So I seem to have internalized the belief that transition is all about The Surgery. I’ve burdened my upcoming surgery with all kinds of worry, all related to Being a Transsexual and What That Means. As I make preparations, this little voice keeps going, This is it! This is the point of no return! No going back now! No changing your mind! This is forever! Forever and ever! The rest of your life! Buh-bye normalcy! I know that this concern is normal, and probably healthier than ignoring the social ramifications of transsexuality. But I wish my personal anxiety gremlin would go nurture a complex about the three-hundred-forty-eight times I did not take my daily multivitamin last year, or something. It’s also pretty senseless to make The Surgery the dividing line; I passed the point where I could comfortably quit and go back a long time ago. In some ways, The Surgery will make transsexuality a less immediate presence in my life.
Anyway, I was discussing that worry with my therapist, whom I see because my health plan’s care for transsexuals is loosely based on the HBSOC. Her response sort of blew my mind. She told me (I’m paraphrasing, and claim responsibility for whatever clumsiness and insensitivity is apparent here) that, well, I had to remember that I had a disease. I was being treated for that disease, and would go on to live a long, healthy, and happy life, but transsexuality was the disorder and transition the treatment.
Now, I should say here that she has never given me any reason to believe she considers the disorder aspect to be related to anything but discomfort. If my happiness involved making my body visibly gendervariant, or if I held very firmly to a genderqueer identity, she would not pressure me to discard those needs but would help me realize them. She did not bat an eye when I raised the possibility that bottom surgery would make me dysphoric, and she would be wholly supportive if I told her I wanted to give birth. Neither of those desires constitutes a disorder of any kind.
But still. Still! A disease!
Grog commented about the GID diagnosis in this comments thread:
2) The DSM contention is one of ‘normalization’. There are many who percieve the presence of GID as a diagnosis in the DSM as describing a TS as “disordered”, when in fact they do not perceive themselves to be “disordered”.
I’ve always looked upon the DSM as a tool to give mental health professionals a common vocabulary, and the presence of a diagnostic category in there does not mean that there is an “illness” per se, merely a behaviour that warrants description in its own right.
And, terminology aside, this is pretty much how my therapist seems to see the matter.