so while i was writing the book, i became violently suicidal.
this was mostly due to the fact that i had a very bad reaction to some meds and my brain stopped producing any serotonin. also i was in the last semester of grad school where it's actually illegal to feel anything but dread. so it wasn't going well.
somewhere in the fog of it i became aware i needed help. nobody was taking clients or my insurance. i didn't want to do inpatient care - it wasn't right for my needs. there's not really an "in between" stage between "inpatient" and "no care," but i was trying to do the right thing. i was trying to activate the chain of command that was my emergency plan. i knew i needed help now.
i used betterhelp.
i know, i know. i'm a straight-A student and so smart and so clever, how could i ever use something so blatantly bad. to be honest with you, i didn't feel particularly keen on it from the getgo - things that seem too good to be true usually are. also, if something online is free, the price is usually your privacy.
the thing is that there was kind of a global pandemic happening at the time and i worked 5 jobs alongside of being a fulltime student and also like writing a book on the side. it is a miracle that i even thought about getting help. i would love to tell you i had the mental wherewithal to like, process whether this was the right choice for me. mostly i was desperate. i was so suicidal that i was trying to find a reason to stay inside of fortune cookies. i was the kind of suicidal that looks like splatterpaint. i hadn't been that bad in an entire decade.
they took my data. i gave them it freely. somewhere out there, they have a dossier on me. on everything i survived. my story in little datapoints, scattergraphed beautifully.
the first woman told me that really i should be grateful, because (and this is a direct quote): "at least you're not anne frank." i said that i felt that statement was antisemitic, as anne frank's life and experience shouldn't be compared to like, a nonbinary lesbian in western massachusetts. the therapist said that i should try to use lucid dreaming to try to picture myself in an actually scary situation, like running from nazis.
i applied for another therapist. i was willing to accept the possibility that there was a bad apple in the bunch. the next therapist and i even laughed about how inappropriate that statement was. and then, in our next session: the new therapist said if i was struggling with body image issues, i should just work harder on my appearance. she spent 3 sessions in a row talking about how she was grieving, and made me memorize facts about her grandmother so "she can live on through my clients."
i am a three's-a-charm kind of person. okay, so what if the last person made me uncomfortable. i figured it was just a misunderstanding of priorities - she had felt she was sharing with me, i had felt like i had to take care of her. i applied for another therapist.
the last woman asked me to help her pray. she bowed her head. i stared at her, frozen, while she said: lord, i beg you: cure her. take the pain of being gay away from her.
i spent somewhere between 2.5 and 3 months on betterhelp. in that whole time, i was not getting the professional help i so desperately needed, even though i was fucking trying.
in the end, i survived this because i finally could get off the meds that were literally killing me. a request for a real therapist finally went through. i survived because my friends saved my life. because nick let me sob myself dry in his arms. because maddie took the razors out of my room when i asked them to. because grace slept over in my bed for like 3 weeks in a row since nobody trusted me not to hurt myself when i was alone. i survived because i got fucking lucky. because even when i was desperately suicidal, i was too old and too self-aware to take "you need to be prettier" as good advice.
the thing is that there's a 19 year old me who isn't like that. who would have heard "just think about how grateful you should be" and said - oh, i see. i would have assumed that is what it means to be in therapy: the same thing my abusers used to tell me. that i am just pretending and lazy. that i am ugly and unworthy.
betterhelp positioned itself to take advantage of an incredibly vulnerable community. it preys on desperation. it knows it is serving people who are not doing well mentally. it saw that there is a huge need for real, immediate, compassionate mental health care: and then it fucking takes your money and privacy.
i still get their ads on instagram. last night i watched as a woman in a pool pretends to talk to a different woman. they discuss her anxiety.
there's a 19 year old version of me, and she didn't survive this. she was too tired, and drowning. i almost fucking died. this thing almost fucking killed me.
in the ad, the woman playing the therapist takes a note on a clipboard and then nods once, sagely.
i have to admit it's a pretty scene. the steam and light coming off the pool water lands on the actresses. like this, it almost looks baptismal, holy.
