My First Reactions

How did I react when my child came out?
Many may wonder... In fact, it is a question I get a lot.

My kid is a special child in many ways. We have never done the official diagnosis test, but with the instincts of a mom, I knew my kid had Asperger, which is the higher IQ side of the autism spectrum, and the best examples I could think of would be (1) Lauri Love, a British young man that hacked the whole U.S. FBI and DoD websites back in 2012-2013 (see updates on his case here), and (2) Elon Musk (read more on his growing up with Asperger). She became more normal as she grew.

Most autistic people don’t really fit in socially, and this might extend to ideas around gender (gender dysphoria) even though there is not enough statistically reliable evidence (read more on the connection between gender dysphoria and autism). I am a mom that always knew my kid was different, so, I approached the problem that way.

Let's get to the points. Here are the strongest emotions I had when my child came out to me, as subtly as she could be, but as soon as she was approaching her 16th birthday. She had done all the research needed; she knew she could start (hormone) treatment at 16+ (at least in New York State and/ or in the more conventional models - unconventional informed consent model does not require it, see this post), and she knew she would need my support to get it started. 

1. I was shocked because it by then had been a distant concept in my extended family. I have many LGBTQA+ friends but with my own kid, it hit differently. But not too much because my kid had primed me up days and weeks and months leading to that moment.

2. I was sad and extremely worried. Many friends of mine would say "well, it is very common now, you'll be fine". Yes, I sure will be. But, I worried that my kid would be discriminated, would not find love. Beyond that, I was sad my kid might not become a biological parent.

3. I got peace with it completely within just a week or two. My divorce was the rock bottom; everything else is easier. I realized, if my kid was brave enough to embrace this, meaning, facing discrimination, going through physical challenges, then why can't I support her?

4. I grew so much grey hair within 2 months. This was surprising because, like I said, I was overthinking for no more than 2 weeks and after that, it was mainly a lot of research, a lot of education for myself, many phone calls for doctor's appointments. I was not at all in anxiety.

5. I developed guilt months later. As we got more into this new journey and things started, I regreted a lot of things. Such as, why I imposed boyish outfits, boyish hairstyle, even boyish expectations on my kid all these years, and why I did not have the gut to know sooner...

6. I became sensitive and aware of random people around me. My kid said "I just want to pass", meaning, being a girl in all aspects, but mainly the look and the voice. I started seeing transgenders everywhere, and I wanted to compliment their look, but I could not.

7. I broke it out to my social network whenever I could. At the beginning, I actually chose to share it with the most conservative friends I could think of. My rational thinking was, if I could defend my kid against them, everyone else will be so easy. But there are still so many to tell.    

8. I connected with other LGBTQ+ parents. I first focused on transgirl moms because we need the guidance, the tips, and the support. But soon I learned that we are far from alone and there are families within my social network that are going through similar experiences.  

Moms, dads, siblings, thank you for being there for your loved ones.

Texas - Resources for transgender youth

https://www.aclutx.org/en/campaigns/resources-transgender-youth-texas

https://www.txtranskids.org/

States with harsh legislature

https://apnews.com/article/politics-health-texas-state-government-tennessee-minnesota-878a9217fa434f3ecd83738a71e40572

https://www.pbs.org/newshour/show/parents-concerned-as-new-state-laws-restrict-rights-of-transgender-children

https://www.thepinknews.com/2023/03/03/amber-briggle-trans-family-texas-investigation-year-later/

 

Subconscious ignorance

 https://slate.com/technology/2023/04/gender-affirming-care-texas-teen-trans-boy.html

 Will summarize this great story from a mom of a trans boy and to add my personal experience as a mom of a trans girl.

 

Texas Legislature - LGBTQ Bills

Senate Bill 14

https://www.texastribune.org/2023/03/06/texas-legislature-lgbtq-bills/

https://www.texastribune.org/2023/04/03/texas-senate-transgender-children-puberty-blockers-hormone-therapy/

https://www.marketplace.org/2023/05/08/a-family-fled-texas-to-protect-their-transgender-child-theyre-still-afraid/

 To be summarized later

 

 

Texas - Transgender Youths and CPS

https://texaslawhelp.org/article/transgender-youth-cps

To be summarized later

Informed Consent Model of HRT

HRT stands for Hormone Therapy Treatment.

