De-Transitioner: Here’s What Her Doctors Didn’t Tell Her — Transcript
Full transcript
- 0:00at the age of 12 I started experiencing
- 0:02some gender dysphoria and um
- 0:07I started seeing a therapist and I got
- 0:09the diagnosis and I started going
- 0:12on the path of medical transition at the
- 0:13age of 13 starting with blockers and
- 0:15then
- 0:16moving on to hormones and at 15 I got a
- 0:20double mastectomy but
- 0:22it turned out that it wasn't
- 0:25the best decision for me and I stopped
- 0:28transitioning at the age of 16
- 0:32okay so let's go back to when you were
- 0:35let's go back to when you were 12. well
- 0:37about when did you hit puberty
- 0:41um I had a fairly early puberty actually
- 0:43started um I started developing at
- 0:47at around the age of nine if not a
- 0:49little bit earlier
- 0:51okay okay and so
- 0:53um
- 0:54so at nine did that do you remember if
- 0:57that changed you emotionally
- 1:02yeah it did I
- 1:06it was really difficult for me actually
- 1:09okay so let me give you a little
- 1:12background you tell me if anybody's ever
- 1:13told you this before Okay so
- 1:16boys and girls
- 1:19experience before puberty experience
- 1:21approximately the same levels of
- 1:23negative emotion so that would be
- 1:25primarily anxiety and emotional pain or
- 1:28even sometimes susceptibility to
- 1:29physical pain and emotions like
- 1:31frustration and disappointment and shame
- 1:34and guilt and self-consciousness are all
- 1:36part of that what would you call it
- 1:38network of negative emotion now what
- 1:41happens to girls when they hit puberty
- 1:43and no one knows exactly why this is is
- 1:45that their negative emotion levels go up
- 1:48and so that on average women
- 1:51biologically mature women are more
- 1:54sensitive to negative emotion than
- 1:56biologically mature men and that kicks
- 1:58in at puberty now there's a variety of
- 2:01explanations for that but no one knows
- 2:03for certain and here's some of them okay
- 2:06so first of all
- 2:09sexual dimorphism and physical strength
- 2:11really
- 2:12emerges at puberty so boys and girls are
- 2:15pretty evenly matched physically but
- 2:17once puberty kicks in boys are taller
- 2:20stronger heavier and they're much
- 2:22stronger in terms of upper body strength
- 2:25so women are at a disadvantage
- 2:27physically in relationship to anything
- 2:30that might have to do with physical
- 2:31combat and so on those grounds it makes
- 2:34sense for women to be somewhat more
- 2:35sensitive to threat
- 2:37okay so then the another explanation is
- 2:39that
- 2:40women are more vulnerably sexually than
- 2:44men because they bear a much higher cost
- 2:46for reproduction obviously with
- 2:49pregnancy and protracted dependence of
- 2:51infants and so it makes
- 2:54so they're they're more vulnerable on
- 2:56the sexual front so it makes it it makes
- 2:58sense for them to be more sensitive to
- 3:00any threat that's associated with sexual
- 3:02activity and then the third explanation
- 3:04and there may be more is that
- 3:07women are charged generally speaking
- 3:09with the primary responsibility for
- 3:12infants and infants are extremely
- 3:14dependent and vulnerable and so you
- 3:17could make a case that adult women's
- 3:19nervous systems are actually adapted for
- 3:23the mother child dyad and not for the
- 3:26say emotional well-being of the
- 3:29individual woman
- 3:31and a woman needs to be threat sensitive
- 3:33because she's going to be taking care of
- 3:35infants and an extremely dependent
- 3:38children and it makes sense for her to
- 3:39be more cognizant of threats as a
- 3:42consequence even though the negative
- 3:44consequence of that for women and all of
- 3:47this is that women are much more likely
- 3:49to suffer from depression and anxiety
- 3:51than men
- 3:53cross-culturally it's between three to
- 3:55one and five to one now men have their
- 3:58Associated pathologies men are more
- 3:59likely to be anti-social for example and
- 4:01to abuse alcohol but women predominate
- 4:06on the negative emotion side and so
- 4:08and then I would say that's exacerbated
- 4:10you know if you hit puberty early
