#do some therapy first though
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thebookworm0001 · 21 days ago
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ideas beginning to solidify for post veilguard fic things
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puppetmaster13u · 11 months ago
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Prompt 208
So Danny would feel exasperated, and probably should. But Dan is actually doing good and hasn’t even bitten anyone during this situation so that’s a win in his books. Now if the turned-into-a-four-year-old could tell him where he managed to grab this other child when he was supposed to be at the babysitter’s, that would be swell. 
Or why there is a hero who nearly broke the door down in a right panic. 
Like genuinely, he doesn’t know who was more surprised, him, or the hero who came running up half in a panic attack. 
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triglycercule · 4 days ago
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horror is so BLESSED he's the only one out of the murder time trio that has actual good people trying to influence his story 💔💔 dust and killer were both driven to INSANITY because of the choices of their respective humans but horror??? every time without FAIL the polls for horrortale's plotline have always ended in a good place for aliza (either by bettering her relationships/reputation or for her to just. not DIE)
horrortale's potential alternate timelines my beLOVEd🙏🙏 they're SO lucky that we're being kind and benevolent hehe (≧ω≦) now where are the aus based off the possible different outcomes that could've happened in horrortale HUH???? (like how aliza couldve killed toriel or chosen horror's puzzle or gone with undyne to the core........)
#something something all three of them have their fates determined by an outside force#ermmmm but horror doesn't- yeah he does. what aliza does decides EVERYTHING for horror and horrortale#just because its not direct like dust or killer doesn't mean theyre all subject to the same community x3#PARALLELS MTT PARALLELS FOR THE 500TH TIME THEY HAVE SOOOO MANY PARALLELS OHHH MY GOOOOOODDDDDD#mtt going to visit horrortale would just be dust eying aliza (out of paranoia. he knows shes a good kid)#and then killer knowing in his head that the poor kid aliza that horror weirdly seems to like doesn't have control over her actions#she doesn't know horror doesn't know nobody knows except killer. is that a bit sad?#theyre all living in the dark unaware of the reality of their world. i mean thats how its meant to be after all thats what the players want#but....... it would be tempting to tell horror...... hehehehehe- and then he's interrupted by horror and dust#(theyre trying to get killer to eat papyrus's spaghetti in their place. he's the only one that can stomach it even though there's no human)#mtt i love thee SOOOOO much. theyre back in horrortale for the holidays ✨✨ coming back to visit the family ✨✨ WHAT horror's visiting.......#not dust or killer of course. this isnt their world noooope thats not papyrus. but that doesn't stop dust from having everyone like him#its just like the good old days :333 except now there's three sanses and triple the insanity :333 almost like nothing's changed!!!!!#oh killer??? yeah he's there. probably won't try taking up the sansish type of role horror and dust do but he'll find a way to get used 2 i#after all the point of this is whatever he wants it to be now ;33333 were these tags all just a reference to my mtt fic. yes. yes they were#LMAOOOO i forgot that aliza didn't fall into horrortale yet in my fic. still a fun thing to imagine tho!!!#i think it would be fun having aliza be the first of humans for horrortale to deal with that they won't instantly kill#itll be hard but really rewarding for all of them........ especially horror i believe!!! man he didnt even go through therapy but#just being away from horrortale and out doing new and FUN and NOT MURDEROUS things has done wonders for him :3#i need to get to writing smh..... winter break is the day after tomorrow (TECHNICALLY AT 2:32 PM SINCE THSYS WHEN SCHOOL ENDS SO HAHAHA)#so ill probably work on it more over break since i'll have nothing to do hehe.......#today was an amazing day for me ✨ TWO mtt angst death related hcs..... some work on my latest chapter i've yet to post..... SWAPINVERSE FAN#ARE YOU KIDDING ME MORR SWAPINVERSE ART THIS IS SOOOO AMAZING THABK YOU UNTITLED29876011111 I DONT EVEN KNOW WHY YOU DO THIS!!!!!#tricule rant#killer sans#dust sans#horror sans#murder time trio#utmv#sans au
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marc--chilton · 3 months ago
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(mgv) for a not-so-insignificant portion of his life, house was terrified of being suggestible to the alpha voice as john wasn't afraid to supplement his punishments with them so house would be physically incapable of not complying.
the first time wilson used the voice on house in a fit of frustration after house's incessant needling regarding wilson's obvious lack of life fulfillment ("you're not happy, you're just married."), house was genuinely afraid. he avoided him for days. wilson, mortified by his own loss of control and desperate to apologize, did Not let this be what killed their friendship, effectively (accidentally) sabotaging his own marriage to bonnie by prioritizing his relationship with house over his relationship with her. again.
