This disphoria need have caused some degree of distress or impairment at some point in an individual's life and so I necessarily exclude drag queens, people who dress for kicks, or actors playing a role from this description.
I no longer want transgender versus transsexual battles here on this blog.
I am only interested in the concept of gender disphoria and how people deal with theirs. During my sessions with Helene, it was explained to me that in the hospital gender program they no longer use the term transsexual but only talk about gender disphoria and how to treat it.
The reason? Not everyone will ultimately deal with their gender disphoria in the same manner.
In Helene's group there are those well on their way to fully transitioning but there are also people like me who do not identify as full blown transsexual but are nonetheless strongly disphoric. I currently label myself as a type IV on the Benjamin scale and, while that typically means I am perennially stuck in the middle somewhere, I am still a candidate for some sort of treatment along with the transitioning group.
Helene has told me that some take hormones and no bottom surgery. Some live full time with no surgery while others like me are living part time as a way of coping. Her aim is simple: help you find your answer.
She does not want to push the idea of transition on anyone.
Not surprisingly she has told me that the younger group she has is the most uninhibited and the least affected by social convention. This makes complete sense as they have been less affected by societal convention than when I was growing up.
Still I would change nothing about my life since I am a creature of my time and my own circumstances. I also know for certain that I will never transition.