every day i think about how my old psychiatrist (who was notoriously horrible on many levels, to be clear) tried to convince me to stay on the antidepressants i was coming off of when i told her i was starting testosterone because she was convinced that iâd be incapable of handling the âintense mood swingsâ that she said it would cause if i was unmedicated
mind you, i was coming off of these meds because they were doing absolutely fucking nothing for me and she had fought me on stopping them every step of the way â in her mind, me starting t was the perfect chance to make one final (transphobic) push against my desire to stop putting completely pointless drugs in my body
she consistently referred to hrt as me âgoing on steroidsâ and told me with every ounce of condescending concern she could muster that she had never had a patient start t without being on antidepressants (as if i was supposed to see that fact as anything other than further proof that her main goal as a psychiatrist was just to make as much money as possible by pushing meds on people)
i tried to explain to her that countless trans people iâd talked to had said that being on t made them feel more emotionally stable, not less, and that i had already chosen a method of hrt that would minimize hormonal fluctuations as much as possible, but she wouldnât believe me â thereâs no question in my mind that she just saw me as a ~naive little girl who didnât understand how testosterone could make my life hell~
and of course, my mom jumped on that idea and started telling me about how itâs not that she doesnât like that iâm trans, itâs just that sheâs ~so worried~ about what the ~big bad testosterone~ might to to my ~poor fragile mental health~
and when i started t, i was terrified that they would be proven right
now iâm 5 months on t (and a few months post-ending that doctor-patient relationship as well) and what do you know? my mood is better than ever! my therapist (who has known me far longer and actually cares about my well-being) says sheâs never seen me this happy, and that she feels like iâm actually living for the first time! itâs been incredible!
in fact, iâve come to the realization that i most likely had premenstrual dysphoric disorder before t, and that it was contributing to a huge percentage of my mental breakdowns and suicidal thoughts, so it seems there were hormones causing mood swings that i couldnât handle without proper treatment after all, but testosterone isnât the cause of those issues â turns out itâs the treatment i desperately needed to manage them!
and after some research and hearing from other people, iâve learned that it wasnât all anecdotal after all, because some studies have actually found evidence to support the idea that testosterone has antidepressant effects â i told my therapist that testosterone felt the way the antidepressants i had been on were supposed to feel, but i had no clue there was science to back that up
so now iâm just left being endlessly furious with the way testosterone is demonized as some horrible poisonous drug that will destroy your mental health along with everything else in your life, because being on it has improved my quality of life exponentially and that alone makes being on it SO worthwhile, but no one ever gets to see that side of being on t because theyâre so busy drumming up fear about how itâll wreck your moods instead
of course, thatâs not to say some people donât experience serious mood swings on t, because i would never deny someone elseâs experience with their own body and mind, and i think itâs important that people know those effects are possible when they start t
what i AM saying is that i would guess that if you looked at pure numbers, more people have probably had a really positive experience like mine than a seriously negative one, and itâs very telling that the negative ones are portrayed as a universal part of being on t despite seemingly being a smaller percentage when you actually talk to lots of trans people, while the positive ones are portrayed as a fluke at best and impossible or even deceptive at worst despite being a really common theme in trans peopleâs accounts of being on t
testosterone is medicine. testosterone is healing.
it doesnât solve all our problems â iâm certainly far from cured of all my mental health issues â but it sure as hell lightens the load, and iâm sick and tired of people acting like itâs a horrible thing and not the fucking miracle worker that it is for some of us