#house md#house mgv#mgv#of course house forgives him#he is physically incapable of being away from wilson for too long even if for a split second he was genuinely scared of him#even once they're going back to routine and house acts like nothing ever happened >#he still has subtle tells he's readjusting now that he Knows that wilson could easily weaponize the voice >#to hold power over him just as john did to him when he was a child. fidgeting when wilson's in a bad mood or >#tensing if he gets too close before he forces himself to relax. wilson notices of course but doesn't say anything even though it kills him#wilson promises house he'll never do it again. house knows he will. and he does#though because wilson DIDN'T take advantage of house that first time house subconsciously takes to these slip-ups as exposure therapy#like house flustering wilson with dirty lines to the point where wilson uses the voice when he tells him to shut up#which serves to prove to house he WAS getting more riled up than he let on#while also showing through wilson's immediate regret that he cares about him enough to never use it against him#no matter how much trouble house gets into wilson doesn't use it to control him like some bad alphas would#cuddy even gently suggests wilson use the voice on house when he needs to be wrangled#and wilson pushes back every time bc he doesn't need to betray house's trust to tame him#which is true!! he knows house well enough to play him without weaponizing biology most of the time
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roaringroa · 3 months ago
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they should make a life where you don't have appointments, work, school and scheduled events every single day for months on end
#i just wanna spend like 2 full days rotting in bed is that too much to ask#december i'm going on a vacation with family + gf and we're trying to schedule a lunch/dinner so that we can go over the itinerery#and other stuff like my gf is diabetic so she's going to tell everyone the procedures in case of an emergency etc#and the soonest i'm available for that is oct 20th like bruh#every week day i've got classes 7:30-11:50 work 13:00-17:00 and then gym therapy or futsal practice at night#oh and sometimes the professor that i'm the student assistant (? monitor in pt) for wants me to go to her night classes#and then on weekends i've got futsal practice sat morning usually a match either saturday or sunday legal advice clinic 4x a semester#and then birthdays friend group meetups (with ppl i haven't properly seen in a WHILE so i don't wanna bail) family stuff or gf's family stu#oh and i take care of the finances of our futsal team so there's that as well#and then when i'm free i spend my time with my love (who i mostly see on either day of the weekend and sometimes for dinner on weekdays)#those are my favorite “appointments” i love spending time with her so much but even though we have quite a few staying in dates we also#pretty frequently go out to cafes restaurants parks meet up with mutual friends etc#so like... no bed rotting ever adfdsal#honestly i am not THAT busy compared to some ppl that i know#like i work from home most days of the week commute only 20 min to college am not a part of any study group etc etc#but man... that vyvense sure is working cause i do not think i would be able to do what i do now when my adhd was unmedicated#also i'm thinking of maybe getting a new internship next year cause even though i love my current one it's in public law which atm#is the field i'm thinking of getting into after school but getting into private law in brazil with only public law uni experience is#incredibly difficult. so i wanna be 100% sure i actually want public law. which means experiencing private law.#which means a private law internship#so i'm wondering how the fuck imma be able to pull that off next year#at least it pays much more than my current one! like probably double!#but honestly even with all the shit that i do and wishing i had more time for myself i've actually been so happy lately#i'm learning more at uni than i used to be able to i do pretty well at my internship i've got wonderful friends both old and new#my family is well and we get along like always i switched positions in futsal and am doing suprisingly good as a goalkeeper#and i'm in my first ever relationship. it's been almost 8 months till we made it official and it blows me away how good it's been#like we haven't faught once. disagreed on a couple things sure. but not a single fight and tbh even disagreements are very rare#idk we communicate and give each other grace and i just feel so loved. she knows me so well. i love her so so so so much.#like man just this saturday we were having an early dinner at a bakery. she stopped what she was saying and just stared at me smiling#and like i couldn't hold eye contact. cause she's so so fucking beautiful and she was looking at me with so much love and i had to look awa
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maraeffect · 12 days ago
