Plans, Trans, and Autogynephilia1, We Live In Cis-ciety. #GenderDysphoria #Transgender

Plans, Trans, and Autogynephilia1

We Live In Cis-ciety

June 1, 2015

The only guarantee that I can make to you, before you die, is that everything will change. 

There are so many novel things to come, and most will be unexpected.  Around you there will be Stanleybowls, leaders, corruption, wars, poverty, success and Kryptonite.

Even more will get Caught-In-The-Netflix, while some of earth’s species will become extinct.

There will be progress!

Illnesses will be cured

Devices will be implanted

Personal Drones will be the newest pet

Automated transportation will provide naps or Angry Birds

Android butlers will assist in Self-sustaining Smart Homes

Desktop quantum computers will interface with holographic watches to monitor your body with ICU precision (Apple will keep the doctor away)

Vending machines will dispense genetic engineering necessities for virtual living

We will explore the solar system and peer deeper into the universe with exponentially more microprocessor strength

And you will get old

Along the way, 0.008% fellow humans, living on this small rock with you, will decide they want to live their life, as another gender.

When one puts it that way, it doesn’t seem like such a big deal, but the first time I met someone with ‘Transgender Disorder’, I half didn’t want to believe it myself.

Once you sit, and listen, it becomes easier to understand.  As you know, there are 2 parts to everyone, the front everyone sees, and an underbelly that you only show in pieces.  Most of us wear the Emperor’s Clothes of privilege, in our Binary Hetero-Normative Cis-ciety, and therefore, we just don’t get it.

We don’t understand why someone would go to all the trouble, just to change THAT THING about them.

We tolerate YOU changing YOUR:

Groups of friends

Taste in music

Bad tattoos

Body via cosmetic surgery

University plans


Romantic partners


Neanderthal diet






(Or when you beat us, or become addicted)

And just about anything else, when we say we really love you, and wish to do you no harm.

But for some reason, when you say you want to change your gender, it seems to fundamentally alter our worldview’s master plan, and we just don’t get it.

But for many, the Gender Dysphoria can cause so such suffering; it can breed desperation and hopelessness. It becomes even more painful, if you are also born into poverty or addiction in the US, without health insurance. Those individuals suffer repeatedly, sometimes using prostitution as a way to obtain money for cross sex hormones. They make that impossible ‘choice’, to get as close as they can, to life as the opposite gender.

Is there anything in this world that you feel THAT strongly about, at all?

Difficulties due to the mismatch between your outer physical gender markings, and how you feel on the inside, used to be called Gender Identity Disorder.  It was changed when the smart Doctors realized that being brave enough to risk happiness was not a disorder.

Medical and Psychological Practioners in North America, use the DSM5 (Shrink’s Cookbook), which provides a list of all diagnosis and ingredients for each recipe.

The main diagnostic criteria in the DSM5 for Gender Dysphoria in Children includes; 6 of the following symptoms, over at least a 6 month time span:

repeatedly stated desire to be, or insistence that he or she is, the other sex

in boys, preference for cross-dressing or simulating female attire

in girls, insistence on wearing only stereotypical masculine clothing

strong and persistent preferences for cross-sex roles in make-believe play or persistent fantasies of being the other sex

a strong rejection of typical toys/games typically played by one’s sex

intense desire to participate in the stereotypical games and pastimes of the other sex

strong preference for playmates of the other sex

a strong dislike of one’s sexual anatomy

a strong desire for the primary (e.g., penis, vagina) or secondary (e.g., menstruation) sex characteristics of the other gender

To be Transgender’, one has an inner experience of self and gender that transcends one’s physical shell.  This would not be the first time a human has done this for the betterment of everyone around them.  There is no longer much gawking around Hawking.

A Transgender person, is someone who identifies with a definition of gender, that doesn’t match their biological body.

The term ‘Transsexual’, is a label now becoming rarer, to refer to someone engaging in hormone or surgical treatments to correct the mismatch.

The term ‘Cis’ is Latin for ‘on this side’, while ‘Trans’ means ‘on the other side’ or ‘across’.

The ‘this side’, in this case, describes our ubiquitous culture seen in the media and social roles.  These predominantly display gender in binarymale or female’ terms, and depict heterosexual relationships as the normal model for living.

How many of us live in ‘typical’ families nowadays, anyways.

Trans people feel strongly about the pronouns they wish to be described by.  Some reject conventional labels of ‘he and she’, opting for gender neutral pronouns, and there are many examples used.

The most common ones are:

Ze‘ and ‘Zem


It, One, They or Them

(There are others used, however simplification is best at the start)

When used in a sentence, the first example may sound like:

‘Ze really like Zemself’.


‘They (It) really liked Themself (Oneself)’.

The terms ‘MTF’ or ‘FTM’ refer to those Transgender persons who have stated their specific gender transition goals for the rest of their lives.  ‘MTF’ is short for Male to Female, also referred to as being Transfemale.  Goals for most MTF’s would be to pass as a woman, daily, in society.  ‘FTM’ refers to Transmales, seeking to live as males everyday.

If you are a parent reading this, please consider that raising and loving a child is filled with so many amazing moments:

Explosive diapers

Contagious tears

Wiggly teeth

Sore tummies

Flying food

Picasso on the fridge

Growing pains on the wall

Green Eggs and Ham on the page

Babysitting scrambling at last minute

Stitches in the middle of the night

And a hand and heart that perfectly fits into yours

It is cool to realize, that all the memories listed above, were gender neutral.

Please remember; the person you met in your mind, before birth, needs you more than ever, when they decide to REALLY be themselves.  All 3-Dimensional Living Breathing Loving people are real, and we ALL desperately want to be ourselves.

Many of us look at Caitlyn Jenner, and are inspired by her bravery.

My hope is that soon, we won’t need a celebrity’s story to move us to compassion.  It was only 1 year ago that most of us stared, at ‘the’ FTM at the mall, and Jenner’s MTF-changing-face in the tabloids; unable to will ourselves to accept it.

It is good that things are finally changing.

I do hope we realize however, that we are ALL celebrities, to the people that love us.

I would recommend learning more about Cox, and if you have Time, check out June 9, 2014.  After that, it may be hard to ask the following.

How can someone feel like a boy in a girl’s body, or vice versa, or both, or neither?

Please continue reading Plans Trans and Autogynephilia, Rework 2 of 3: Gender Dysphoria.

Simon Trepel, MD

Note– The other most common pronoun pairing is Ze and Hir, as in ‘Ze thought to Hirself that Ze liked the essay very much’.

Note– The DSM5 refers to the Diagnostic and Statistical Manual, 5th Edition, published in 2013.  This manual is used by Psychiatrists mainly, for the purposes of diagnosing ALL Psychiatric Disorders.  It groups similar disorders together, and through lists of symptoms and qualifiers, guides diagnosis.

Simon Trepel, MD FRCPC, is a practicing Child and Adolescent Psychiatrist, in Winnipeg, Canada.  He is an Assistant Professor, at the University Of Manitoba, in the Faculty of Medicine, and the Co-founder of the GDAAY Clinic.  He is, more importantly, the proud Father of 2 beautiful Daughters.  He writes in his spare time about things he knows something about, and occasionally about things he doesn’t; like Yoga, and Italian flavored coffees.  He was not referring to coffee that tastes like an Italian person.

Check out his Blog, called Simon Says Psych Stuff, at



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