If you remember from one of my previous posts, the transitioning journey for trans may include three major phases, (1) social transition (non-medical such as pronouns, clothing, hairstyle, or voice), (2) hormone therapy (which will be a life-long commitment), and (3) the optional (bottom) surgery (it is not only expensive but also dangerous, sometimes, life-threatening). (Note: bottom surgery can be done on 21+, so, for the moment, it is very much on the back burner and we do not even think much about it, other than struggling with finding the good panties - I may need to start a line of product one day!).

The legal requirements for adolescents to receive HRT vary from state to state since the federal government does not specify anything about hormone therapy or puberty blocker for adolescents, although the Biden administration has done a few things to promote access to health care and to prohibit discrimination in providing health care to the LGBTQA+ community. 

(Note: hormone therapy is done at later stage when teens already underwent their puberty years, most significantly, trans girls have already developed deep voices that could not be reverse with HRT; and puberty blocker is done at early stage, typically for pre-teens, so that trans girls do not have to deal with deep voice, among other things such as body hair and odor, wet dreams or erections, and trans boys do not have to deal with enlarged breasts).

https://www.kff.org/other/issue-brief/youth-access-to-gender-affirming-care-the-federal-and-state-policy-landscape/

Four states, including Arkansas, Texas, Arizona, and Alabama (in that chronological order), have recently in 2021/2022 enacted restrictions on limiting LGBTQA+ youths' access to HRT (gender-affirming health care). Fifteen other states are considering pieces of similar legislation. Some examples are: criminalizing or imposing professional disciplinary action, penalizing parents aiding, permitting individuals to file for damages against providers, and limiting insurance coverage or payment, among many other little things such as "the bathroom bills" or "don't say gay" bill.

Meanwhile, some states have adopted broad non-discrimination health protections based on gender identity and sexual orientation, including:

- Prohibitions on health insurance insurance discrimination based on sexual orientation, or

- Requirements that state Medical programs explicitly cover health services related to gender transition

The implication is that youth access to gender-affirming care boils down to state policies. In our particular case, we are stuck in a conundrum. I just quit a state-employed job in New York, where not only the access is great but the facilities are familiar with tons of youth transitions; I am now working a state-employed job in Texas, where I decided NOT to add my children to a family plan to avoid any legal issue towards me aiding my child (potentially considered child abuse); we are still living in New York where our base home is and we do not have a New York-sponsored medical plan; I decided to have my children added to their father's family plan which is based on a state-employed job in California, and while California is even more open and progressive than New York, my child has to either fly in to get in-state health care, or receive out-of-state health care, which is subject to a different set of rules.

Long story short, we have been very patient (while being somewhat frustrated) with months and months of waiting - waiting to figure out the process, for the next appointment with a doctor (or even a nurse practitioner from Gender Health Services under Adolescent Medicine), for the sorting out of insurance benefits and the upgrading to a better plan that would cover out-of-state health care, and finally, the jigsaw puzzle pieces fall a bit together. We now have three different options (note that there is a fourth):

(1) Kid could fly out to California, especially for the first appointment in-person (COVID allowed for many virtual setups but we are post-COVID now), and hopefully, depending on the physician, they may or may not allow subsequent visits to be done virtually (since the refills should not be a problem).

(2) Kid could receive the treatment from a local prestigious hospital, but the law in New York State would require months of consulting with a therapist (pediatric psychologist, basically) to talk about the emotional struggles, to make sure this is the right decision before getting a letter of support. 

(3) Kid could alternatively opt in for a newer approach called the "informed consent model" where we could cut off the months of therapy (where no DNA or blood test is done, just self-reported symptoms) and sign a consent form to acknowledge the potential risks that might come with receiving HRT.

(4) This scares me as a mom. My kid threatens to buy cheap hormone treatments off some dark website if she could not get HRT that she has been craving for. While I don't think HRT is the magic potion that will take her depression away overnight, my heart dropped she might actually do it.

Do some research, consider the so many plans you could possibly have, including flying/ driving to a different state, including alternative health care providers. It is a tough battle and I can't wait to finally have our very first HRT appointment tomorrow (under the "informed consent model").

2023 will be a better year for sure! 

Ref: https://journals.sagepub.com/doi/abs/10.1177/0022167817745217?journalCode=jhpa

 

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