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hi everyone, this is my monthly check-in <3
#not feeling so great lately...there's a lesion on my other knee now#and it most likely is cancer.#they want me to wait another 10 days for an mri???? like ur crazy#if u think i can wait that long.#sighhhhhhhhh.#anyway.#some cool things have happened#like spending all day in nyc with my partner on friday <3333#and um. i did wnt to vent about smth so uh.#ED tw#lately#my energy has been too low for me to wanna cook. which in turn made my stomach shrink a LOT#since i've been surviving by grazing on snacks.#and i didnt even realize i lost weight until i went to the doctor.#i didnt realize though that it would be even MORE lost when i weighed myself without my winter clothes#and uhhhh. i currently weigh what i weighed in my senior year of high school#which is the FIRST time i've been under a certain number in over SIX YEARS.#and i havent struggled at all w body negativity or ED thoughts in over a couple years. but.#now that my ideal gender expression has shifted more to the feminine side. and now that ive lost weight.#my brain INSTANTLY latched onto that#and was like omg YES do more of that#and it feels nice. this time im FINALLY not struggling to suppress my appetite!!! my body is doing that for me!#and obviously im still eating enough to live on#but still a huge caloric deficit. and rn my wheelchair shit keeps breaking on me. my mobility company is INCOMPETENT.#and my insurance might tell me i have to wait FIVE MORE YEARS for another type of chair......I WILL DIE BY THEN.#ugh everything is so complicated now. and im ALWAYS exhausted bc the sun sets at 4:30. i've just stopped binging and i replaced it with+#a LOT. of retail therapy. i've easily spent probably 1500 of my credit limit in the last 2 months. but you know.#that and not eating are 2 of the ONLY things i can control rn. out of all the fucking bullshit these useless people and my body put me thru#anyway. i'm sure you can tell how i feel rn. i'm just going to try doing anything else today.#vent
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ashersbraincell · 20 days ago
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So we all have that one person we have such deep philosophical ponderings with that we entirely dissociate from our sense of self to the point it feels weird to be “back” by the time the conversation ends?
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e77y · 4 months ago
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Glad I’m starting therapy so soon after moving out ☝️ I am already feeling the helplessness and loneliness
#vent#<- slightly? not that strongly? this is a pretty chill post like. I feel pretty chill#but also :( sad#I miss my family and friends at home#I haven’t really talked to my roommates#including the one who’s been my friend since high school bc she’s been sick (?) for the past few days#and this semester is definitely going to be A Lot#I got accepted into another choir but I’m most likely not joining bc my schedule is so packed#but the main thing is#I FEEL LIKE A BABY#my parents never really made me cook or clean and I just feel kinda useless#I’m just gonna have to force myself to learn which is fine#and my parents have offered to walk me through stuff over the phone when they can#but idk I just feel really immature bc like. damn I am 20 and don’t know how to cook Anything#I’m gonna go grocery shopping either tonight or tomorrow and get some sandwich supplies and other non-cooking stuff#so we are not completely doomed lol#also I need to do laundry tomorrow.. which. I can do and have done before. but I’m still gonna call my mom for guidance 😅#idk I think the main thing that’s stressing me out is spending money on food vs. groceries#and trying to eat at least some protein and fruits/vegetables etc. while also not spending exorbitantly#bc I am SOOOO irrationally anxious about money. I hate hate hate spending money#so the whole idea of grocery shopping is just kind of filling me with dread 🥲#but I will do it bc I need to Adult at some point#I just. idk I guess most students do this and I’m being whiny about it bc I’m not used to it??#but it just feels like So Much to be taking five classes and doing a bunch of extracurriculars and living on my own for the first time!#like! ahhh! too much at once!#😰😰😰#and I need to get an internship soon 😀 and if I don’t get one this semester I need to at least get a job so I can stress less about money 😀#but I always stress about money regardless 😀😀😀😀😀😀😀 even though I have scholarships savings etc 😀😀 ocd things! 😁 (🥲)#thank god for my meds and the thought that I’ll be starting therapy in the next week or two#and also my mom for being like the sweetest wver
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mad-hunts · 7 months ago
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🎤 - An audio transcript from a recording
[ ARKHAM TAPES: patient 0158, barton mathis. FOR STAFF USE ONLY. ]
contains potentially triggering content such as child abuse, heavy violence, and overall disturbing content.
