It's been a long time since I have mentioned Anne Vitale's wonderful concept of Gender Expression Deprivation Anxiety. First reading about it was like a epiphany to me because in a few words it captured so eloquently what I had been experiencing all my life. As someone on the transsexualism spectrum, it had been a test of survival and will power for more years than I care to count.

The key word here is of course anxiety, and for those on the highest rung of the dysphoria scale, decisions are perhaps a little more evident. For those of us slightly below however, it is about trying to find the perfect formula. Hence, if your dysphoria is mild enough you may find that judiciously spaced pockets of expression may do the trick. For me it turned out to be virtually full time living but stopping short of medical transition which took me many years to perfect (and which reducing now would see me in a padded room). The point here being that you can experiment for a while and see what works for you and what doesn't; always with the realization of the constraint that the non-acceptance of those closest to you will often be the most significant road block.
To my own great relief, my anxiety has subsided to very tolerable levels.


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