socially read as female. If I used the label trans I would either be read as a pre-T trans guy or a trans woman (which is a label that is generally used by AMAB people who identify as female), neither of which applies to me and really just confuses the situation.

Me

My gender is both the same as what I was assigned at birth and includes a component that is different from what I was assigned at birth. My husband’s experience is very different from mine and I strongly associate the label ‘trans’ with his experience. Many people who are not cis have a feeling of being ‘not trans enough’ to earn the label or to ‘qualify’ to use the label trans. I too have to fight against the feeling of not being legitimate in my gender experience but since I do not have an affinity with the label ‘trans’ I can’t express it using the phrase ‘not trans enough’. I have found other labels I prefer which you can read about here.

What is your definition and experience of the label Trans? Is it a label you identify with? Have you struggled with other people assuming your identity is something other than what it is as a result of using the label Trans? If you don’t associate with the label Trans, what other labels do you use instead? Leave a comment below and share your experiences!

Interpersonal Dysphoria

After my husband decided to transition I slowly started picturing him the way he pictured himself: with a flat chest and facial hair. Seeing him with a female chest became uncomfortable. But I couldn’t really picture exactly what he would look like with a flat chest. So instead, this area of my mental image of him kind of blurred out.

In prep for his top surgery consult we had to take topless pictures for the surgeon and take measurements which was a very uncomfortable experience for both of us as neither of us pictured him with a female shaped chest at this point.

After surgery we went back to the clinic about a week later for removal of the bandages. It was a very interesting experience to see his chest flat for the first time. I was finally able to look at that part of his body and not have what I was seeing conflict with what he looked like in my head. Over time the blurry part where his chest was in my mental image cleared to match what his chest looks like now.

I have started describing this type of experience as Interpersonal Dysphoria. This is when your mental image of your friend/partner/family member has changed to match their newly affirmed gender but their physical body hasn’t changed yet.

Experiencing interpersonal dysphoria is a good sign!! It means you are ahead of the game and have adjusted your mental image to match your partner’s identity. But it still sucks because it makes you somewhat uncomfortable with how they look. If you never experience dysphoria for your own body this is as close as you are likely to come to knowing what it feels like.

The areas of their body that now seem ‘wrong’ to you are likely the areas that they experience dysphoria with. But making this assumption can cause problems. Are you comparing their body with a cis body of their ‘preferred’ gender? Or are you comparing their body to how they personally wish their body looked? These are two different scenarios. Comparing to a cis body can be dangerous because they may not have any problem with certain areas of their body. If you are comparing to a cis body you are assigning a gender to their body parts the same way society does which can lead to shame, disgust, and dysphoria or avoiding interacting with parts of their body that they are actually comfortable with.

To avoid this scenario you need to have open conversations with your person to learn how they feel about different parts of their body and why (or as open a conversation as is appropriate given your relationship to that person – coworker vs sibling vs partner). Give your partner room to think about these questions and change their mind at different times. Recognize that these conversations will cause a temporary increase in dysphoria just by having your partner focus on those body parts. You may want to break the conversation into small pieces and revisit it with recovery time in between. Build in self-care recovery time after each of these conversations for both of you.

If your person can articulate how they feel about their body and how they picture their ideal body that would match their identity, you should cultivate a mental image that matches. This will help you adjust to using a different name and different pronouns and help you unconsciously interact with them in more gender affirming ways.

If this person is your partner, this type of interpersonal dysphoria will also lead to changes in how you will be intimate with each other. If you haven’t already had conversations about what ways your partner is comfortable having you interact with their body and what they are comfortable doing with you, now is as good a time as any. Keep in mind this is a two-way street – the conversation should also include what you are comfortable doing with them and having them do to you.

As they explore their gender and gender expression and find ways to deal with dysphoria during intimacy and sex the boundaries of what each of you are comfortable with may overlap or not in various ways and may change over time. These are conversations that you should get used to having on a regular basis. I don’t want to go into full sex talk mode here so I’ll leave the rest up to your imagination. If these conversations are too difficult for you to have with your partner or your partner isn’t able or willing to engage with you in this discussion I recommend finding a couple’s therapist that is familiar with trans issues to help you out.

Have you experienced interpersonal dysphoria with your partner, friend, or family member? How did you navigate the conversations that needed to happen for you to know how they pictured their body? Leave a comment below with your experiences or questions!