[ the only thing that can be heard in the beginning of the recording is the faint murmur of a man's voice — the volume is very low, and yet, you can just hear the southern twang in his voice as clear as day. the sound of the recording device scrapping against something loudly is what resounded through the audio next. then, it stopped, and the volume is much better as it seems whoever was using it fixed it. from there, a man who seemingly goes by the name DOCTOR BOWMAN begins speaking to someone across from him.
❝ alright. this is session number 3 with my patient, known as barton mathis, and the date is 3/12/2015; for records, this is doctor bowman. is it alright if i record our conversation? ❞ the southern twang the doctor had is more pronounced than ever now, and it made the slight hum that came from somewhere across from him in response to this seem a lot quieter than it actually was. the hum was resigned as if to say ' eh, whatever ' but there is a hint of aggression just barely present in it. a velvety, but still equally as deep voice answers him, ❝ mm, sure — why not? not that you really care about whether i want it be recorded, or not. ❞ doctor bowman paused at that. the only sound audible through the recording is a half-suppressed ' ahh ' that gives off a peculiar aura of sad understanding, ❝ i do care. we just have certain... rules set in place here, that everyone has to follow. it's just a policy has been in affect ever since doctor crane was fired from here. ❞
a quiet snort came from the other side of the room, and the sound of some sort of furniture crunching under the weight of barton adopting a new position atop it is audible. he sounded snide whenever he talked next, ❝ oh, he was a lot more than fired from here, wasn't he? it's okay. you can say that he became a patient here because he was experimenting on people. if only he wasn't after such a foolish goal. then, maybe he wouldn't have gotten caught, ❞ you can practically hear that the sneer that had no doubt formed on barton's face at that moment. doctor bowman said nothing at first, and then made an attempt at reining him in. ❝ okay, well, either way... we're not here to talk about doctor crane. we're here to talk about you. so, it seems from one of your previous psychiatrists, ❞ doctor bowman took another pause as the sound of him flipping through papers escaped the recording, ❝ that march is a particularly rough month for you. can you explain to me why that is? ❞
the room had suddenly become very quiet, to the point where all you could hear was the sound of both of their breathing. that is, until barton's voice made a return, but the velvetiness from it is completely gone. when he answered the doctor's question, barton's voice had hiked up a few octaves and he let out a muffled sigh as if something was obstructing his speech. maybe he was biting on one of his nails, or he was covering his face with his hand. i was hard to tell, ❝ mm, no. you cannot. next question, please. ❞ now it was doctor bowman's turn to adjust his position on what was probably a chair that he was sitting on. the sound of crinkling leather resounded through the speaker, and doctor bowman chose to try to pry an answer out of him. ❝ look, barton, if you ever hope to get better then you must realize that it's going to take some discom — ❞ doctor bowman paused mid-sentence as a gasp suddenly left his mouth and the sound of something crashing to the floor resounded through the room they were in. it resembled breaking glass, maybe from a lamp, or something similar.
