It was 1988. I was a trans teen, also autistic, had trauma, had terrible shame from my sexual orientation, and had delusional/psychotic symptoms too.
You can imagine I was finding the shift from teen to young adult very hard. I was drowning. I ended up with a psychiatrist who referred me to a clinical psychologist. I came out to her, and saw her for four years.
It went nowhere, round and round. Just talking and talking, I don't really remember it. But I didn't go forward. Eventually I found a book that presented trans voices (this was 1990 now) and found a trans group and transitioned.
I saw the psychologist once after I transitioned. She said, "now I can see". She admitted I was referred to her with a diagnosis of Schizotypal Personality Disorder and that was what she had based sessions on.
The endless and aimless therapy seems similar to Gender Exploratory Therapy, which isn't directly converting but pushes the trans kid to "question" their identity.
She probably welcomed my self critical thoughts. She saw it as insight, not as me struggling to assert and accept my identity.
When I found that book, and I read about real trans people and their transitions, I knew what to do. I thought - this is what I have been looking for from her, why didn't she help me? I stopped seeing her shortly after.
I wanted someone in my corner, I was completely alone. But she never was. And if I was a Schizotypal Personality Disorder patient to her - there is no treatment for that anyway. At least, back then it was considered untreatable.
I had a lot of issues, I admit that. Terrible anxiety and depression, distorted thinking. It was a constant struggle to avoid dropping out of uni. I had this thing where I couldn't hand in my assignments. I would complete them, but I couldn't drop them in the box. It was like a wall. And I wanted to be a physics genius and become a literal god, but I couldn't handle the maths. So I had plenty of issues... I suppose she treated me for the other stuff and hoped the trans stuff would resolve.
It's like the holistic treatment they're pushing on trans kids now. They'll treat the autism, trauma whatever, but never get to the trans.
I feel protective of my shrink. She was my only emotional support. At least I could go there and say things. And she did use my name.
I don't want to have a negative opinion of her, but I think she may have failed me.