- 4:12because you have to deal with these
- 4:15complexities of physiological
- 4:16transformation at a very young age and
- 4:19so that's a difficult thing to handle
- 4:21emotionally and then there's the
- 4:24additional consequence of whatever
- 4:25hormonal uh turbulence might emerge as a
- 4:29consequence of the onset of puberty so
- 4:31it's very common for young women
- 4:33to experience high levels of negative
- 4:36emotion and for those emotions to be
- 4:39focused on their body because another
- 4:42thing that's characteristic of female
- 4:44negative emotion is that the
- 4:46self-consciousness associated with that
- 4:48tends to focus very particularly on body
- 4:52shame and self-consciousness and that
- 4:54might be because women are evaluated
- 4:57more rigorously on the basis of their
- 5:01physical appearance than men men are
- 5:03evaluated more harshly sexually let's
- 5:05say on the performance side you know
- 5:08with regard to socioeconomic status and
- 5:10so forth but women are definitely
- 5:12evaluated more harshly by men and by
- 5:15each other in terms of their physical
- 5:17attractiveness so that makes quite a
- 5:18complicated
- 5:20situation for girls who are making the
- 5:24transition into puberty and a lot of
- 5:25them are depressed and anxious and that
- 5:28and develop an intense focus on their
- 5:30body so I don't know how much of that
- 5:32was explained to you by your therapists
- 5:35or the medical professionals but that's
- 5:36all well that's all well-documented
- 5:39psychological and medical information
- 5:41yeah none of that was really explained
- 5:43to me
- 5:44by therapist or even growing up I mean
- 5:48even so that all
- 5:51every single part of what you said
- 5:52actually played a role in
- 5:54a lot of my childhood distress and my
- 5:57transition and eventually my
- 5:58de-transition actually you know um
- 6:01growing up I was a bit of a tomboy and
- 6:04also on the Spectrum and I didn't know
- 6:06this until I was diagnosed just last
- 6:08year but it did play a role in my my
- 6:11socialization and my difficulty getting
- 6:13along with other girls growing up and I
- 6:15found that I fit in more with the boys
- 6:16and when I hit puberty
- 6:19um
- 6:19it was a bit earlier than most of my
- 6:21peers and I got taller than them and
- 6:24oh yeah you know I I could keep up with
- 6:27the boys then and I had a lot of pride
- 6:28in that but as the years went on they
- 6:30started to get taller than me and
- 6:32outmatched me physically and this did
- 6:35bring on a bit of distress for me and um
- 6:39you know as I got older
- 6:41um socialization become began to become
- 6:43more
- 6:44sex oriented and
- 6:48I found it even harder to fit in with
- 6:50girls my age and but at the same time I
- 6:53was also starting to notice there's a
- 6:54divide between me and boys
- 6:57um in several ways and
- 7:00there was there was a lot of loneliness
- 7:01for me because on one hand I didn't
- 7:03really feel like I was I was one of the
- 7:04girls but on the other hand I was right
- 7:06losing my connection with some of my
- 7:08friends who I
- 7:10was close with and really really cared
- 7:13about
- 7:14and I also had some body image issues
- 7:16growing up as well um
- 7:20I often talk about how social media
- 7:22played a role in it but really it
- 7:24started from a very young age actually I
- 7:26mean I grew up I was born into a very
- 7:28image oriented very sex-oriented society
- 7:31and
- 7:32you know before I hit puberty I was
- 7:34looking forward to having a developed
- 7:36body and eventually going breasts
- 7:39and you know once I hit puberty and
- 7:45once I hit puberty I was
- 7:48it wasn't what I expected and I was
- 7:50really quite disappointed how I looked I
- 7:52was very very skinny I was on the
- 7:55smaller chested side and you know I grew
- 7:59up in an age where we kind of glorified
- 8:00bodies that are very
- 8:03um
- 8:04very voluptuous lots of Curves people
- 8:08often use a phrase like body I mean
- 8:10bottom heavy or hourglass
- 8:13pear-shaped things like that and I
- 8:15didn't look like that at all I was you