doctor bowman's voice trembled at the beginning when he began talking once more, but it became steady after a few more seconds as he was trained to keep it neutral, ❝ barton, why... why do you have that? no, how did you get that? ahh. you know what, i'm going to call the orderlies, ❞ what ' it ' is is unclear. the sound of shuffling, then what was probably the weight of the doctor himself being forced back down onto the chair, came through the speaker. doctor bowman attempted to say something but was cut off, now letting out another gasp. barton's voice sounded a lot quieter now, but there is a certain coldness to it. a fury, if you will, ❝ you call them, and i will kill them, then you. you think you know why march is a terrible time for me because i can guarantee you that it was scrawled down in that folder. but you actually have no fucking idea. ❞
instead of asking him to elaborate more, doctor bowman tried to appeal to the more human side of him. he sucked in a breath before coughing. ❝ do — do not do this. you know what is going to happen if you do, don't you? if you just put the knife down right now, i promise you, i'll make it so that you aren't going to face as severe of repercussions from this. ❞ another cough, and just like that, barton's voice wrang throughout the room. it was deceptively sweet now, like he was relishing in the other's terror. a series of low-pitched laughs came from him. ❝ ooh my god, doctor, you should've been a comedian. no... i'll tell you what you want to know, since you are one persistent person. and so you'll have something to think about while you're gurgling on your own blood. this is the month in which my biological father was killed by the worst pig of them all: jim gordon. but it wasn't just that he was killed that makes it so rough for me. ❞
barton inhaled deeply, clearing his throat, ❝ it's that i wanted to kill him, too. i thought about grabbing a knife from the kitchen, sneaking into his bedroom, and killing him multiple times. but that's not even the worst part. ❞ another laugh came from barton but it wasn't sadistic, or even snide. it was choked-sounding. ❝ despite all of the foul things he did to me, i think a part of me still loves him. i mean there can't be any other reason why i would want to keep a part of him, ❞ there was a long pause then before he sniffled and the sound of crinkling leather once more crept through the recording.
❝ ahh, but you know, you were one of the better ones. it's a shame i have to kill you. ❞ a high-pitched scream soon blared throughout the room in which this was recorded, before the room fell entirely silent. the only sounds after this were footsteps, which were undoubtably barton's, and the recorder being turned off. ]
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avatarofwar · 1 year ago
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i saw you talk about wolf a few times from sekiro and was wondering if you'd want to share more of your thoughts on him or sekiro as a whole, the game really interests me compared to other dark souls games so i wanted to ask
sorry for the late reply but oh boy do I have thoughts abt wolf. trying not to spoil the game, so I'm gonna refrain from talking about the story. might go into just restating known things about the game, but I'd much rather play it safe and not spoil the story
before going to that. the game is very much different from dark souls (setting wise, while taking place in a fictional country it is in a historical setting. I cannot comment on the setting properly bc I don't know much about the time period, however), most notably in the combat (primarily shifting from a dodge-centric playstyle to a parry-centric playstyle (significantly easier than dark souls/elden ring parrying, however), with dodges having significantly shorter i-frames and being very unreliable for dodging attacks). it's very different but something I really enjoy, even if I'm not as good as I am at typical soulsborne combat. it's really fun when you get the hang of it, and while I might not be The Best at it (which is mostly bc of how different it is from soulsborne games, so ofc I'm not as good at is as I am at the other fromsoft games I've played), it's something I can still enjoy
a huge thing about sekiro is the difference in how the story is told. in soulsborne games the story is something you have to figure out; progressing through the main path doesn't give you enough to piece everything together if you don't read any lore. with sekiro, however, the story is significantly more obvious, on account of the playable character having unique ties to the world and its characters, rather than going the soulsborne route of being one of many people (wording hard, but the chosen undead for example is no one special, just one of many undead trying to link the flame). it's a very different method of storytelling, but is still something really good. for as much as I adore having to actively hunt down lore and story in soulsborne games, it's also great experiencing story through natural game progression
wolf is also canonically disabled (loses his left arm at the start of the game) and has a really fucking cool prosthetic that is a whole part of the combat system (even though I personally keep forgetting to use it). so good for him. he deserves a prosthetic that can have deadly weaponry attached to it. like a mini-flamethrower. he deserves a mini-flamethrower, as a treat.
putting the wolf thoughts beneath a read more because this is getting long and I might spoil some stuff (mostly relationship with another character, I'll try to refrain from story spoilers. also spoilers in general, but there might be some), and he has definitely become a blorbo (additionally, content warning for abuse)
first of all. wolf makes me want to throw myself off a cliff and I mean this in the most positive way ever. he is great and I love him but man he needs so much fucking therapy and he doesn't even realise it (therapy probably doesn't exist in that time period, but besides the point). he is very much traumatised and has been heavily shaped by it and doesn't even know it.
