“Self Harm and Depressive Thoughts Induced by Gender Dysphoria”

Ssri could help

Hi youngster: I can see that you are in a difficult situation but, with time and a correct treatment it can be improved. You are at an age in which some young people develop this problem. To address the issue, there are two issues that need to be addressed. I usually do not give advice without evaluating the patient but you have described very well your conflict and I can provide some basic advise.
1) I see that you have been diagnosed with anxiety and OCD. It is likely that these conditions are increasing the feelings you have and if treated properly, you would have some relief. The dose of Zoloft you are taking may treat the anxiety but is not treating the OCD part. In general the treatment of OCD is done with higher doses of the SSRI. Also, Prozac or clomipramine are first line treatments for OCD, so adjusting the dose of medication and/or changing the medication for a first line medication for OCD and reaching the right dose may help significantly.
2) The second point and as important as point # 1 is doing intensive psychotherapy with a therapist that understands gender issues and can help you along the way together with the medication. Choosing the right therapist is paramount in cases like yours. I am positive that if you do the right treatments, you will get the relief you deserve. My recommendation is that you do these treatments before you decide about any surgery. Many times, without the treatment you may still face the same problem even after any surgery. I hope tis is helpful for you. Best