When I say that the journey of transgender people is 95% psychology I am not remotely exaggerating. In my life the vast majority of my effort was focused there.
Recently, I watched a video by a gender therapist discussing transition goals where the message included imagining what your desired end result was. She gave out a typical list which many aim for but I would argue that comfort in one's own skin before anything is done is crucially important. This is 100% psychology.
I remember overplaying and dramatizing things that today I can laugh at. Walking around the block at 14, making purchases in a store in my early 20's, walking down a busy street or (perish the thought) riding the metro during rush hour were things which played in the mind to the point of obsession. It isn't until you fully realize the extent of our self-sabotage that you begin to focus much more on the paralysis than on what you wear which is largely irrelevant.
Transition, whatever that means for you, is primarily about achieving wholeness as a person. Transitioning into wholeness if you will.
It is psychology which answers the very fundamental question "who are you?"
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