Jo Green, founder of Distinction Trans Partner Support and the author of The Trans Partner Handbook, explores the importance of talking openly about mental health when you are in a relationship with a trans individual.
As Jo notes in the extract below, trans people are more likely than cis people to experience mental health issues, but communication is key for both parties to feel fully supported throughout transition. In this extract, we hear from the partners of trans people on their experiences of dealing with mental health issues.
Trans people are more likely than the cis population to have mental health issues, which are caused by a long history of gender dysphoria and/or chronic minority stress rather than by being trans (World Professional Association for Transgender Health, 2011). Minority stress is the increased stress of being part of a minority group, and it is due to the lack of awareness in the general population and consequent discrimination faced by people in a minority.
“I think the worst of this aspect was when my partner was growing up and the times when she contemplated suicide. This was at a time when there was no internet or groups visibly available. I feel very fortunate that my partner confided in me very early in our relationship, and the past 15 years, it has been a journey we have made together. I do have to reassure her that [I] will always be there for her, which I will be, and have given it lots of thought to be sure that this is a situation I can cope with and am happy to be in.” (Avril)
According to the World Professional Association for Transgender Health (WPATH), trans people can present with a number of mental health concerns, such as depression, anxiety and self-harm. They also present with compulsivity, substance abuse or sexual concerns, as well as being more likely to have suffered a history of abuse or neglect. Trans people are also more likely to suffer personality disorders, eating disorders or psychotic disorders. WPATH also notes that trans people are more likely to present with autistic spectrum disorders.
“I have learned to work with my partner’s mental health needs. [I] have learned cues that help me know when he is feeling anxious or stressed, and [I] encourage him to talk if he needs to or to seek medical assistance if there’s a need for that kind of support. It’s definitely not something to be ignored or avoided, and in most cases, it’s a requirement for the transition process.” (Julia)