prior to the events of the game (I forgot how long ago it was) he was orphaned by war and got taken in by owl, a shinobi and also a piece of fucking garbage. owl raises wolf to be a shinobi under the iron code, with the number one rule being loyalty to his father (owl), with his master (kuro, the divine heir) a close second (and also to give his life for his master if necessary. which is also a whole other thing to get into).
owl is very explicitly abusive. he raises wolf as a tool rather than a person, and that upbringing severely affects wolf as a character - he is an incredibly capable shinobi, but lacks any skills other than that; he does not know how to be a proper person, he is a loyal wolf, but he does not know how to be anything other than that. hell, without spoiling too much about the context, there is a cutscene in which owl actively attempts to guilt trip wolf, going as far as using fake tears (saying anything specific is very spoilery. this isn't even the only horrid thing he's done, but I'm trying to refrain from too many spoilers).
wolf canonically does not value himself without anyone to serve (we see this at the beginning of the game, as events prior to the start of the game not yet known about leads him to believe he has no one to serve, and thus no purpose, so he isolates himself from the world in a well for 3 years). while he does have compassion for others (most notable example being concern over victims of dragonrot), he starts off the game driven primarily by duty. he is loyal to a fault, willing to do anything for kuro, but also valuing his service to kuro more than himself (cannot remember the exact wording, but when kuro expresses concern for how many times wolf has died for him, wolf states that it does not matter as it was in service to him).
there's also the fact that wolf canonically eats uncooked rice and genuinely doesn't know - as a fully grown adult - you are supposed to cook it, which is... genuinely something awful if you truly think about it and what more it implies about his upbringing especially considering it's one of the most basic things you could learn how to make (just... says a lot about owl if you seriously think about it).
he is a loyal wolf, but he doesn't know how to be more than that. he doesn't know how to just... exist for himself, to be his own person separate of his duty and he doesn't even recognise just how fucked up it is, because how could he, when he was shaped into this as a child, when his own father wanted him to be nothing more than a tool to use.
I could say a lot more about his relationships with other characters (that are actually good people) and how it just. makes me lose my mind, but this post is almost 1k words. so, simply put, kuro genuinely caring about him makes me so fucking emotional, especially bc of owl; his father might be horrible and an abuser, he might not know how to be more than he was raised, but at the very least he can serve someone who actively cares about him and his wellbeing.
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scarletcomet · 8 months ago
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scrolling through instagram and it's making me want to die
#i know instagram doesn't represent ppls real lives#but that doesnt change the fact that i don't have many friends who care about me#and almost everyone my year is graduating and celebrating#i am so fucking lonely. i don't think any of my school friends miss me#24 days self-harm free but i might say fuck it and relapse tonight#why though? i guess i just need some way to express how im feeling inside. or maybe it's to punish myself or because im feeling worthless#it's been over a year now since i first reached out to professionals for help for this depressive episode#over a year and im still as lost as ever. i know im doing so much better than i was but i still feel so awful every single day#i feel like i still need to be doing a lot better before i can go back to school#i feel so stuck and hopeless. i know I've made so much progress but i don't feel as if ill be able to make anymore progress#i feel like I've hit a wall and ive tried everything#my therapist told me to just keep eating sleeping and getting movement in everyday and be patient#ive been going on walks every day for like 2 weeks now and i dont feel any difference#seeing my psychiatrist wednesday and im hoping she will have an idea of what to do#i hope it's not just slightly adjusting my meds or even just trying a different antidepressant (not many left i haven't tried)#i also worry that im not bad enough for more intensive treatments like ECT or ketamine#if she tells me that i just need more therapy or another group i might just fucking end it#idk like i kinda feel like im fine and there's nothing wrong with me but at the same time i always am feeling so fucking depressed#i have had so much improvement but honestly part of me wishes i was still actively suicidal#idk what to do
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baconandvibrators · 2 years ago
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In the face of the violent transphobia I have decided to live as well and healthily as possible and my current focus is my physical health. I think I’m about ready to scare some transphobia in to shutting the fuck up.
