+I got the sense that the shrinks didn't quite know what to make of me. In the process of drafting this post, I was happy to discover that the [notes from the appointments](TODO: compile ancillary page and linky) were later made available to me via the provider's website [(despite this practice introducing questionable incentives for the shrinks going forward)](https://www.reddit.com/r/slatestarcodex/comments/jia4ox/has_scott_written_about_this_im_curious_what_his/ga6vhke/); it's very amusing to read (for example) one of the LCSW's note about discussing my case with the department director and "explor[ing] ways in which pt's [patient's] neurodiversity may be impacting his ability to think about desired gender changes and communicate to therapists".
+
+I was happy to sit through the sessions as standard procedure rather than [going DIY](https://diytrans.wiki/How_to_Begin_HRT), but I was pretty preoccupied with the thing about how [_everyone had been lying to me about the most important thing in my life for fourteen years_](/2017/Jan/im-sick-of-being-lied-to/) and the professionals were _in on it_, and spent a lot of the sessions ranting about that. I gave the psychologist and one of the LCSWs a copy of _Men Trapped in Men's Bodies: Narratives of Autogynephilic Transsexualism_. (The psychologist said she wasn't allowed to accept gifts with a monetary value of over $25, so I didn't tell her that it actually cost $40.)
+
+Actually, [it's worse](/2016/new-clothes/) than if they were in on it. In some ways, it would be _better_ if the professionals secretly agreed with me about the typology and were cynically lying in order to rake in that sweet pharma cash. But they're not—lying. They just, have this whole paradigm of providing ["equitable" and "compassionate" "gender-affirming care"](https://thrive.kaiserpermanente.org/care-near-you/northern-california/eastbay/departments/gender-affirming-care/) which is transparently garbage-tier epistemology ([for a belief that needs to be affirmed is not a belief at all](/2020/peering-through-reverent-fingers/)), but is so pervasive within its adherents' milieu, that they don't even know how to interpret observations someone not buying it even when you state your objections very clearly. Before one of my appointments with the LCSW, I wrote to the psychologist expressing frustration about the culture of lying (and noting that I should probably chill out before tinkering with my biochemistry), and she wrote back:
+
+> I agree with you entirely, both about your frustration with people wanting to dictate to you what you are and how you feel, and with the importance of your being emotionally stable prior to starting hormones. Please explain to those who argue with you that it is only YOUR truth that matter when it comes to you, your body and what makes you feel whole. No one else has the right to dictate this.
+
+I replied:
+
+> I'm not sure you do! I know condescending to patients is part of your usual script, but I hope I've shown that I'm smarter than that. This solipsistic culture of "it is only YOUR truth that matters" is _exactly_ what I'm objecting to! People can have false beliefs about themselves! As a psychologist, you shouldn't be encouraging people's delusions; you should be using your decades of study and experience to help people understand the actual psychological facts of the matter so that they can make intelligent choices about their own lives! If you think the Blanchard taxonony is _false_, you should _tell_ me that I'm wrong and that it's false and why!
+
+Similarly, the notes from my first call to the gender department claim that I was "exploring gender identity" and that I was "interested in trying [hormones] for a few months to see if they fit with his gender identity". That's not how I remember that conversation! _I_ distinctly remember asking if the department would help me if I wanted to experiment with HRT _without_ socially transitioning. That is, I was asking if they would provide medical services _not_ on the basis of "gender identity". Apparently my existence is so far out-of-distribution that the nurse on the phone wasn't capable of writing down what I actually said.