I’m non-binary, and my therapists think I don’t exist

On my 22nd birthday, I gave myself a gift: gender therapy. At the office of a nearly 40-year-old therapist in downtown Manhattan, I slouched into a couch cushion as I revealed for the first time that I’m transgender.

“What would you look like in a perfect world?” she asked while jotting notes.

“I’d want a happy trail, a small Adam’s apple, and bottom growth, ” I said. “But I also want children. I’ll start taking T after I have children.”

Over the last two years since then, I’ve been to a series of therapists. Many aren’t sure how to handle a patient like me.

All but one therapist either misdiagnosed or questioned the validity of my gender identity. I’m Afro-Latinx, pansexual, and my gender identity is somewhere outside of the male/female binary. Several therapists question why I use so many labels to reclaim my body. When your people were colonized and enslaved for more than a century, you learn early on that your body is not your own. I’ve learned to draw the lines for my own box, instead of putting a checkmark into one. My body is now my agency.

Some of my ex-therapists have asked why I want to transition as a non-binary person, while others have said that cisgender people wouldn’t find me attractive if I did. My non-binary identity is just as valid as a transgender man seeking hormone therapy. As transgender people, our narratives are diverse—which is why top-of-the-line mental health services are so important.

I’d started relying on friends and a free trans hotline to cope with my ongoing gender dysphoria. However, in July, my dysphoria spiked. Taking showers became a burden; seeing body parts that weren’t my own made me uncomfortable. I stayed up too late, watching YouTube marathons of transitioning timelines. I regularly asked Google why I wasn’t “normal.” Why couldn’t I be happy as a woman?

In August, I started seeing a new therapist. He quickly diagnosed me with Gender Identity Disorder—an outdated diagnosis that was removed from the DSM-5 five years ago. If we, as trans and non-binary people, are competent and knowledgeable about gender identity, why aren’t our therapists?

We are not your teachers, we are your clients.

Nearly six months later, despite inadequate mental health care professionals, I’ve started hormone replacement therapy. I am on what many doctors consider a low dosage of testosterone. As I’ve started recording my daily changes, I’ve learned for the first time what it’s like for my body chemistry to align with how I see myself. There is no more fog or fear. I no longer have to pretend in order to seek the approval of my peers.

After the New York Times published a leaked memo from the Department of Health and Human Services in October, it became clear that many cisgender people (those who identify with the sex they were assigned at birth) are calling for the obliteration of the transgender community. The need for quality mental health care for the LGBTQ community is at an all-time high.

Transphobia, the belief that trans people are lesser than their cisgender counterparts, is not only detrimental to binary trans people, but to all those who fall outside the gender lines. This hateful attitude forces many non-binary people like me to postpone our mental health care and suffer in secret. As I continue trudging through space as a gender fluid person, I want all our identities to be normalized—even in the discomfort of a trans-hating world.

Filed Under