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indecisive-v · 1 year ago
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ok guys i've never been more tense about a vote than this which says a lot because i am a milgram fan but
please vote molly i am on my knees
Overworked Blorbo Battle Round 3 Poll: 11
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gingersnapwolves · 9 days ago
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So today I want to talk about puberty blockers for transgender kids, because despite being cisgender, this is a subject I’m actually well-versed in. Specifically, I want to talk about how far backwards things have gone.
This story starts almost 20 years ago, and it’s kind of long, but I think it’s important to give you the full history. At the time, I was working as an administrative assistant for a pediatric endocrinologist in a red state. Not a deep deep red state like Alabama, we had a little bit of a purple trend, but still very much red. (I don’t want to say the state at the risk of doxxing myself.) And I took a phone call from a woman who said, “My son is transgender. Does your doctor do hormone therapy?”
I said, “Good question! Let me find out.”
I went into the back and found the doctor playing Solitaire on his computer and said, “Do you do hormone therapy for transgender kids?” It had literally never come up before. He had opened his practice there in the early 2000s. This was roughly 2006, and the first time someone asked. Without looking up from his game of Solitaire, the doctor said, “I’ve never done it before, but I know how it works, so sure.”
I got back on the phone and told the mom, who was overjoyed, and scheduled an appointment for her son. He was the first transgender child we treated with puberty blockers. But not, by far, the first child we treated with puberty blockers, period. Because puberty blockers are used very commonly for children with precocious puberty (early-onset puberty). I would say about twenty percent of the kids our doctor treated were for precocious puberty and were on puberty blockers. They have been well studied and are widely used, safe, and effective.
Well. It turned out, the doctor I worked for was the only doctor in the state who was willing to do this. And word spread pretty fast in the tight-knit community of ‘parents of transgender children in a red state’. We started seeing more kids. A better drug came out. We saw some kids who were at the age where they were past puberty, and prescribed them estrogen or testosterone. Our doctor became, I’m fairly sure, a small folk hero to this community. 
Insurance coverage was a struggle. I remember copying articles and pages out of the Endocrine Society Manual to submit with prior authorization requests for the medications. Insurance coverage was a struggle for a lot of what we did, though. Growth hormone for kids with severe idiopathic short stature. Insulin pumps, which weren’t as common at the time, and then continuous glucose monitoring, when that came out. Insurance struggles were just part and parcel of the job.
I remember vividly when CVS Caremark, a pharmaceutical management company, changed their criteria and included gender dysphoria as a covered diagnosis for puberty blockers. I thought they had put the option on the questionnaire to trigger an automatic denial. But no - it triggered an approval. Medicaid started to cover it. I got so good at getting approvals with my by then tidy packet of articles and documentation that I actually had people in other states calling me to see what I was submitting (the pharmaceutical rep gave them my number because they wanted more people on their drug, which, shady, but sure. He did ask me if it was okay first).
And here’s the key point of this story:
At no point, during any of this, did it ever even occur to any of us that we might have to worry about whether or not what we were doing was legal.
It just never even came up. It was the medically recommended treatment so we did it. And seeing what’s happening in the UK and certain states in America is both terrifying and genuinely shocking to me, as someone who did this for almost fifteen years, without ever even wondering about the legality of it.
The doctor retired some years ago, at which point there were two other doctors in the state who were willing to prescribe the medications for transgender kids. I truly think that he would still be working if nobody else had been willing to take those kids on as patients. He was, by the way, a white cisgender heterosexual Boomer. I remember when he was introduced to the concept of ‘genderfluid’ because one of our patients on HRT wanted to go off. He said ‘that’s so interesting!’ and immediately went to Google to learn more about it. 
I watched these kids transform. I saw them come into the office the first time, sometimes anxious and uncertain, sometimes sullen and angry. I saw them come in the subsequent times, once they were on hormone therapy, how they gradually became happy and confident in themselves. I saw the smiles on their faces when I gave them a gender marker letter for the DMV. I heard them cheer when I called to tell them I’d gotten HRT approved by insurance and we were calling in a prescription. It was honestly amazing and I will always consider the work I did in that red state with those kids to be something I am incredibly proud of. I was honored to be a part of it.
