It is 15 years since my Diagnosis. I may have posted here about this issue, but can not find anything of mine on the subject.
What follows is my own opinion only, and could be seen as a progress report perhaps?
When I was first seen, I had started reacting strongly to very harsh childhood abuse. I was in my mid 30s when it began to be clear that there were emotional things going on that I could not control. The Psychological community of the 1980s didn't know what PTSD was, and did not know how to treat it. Today, I think they have learned much more, and my outcome would likely have been different if they had known more.
In the 50s and 60s, if a child reacted to abuse by a parent, it was almost impossible to get help. Lots of us died, and some of us worse yet, went on to live very troubled lives, and blamed themselves for all the pain.
I do not understand why or how it all happened, but as an adult, I avoided most of the painful things that my brothers and mother suffered. I became religiously devout but did not know that it would not solve all my problems.
Starting in the early 2000s, there was a very serious breakdown, and the folk treating me felt I had Gender Identity Dysphoria. Now, in nearly 2020, it is clear that my wanting to be the other gender was driven by my hatred of everyone who was my gender, male. They said I had the worst case of PTSD they had ever seen and this was at a VA hospital.
In my opinion, the TG designation and subsequent surgeries and hormones in most cases, is not appropriate at all. I probably can not stamp out the TG phenomenon but my intention is to see that there can be an alternative.
I got off all the Psych. Meds. in 2008, but remain addicted to Trazodone. I'm at 75 mg a day to sleep, and am trying to slowly titrate off of it. I was down to less than 50 but developed severe nightmares, so went back up to 100 mg. The future is uncertain on this issue.