- 8:16know I was I was quite thin a little on
- 8:18the muscular side and if anything my
- 8:20shoulders were probably the widest point
- 8:23in my body
- 8:24and I kind of had a complex over this I
- 8:28I also liked having my hair shortened
- 8:29because of all this I felt like if
- 8:31anything I didn't really look like a
- 8:32girl at all I didn't like the other I
- 8:34didn't look like the other girls my age
- 8:35and I felt like
- 8:38I just wasn't pretty and that I would
- 8:40never
- 8:41really have New Year
- 8:43it's it's a very rare Adolescent and
- 8:48probably a particularly rare female
- 8:50adolescent who feels attractive in the
- 8:53early stages of puberty you know so
- 8:56everything that you experienced although
- 8:58you may have experienced it you know in
- 9:00an exaggerated manner for some of the
- 9:01reasons you laid out but everything you
- 9:03experienced is in some real sense par
- 9:05for the course for for a few years for
- 9:08the vast majority of people now you did
- 9:10add one additional issue which we could
- 9:12delve into a little bit which I think is
- 9:14relevant so you said that you're on the
- 9:16Spectrum and that you had an easier time
- 9:18communicating with boys than with girls
- 9:21and so here's something to know about
- 9:23that so
- 9:25the biggest reliable difference that's
- 9:28been documented between males and
- 9:30females and this becomes even larger in
- 9:33egalitarian societies by the way
- 9:35is orientation of Interest so women are
- 9:39higher in negative emotion and they're
- 9:41more agreeable and agreeableness is both
- 9:43compassion and politeness and although
- 9:47the difference between men and women
- 9:48isn't massive
- 9:50it's significant and it also maximizes
- 9:53an egalitarian society so it looks like
- 9:55it's biological but the biggest
- 9:57difference is in interest
- 9:59and uh boys males are more reliably
- 10:03interested in things
- 10:05and girls females are more reliably
- 10:08interested in people
- 10:10but people on the autistic Spectrum are
- 10:13also more reliably interested in things
- 10:17and so for example if you're extremely
- 10:19autistic the psychological uh phrase for
- 10:24for descriptive purposes is lacking
- 10:26theory of mind and so extremely autistic
- 10:29people have a hard time understanding
- 10:31what's going on in someone else's mind
- 10:34at all they they tend to be almost
- 10:36entirely thing oriented and there's a
- 10:39much higher preponderance of autistic
- 10:42symptoms among engineers and then if
- 10:44engineers in Silicon Valley for example
- 10:46male engineers and female Engineers
- 10:49often
- 10:50by statistical comparison often Mary and
- 10:54their children are disproportionately
- 10:55likely to be autistic and so the fact
- 10:58that you are tilted towards the the
- 11:02autistic end of the spectrum first of
- 11:04all that might just be an indication of
- 11:06uh neurological wiring that tilts you
- 11:09towards interest in things just so you
- 11:11know that so that's not necessarily
- 11:13autistic in and of itself it's just part
- 11:16of the normal variation in in what would
- 11:18you call it
- 11:19well in attentional orientation but the
- 11:22fact that you were
- 11:24on the Spectrum let's say and more
- 11:26interested in things is going to make it
- 11:28more difficult for you to communicate
- 11:29with girls because girls are reliably
- 11:32more interested in people and so and
- 11:35then on the image front you know this
- 11:37this ties in with
- 11:39the idea of self-consciousness so
- 11:42if you're on stage and you're talking to
- 11:44people and uh you become aware of
- 11:47yourself tends to make you nervous and
- 11:49sweat and to uh become uncomfortable to
- 11:52experience high levels of negative
- 11:54emotion and self-consciousness itself
- 11:57looks like a manifestation of negative
- 12:00emotion they're incredibly tightly
- 12:01linked
- 12:02statistically almost indistinguishable
- 12:05from one another and so what you see
- 12:07happening very often in girls because
- 12:09girls are self-conscious in relationship
- 12:12to their body because that's one of the