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The Forgotten History of the World’s First Transgender Clinic
I finished the first round of edits on my nonfiction history of trans rights today. It will publish with Norton in 2025, but I decided, because I feel so much of my community is here, to provide a bit of the introduction.
[begin sample]
The Institute for Sexual Sciences had offered safe haven to homosexuals and those we today consider transgender for nearly two decades. It had been built on scientific and humanitarian principles established at the end of the 19th century and which blossomed into the sexology of the early 20th. Founded by Magnus Hirschfeld, a Jewish homosexual, the Institute supported tolerance, feminism, diversity, and science. As a result, it became a chief target for Nazi destruction: “It is our pride,” they declared, to strike a blow against the Institute. As for Magnus Hirschfeld, Hitler would label him the “most dangerous Jew in Germany.”6 It was his face Hitler put on his antisemitic propaganda; his likeness that became a target; his bust committed to the flames on the Opernplatz. You have seen the images. You have watched the towering inferno that roared into the night. The burning of Hirschfeld’s library has been immortalized on film reels and in photographs, representative of the Nazi imperative, symbolic of all they would destroy. Yet few remember what they were burning—or why.
Magnus Hirschfeld had built his Institute on powerful ideas, yet in their infancy: that sex and gender characteristics existed upon a vast spectrum, that people could be born this way, and that, as with any other
diversity of nature, these identities should be accepted. He would call them Intermediaries.
Intermediaries carried no stigma and no shame; these sexual and Gender nonconformists had a right to live, a right to thrive. They also had a right to joy. Science would lead the way, but this history unfolds as an interwar thriller—patients and physicians risking their lives to be seen and heard even as Hitler began his rise to power. Many weren’t famous; their lives haven’t been celebrated in fiction or film. Born into a late-nineteenth-century world steeped in the “deep anxieties of men about the shifting work, social roles, and power of men over women,” they came into her own just as sexual science entered the crosshairs of prejudice and hate. The Institute’s own community faced abuse, blackmail, and political machinations; they responded with secret publishing campaigns, leaflet drops, pro-homosexual propaganda, and alignments with rebel factions of Berlin’s literati. They also developed groundbreaking gender affirmation surgeries and the first hormone cocktail for supportive gender therapy.
Nothing like the Institute for Sexual Sciences had ever existed before it opened its doors—and despite a hundred years of progress, there has been nothing like it since. Retrieving this tale has been an exercise in pursuing history at its edges and fringes, in ephemera and letters, in medal texts, in translations. Understanding why it became such a target for hatred tells us everything about our present moment, about a world that has not made peace with difference, that still refuses the light of scientific evidence most especially as it concerns sexual and reproductive rights.
[end sample]
I wanted to add a note here: so many people have come together to make this possible. Like Ralf Dose of the Magnus-Hirschfeld-Gesellschaft (Magnus Hirschfeld Archive), Berlin, and Erin Reed, American journalist and transgender rights activist—Katie Sutton, Heike Bauer. I am also deeply indebted to historian, filmmaker and formative theorist Susan Stryker for
her feedback, scholarship, and encouragement all along the way. And Laura Helmuth, editor of Scientific American, whose enthusiasm for a short article helped bring the book into being. So many LGBTQ+ historians, archivists, librarians, and activists made the work possible, that its publication testifies to the power of the queer community and its dedication to preserving and celebrating history. But I ALSO want to mention you, folks here on tumblr who have watched and encouraged and supported over the 18 months it took to write it (among other books and projects). @neil-gaiman has been especially wonderful, and @always-coffee too: thank you.
The support of this community has been important as I’ve faced backlash in other quarters. Thank you, all.
NOTE: they are attempting to rebuild the lost library, and you can help: https://magnus-hirschfeld.de/archivzentrum/archive-center/
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