When I see all this transgender backlash, it’s horrifying, because it was well on the way to become standard and accepted treatment. Insurances started to cover it. Other doctors were learning to prescribe it. And now … it’s fucking illegal? Like what the actual fuck. We have gone so far backwards that it makes me want to cry. I don’t know how to stop this slide. But I wrote this so people would understand exactly how steep the slide is.
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always-a-slut-4-ghouls · 2 months ago
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All I can do until we see what happens with this election is hope, distract myself, and try to get others to vote, because if I think too hard about it my anxiety and depression gets worse and the voice in the back of my head that tells me to hurt myself and go hide in the woods or something gets louder
#emma posts#I guess I could also try to make offerings as a way to cope#depression#anxiety#the voice in the back of my head that tells me to kill myself keeps getting more chatty#I don’t think I’d go that far though#my desire to do anything keeps getting weaker#I’m scared#I can only do this and think ‘wouldn’t it be funny if we had something else crazy in fandom on the 5th?’#I have a therapy appointment for the first time in months scheduled for Friday#when i scheduled it it was coincidental timing but this might be a good thing#I am also thinking about changing therapists if my long time one feels dismissive of my concerns#I think ‘maybe I should have paid a visit to my family this week actually’ and then I remember that one brother moved back in with#my parents again and I’m like ‘actually maybe it’s best if I keep some distance for a bit. I can still text my parents about stuff’#i don’t want to be scared of that brother and I don’t think he’d ever hit me or anything. but it’s hard to be around him sometimes#he just gets so angry and he won’t get treatment like the rest of us do#he even called my other brother a slur and said ‘he was being sensitive about it’ and I was torn between staying hidden and throwing hands#but he’s way bigger than me and that would have just exilated things#he yells so loud and slams doors and says things that hurt and scare me and I just want to hide away. it’s not good#he refuses treatment for his issues and insults the rest of us for getting it for various issues of our own and he falls for so much#propaganda shit that’s supposed to draw third party people into that conservative fascist bigotry shit#the rest of the family can have totally chill conversations with each other even about politics but he just lashes out and I freeze up like#a scared rabbit. it’s different when it’s brought into one of the places you feel safest#and it’s somehow even harder when it’s your little brother and not your weird uncle#my parents are democrats who are more left than the actual party and my other brother isn’t really into politics#my parents kinda encouraged us to develop our own opinions though and it’s lead to me being really far left and my other brother#being in a really weird position where he thinks he’s some outsider but keeps falling for republican stuff#I know I would get angry for some similar psychological reasons when I was younger before treatment and maturity. but I was 13!#he’s a tall athletic man in his mid twenties! it’s a bit different!#I can see what lead him there. but he’s just been worse about it and it’s scary
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himalayaan-flowers · 2 months ago
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mental health experts are not a thing
#i don’t think anyone should claim to be one#as someone who has been through many many mental health trainings and has various certificates and volunteered for a suicide helpline#and whose job is v closely to do with mental health#no one really knows what they’re doing#we’re all just winging it#yes there’s some evidence for cbt helping some people but it’s not going to help with v deep seated issues#also i know my own personal experience is not everyone’s but it has not been good#i remember going to talking therapy for the first time and saying idk what I’m doing#and they said you need to remember WE know what WE’RE doing#i used the service twice & they did not#i’m sure they were kind#well meaning compassionate people and i admire them for that#but it’s frustrating being encouraged to trust people bc they’re ‘professionals’#and then seeing they have no idea how to help#a psychiatrist told me he could make my bdd go away#he just kept asking me if I thought he was delusional bc he thought I looked okay#no but that doesn’t make me delusional either#we just have different standards and values#one bdd ‘expert’ literally said nothing about BDD the entire time#he was nice though & we talked about his pets p much the entire time#had one meeting with a counsellor who gave me factually incorrect information then told me i was wrong even though i could easily prove it#one bdd ‘expert’ at least was honest with me that she couldn’t help#bc ‘you can only get better if you’re doing it for you not your parents’#another lady thought that if she could get me to retrain my attention that would solve everything#basically ‘just think about other things’#a lady at the counselling place at uni told me to read a book on social anxiety#one psychiatrist asked me what celebrity I’d like to look like#said oh I see it you look like her#I do not#then a bit later said I think you look way better than her
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