Brianna Wu

As I go through life, I'm gendered correctly.

I feel great, and I don't feel a clinical level of distress about that anymore.

And I feel like in this rush to correctly point out that gender dysphoria is a mental illness, I think sometimes we forget that there's a treatment for it that does work for some people, and that's gender transition.

On a very technical level, if you have someone that's a fetishistic cross-dresser, boo, by the way, outnumber actual trans women by between three for every one of us or 10 to every one of us.

This is actually a very common thing.

The correct way to deal with this psychologically is to help them accept themselves.

We used to call this dual role transvestism, where they would have an eroticized female self and then a male self that they actually enjoyed.

And the goal of therapy was to help them feel less stigma and to feel comfortable about this.

Today, the treatment that they're getting is, let's get you on antiandrogens and turn your fantasy into real life.

Well, this doesn't help for a lot of different reasons because, you know, the nature of the behavior is not going to actually live as a woman because they enjoy being men.

They enjoy having penises.

They're sexually attracted to women.

You know, if you put them on these drugs, they actually have their mental health worsen.

And this is a really good example how in trying to be kind to these people, we're actually not getting them the health care that they need.

Yeah.

I love this show.

Before I transitioned, I had a poly addiction.

I was doing literally every drug I could get my hands on.

I crashed out.

I went to the PEP program in Hattiesburg, Mississippi, which is the same program Tiger Woods went to for his sex addiction.