Keeping Up With Jones: The Lonnie Jones Podcast Adventure

Attention, Belonging and Support. It's not what you owe someone or someone owes you but what you owe yourself. That becomes an investment in "US".

Life lived is life learned.

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The power of not just little things but little gestures. Things I can do and you can't or just things I can do for others.

With guest comments by Indy the Spanish Water Dog.

Life lived is life learned.

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The difference in diagnosing a delusion or deception is in discerning the distress.

The history and differential

Criteria: Gender Dysphoria in Adolescents and Adults 1

A marked incongruence between one’s experienced/expressed gender and assigned gender, of at least six months’ duration, as manifested by at least two or more of the following:

• A marked incongruence between one’s experienced/expressed gender and primary and/or secondary sex characteristics (or in young adolescents, the anticipated secondary sex characteristics)

• A strong desire to be rid of one’s primary and/or secondary sex characteristics because of a marked incongruence with one’s experienced/expressed gender (or in young adolescents, a desire to prevent the development of the anticipated secondary sex characteristics)

• A strong desire for the primary and/or secondary sex characteristics of the other gender

• A strong desire to be of the other gender (or some alternative gender different from one’s assigned gender)

• A strong desire to be treated as the other gender (or some alternative gender different from one’s assigned gender)

• A strong conviction that one has the typical feelings and reactions of the other gender (or some alternative gender different from one’s assigned gender)

The condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Caveats

• The Gender Dysphoria diagnosis functions as a double-edged sword. It provides an avenue for treatment, making medical and surgical options available to TGNC people. However, it also has the potential to stigmatize TGNC people by categorizing them as mentally ill.

• The ultimate goal would be to categorize TGNC treatment under an endocrine/medical diagnosis.

• In the past, TGNC patients were disproportionally diagnosed with psychotic/mood disorders to explain their gender variance. Because of this, many in the community are understandably skeptical of mental health and psychiatric care.

• There are some genetic explanations for gender dysphoria, categorized in DSM–5 by using the diagnostic specifier “with a disorder of sex development.” Parents and physicians of these patients are typically aware of the genetic anomaly from birth, with treatment beginning in childhood.

Ruling out Psychiatric Illness

• It is common for TGNC people who have grown up in an unsupportive environment to express symptoms characteristic with personality disorders. Impulsivity, mood lability, and suicidal ideation occur commonly. This does not necessarily qualify them for a personality disorder diagnosis because personality disorders are typically lifelong and pervasive. TGNC people typically show a reduction or disappearance of these symptoms once they are in a supportive gender-affirming environment.

• There are no studies indicating that psychiatric illness causes gender dysphoria as a consistent condition over time, although delusions or unstable personality characteristics may manifest as intermittent thoughts or feeling of gender incongruity. Additionally, TGNC people can have other psychiatric disorders (e.g., psychotic, bipolar, depressive, substance use disorders) just as anyone else that is not related to their gender variance.

• Gender dysphoric symptoms may be the primary focus of treatment, but don’t overlook the possibility that other psychiatric symptoms may need to be treated first depending on severity.

• TGNC people can have psychiatric symptoms of psychotic, anxiety, and mood disorders just like any other part of the population.

References

1. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing

Life lived is life learned.

To flip or flip out is not something to be decided flippantly. There is such a thing as spiritual abuse and that table needs to be flipped.

Life lived is life learned.

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The meanings we apply to things stick with us. The things we say are often the things that stick with other people. How did they or we get that idea? Well something we said stuck with them.

Life lived is life learned.

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Having been hurt and wounded is not permission to live hurt and wounded.

You might not be the only hurt person at the table, in the room or on the campus.

Life lived is life learned.

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It's really not about what you drive. It's more about what drives you. Don't focus on the external but on the internal...beacause that will be eternal.

Life lived is life learned.

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One of these things is not like the other...even though they have a lot in common similar does not equal same.

Life lived is life learned.

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We are multifaceted creatures. We must engage in four aspects in order to function optimally. Sometimes we get so tired we give up one for the other and that can spell disaster.

Life lived is life learned.

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Perfect does not mean flawless but rather complete. You can't measure complete unless you experience the whole gambit of life. Loosing may be part of being perfect. That's less about how the game turned out and more about how the players turned out.

Life lived is life learned.

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