- 12:14primary ways they're assessed let's say
- 12:17for attractiveness and for social status
- 12:19is that that self-consciousness tends to
- 12:22take the form of intense preoccupation
- 12:24with body and with image
- 12:27and so that can be exacerbated by
- 12:30whatever social trends happen to be in
- 12:32place but it's it's a very deep-seated
- 12:33problem and so that's part of and also
- 12:36the fact that you hit puberty earlier is
- 12:38going to make that obviously is going to
- 12:41make that more complicated because it
- 12:42means you're not as
- 12:44neurologically or practically mature
- 12:47when you have to contend with all these
- 12:49issues
- 12:50so everything that you described in some
- 12:54sense could have been attributed to the
- 12:57difficulties of normative development
- 12:59just just so you know and this this
- 13:03proclivity of teenagers to develop
- 13:06depression and anxiety I want to take
- 13:07that apart for a minute too for
- 13:09everybody who's listening so imagine
- 13:11gender dysphoria okay so 10 years ago it
- 13:16was comparatively rare but not unheard
- 13:18of but imagine it has two components
- 13:20okay
- 13:21one is a tendency towards negative
- 13:24emotion so suffering anxiety depression
- 13:27frustration disappointment pain shame
- 13:29guilt self-consciousness all of that
- 13:32and then imagine there's a sec second
- 13:34part of it that's more specifically
- 13:36focused on discomfort with the body
- 13:39okay the first part of that is the bulk
- 13:43of it so if you look across
- 13:45forms of Psychopathology like mental
- 13:48illness
- 13:49the major segment is high levels of
- 13:54negative emotion like depression and
- 13:55anxiety
- 13:56and a secondary segment is the
- 13:59particular manifestation of that in your
- 14:01case in body dysmorphia
- 14:04and so and then the the claims that
- 14:08uninformed mental health professionals
- 14:11make that you're at elevated risk for
- 14:14suicide if you're gender dysphoric is
- 14:17erroneous because the elevated risk for
- 14:19suicide is actually a consequence of the
- 14:21of the general proclivity for depression
- 14:24and anxiety and not a specific
- 14:26consequence of the gender dysphoria or
- 14:29at least that's only a small
- 14:31subcomponent of it
- 14:33and so that's another thing to know is
- 14:35that
- 14:36the main clump of psychopathological
- 14:38manifestation mental illness is centered
- 14:41on heightened levels of negative emotion
- 14:43and of course that spikes for adolescent
- 14:45girls now you you may have been told
- 14:48this but perhaps you weren't so there
- 14:50are good long-term
- 14:52studies of children with gender
- 14:54dysphoria most of them were conducted in
- 14:57Toronto where I happened to be by a man
- 14:58named Ken Zucker and Zucker ran a
- 15:02a clinic for gender dysphoric kids way
- 15:04before this became part of the culture
- 15:06War let's say and he was a very straight
- 15:09and honest scientist a very good
- 15:11researcher not a political person and
- 15:13what he showed was
- 15:15what his Clinic showed many
- 15:16peer-reviewed studies was that
- 15:20gender dysphoria of the type that you
- 15:22described is relatively rare
- 15:24but if you leave kids alone
- 15:28till they're 19 or 18 80 to 90 percent
- 15:32of them settle into their biological
- 15:34identity
- 15:36although about 80 percent of them also
- 15:38are also homosexual in their orientation
- 15:42and so the pathway
- 15:43for him
- 15:45before this was all politicized was
- 15:47you'd have a child who was
- 15:49gender non-conforming temperamentally
- 15:52somewhat like you were
- 15:54you didn't have a pattern of female
- 15:56interests let's say and so and then
- 15:59prone to depression and anxiety and then
- 16:01that combination would produce this
- 16:03gender dysphoria and that would become
- 16:05quite intense around the dawn of puberty
- 16:08but if you just back the hell off and
- 16:11waited
- 16:12those kids would settle into their body
- 16:14but generally I'd adopted homosexual
- 16:17orientation
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