About Trans Care
Empowerment Tools for Gender Dysphoria
Coping Strategies Cheat Sheets
This page offers practical tools and suggestions to help you navigate and manage feelings of gender dysphoria. Each table serves as a quick reference guide, providing supportive strategies to foster self-care and emotional well-being.
Identifying Gender Dysphoria Triggers
Mindful Awareness Coping
Physical Gender Dysphoria
| Triggers | Examples |
|---|---|
| Viewing Body | Mirrors, pictures |
| Getting Dressed | Going shopping, locker rooms, getting ready in the morning |
| Sudden Awareness of Body | Noticing movement of your body, zoom meetings |
| Sexual Activities | Having sex, navigating sexual roles |
| Talking | Speaking with others, voice memos, video messages |
| Hygiene Practices | Shaving, showering, putting on makeup |
| Exercise | Lifting weights, running, swimming |
| Physical Touch | Being hugged or patted on the shoulder |
| Binding/Tucking |
Mental Gender Dysphoria
| Triggers | Example Thoughts |
|---|---|
| Comparison to other's bodies | They are so much taller/shorter than me, I wish I had their body, everyone else passes so much better than me |
| Comparison to other's transitions | They transitioned so much earlier than me, I wish I could transition as easily as they did, my body is not changing as fast as theirs did |
| Negative self-talk | I will never be affirmed, I will never have the right body, I will never be trans enough |
| Thinking a lot about past social situations | Why did they misgender me, I am so tired of being deadnamed, why didn't I correct them |
| Worries about the future | What if they do not accept my trans identity, what if I am always misgendered, what if I can't ever transition |
| Grief | Feeling sad about missing out on experiences or moments from your childhood, regret for not transitioning sooner |
Types of Coping
| Category | Definition | Skills |
|---|---|---|
| Deep Breathing | Intentionally concentrating on your breathing to create a sense of calm | Square breathing |
| Diaphragmatic breathing | ||
| Lion’s breath | ||
| Radical Acceptance | Acknowledging and embracing the gender dysphoria and the challenges associated with it, without fighting or judging it | Serenity statement |
| Focus on time | ||
| Sensory Grounding | Connecting with your senses to bring yourself into the present | 5 4 3 2 1 |
| Hold an object | ||
| Movement | Using physical movement to connect with your body and stay in the present | Wiggle |
| Stretch and release |
Action Coping
| Category | Definition | Skills |
|---|---|---|
| HALT | Checking in around physical needs (hungry, angry, lonely, tired) | Getting something to eat, checking in on your emotions, taking a nap, drinking some water |
| Hope | Believing that things will get easier in the future and that there will be more times when you feel good about your gender identity | Repeating hopeful statements to yourself about your future |
| Cognitive Reframe | Changing negative thoughts about yourself into neutral or more positive ones | Using positive self-talk, challenging negative self-talk, reflecting on gender affirming experiences |
| Gender Affirmation | Doing things that make you feel good about your gender and give you confidence | Wearing affirming clothes, thinking about the positive impacts of transition, wearing pronoun pin |
| Community Connection | Talking to and being around other trans and nonbinary people | Encouraging and messaging other trans and nonbinary people, sharing about my current gender dysphoria distress, hanging out with other trans and nonbinary people |
| Accessing Gender Euphoria | Engaging with thoughts or actions that celebrate and affirm your gender identity | Journaling about aspects of your gender that make you proud and positive affirming experiences |
Creating Hopeful Statements
| Negative Experience | Hope Statement |
|---|---|
| The gender dysphoria tells me I won't ever find someone to love me | In the future, I will meet someone who loves and accepts me completely. |
| I got misgendered again! | I am on my own path towards affirmation, and soon people will use the right pronouns for me. |
| The conservative media says that trans youth do not deserve care | All trans and nonbinary people will have access to life saving care if we keep fighting. |
Cognitive Reframe
| Negative Self-Talk | Cognitive Reframe |
|---|---|
| Oh no, my shoulders are too wide. I don't think I'll ever look the way I want. | Maybe my shoulders are wide, but my butt looks great! |
| So what if my shoulders are broad? I feel awesome in these platform shoes! | |
| I hate the sound of my voice. | My voice does not define my gender! |
| I can sing in all ranges, from low to high, and everything in between! |
Neutral Cognitive Reframe
| Negative Self-Talk | Neutral Cognitive Reframe |
|---|---|
| Oh no, my shoulders are too wide. I don't think I'll ever look the way I want. | My shoulders do feel too wide, but that is okay. |
| I don’t have to like my shoulders today. | |
| I feel so overwhelmed by the gender dysphoria. | The gender dysphoria sucks right now and that is okay. |
| I am exhausted by the gender dysphoria right now, but it will not last for long. |
Avoidant Coping
| Skill | Definition | Examples |
|---|---|---|
| Distraction | Purposely focusing on something other than gender dysphoria | |
| Active Distraction | Go on a walk, read a book, play video games, engage in a hobby | |
| Passive Distraction | Watch TV, listen to music, listen to a podcast, taking a nap, daydream | |
| Distancing | Staying away from things, spaces, or people that trigger your gender dysphoria | |
| Distancing: Physical Gender Dysphoria | Avoid mirrors, photographs, social media | |
| Distancing: Social Gender Dysphoria | Avoid anti-trans individuals, non-affirming folks, binary focused social events | |
| Distancing: Places | Avoid bathrooms, locker rooms, conservative places, gender segregated spaces, stay at home | |
| Selective Disclosure | Not sharing or disclosing trans or nonbinary identity | Do not share identity, do not discuss pre-transition experiences, avoid cisgender centered conversations, do not speak |
Avoiding Physical Gender Dysphoria
| Triggers | Examples | Avoidance Strategy |
|---|---|---|
| Viewing Body | Mirrors, pictures | Stay off of social media, avoid mirrors |
| Getting Dressed | Going shopping, locker rooms, getting ready in the morning | Do not go shopping, get dressed in the dark |
| Sudden Awareness of Body | Noticing movement of your body, zoom meetings | Sit still for a moment, turn your camera off on zoom |
| Sexual Activities | Having sex, navigating sexual roles | Avoid sexual acts that involve aspects of your body that are triggering |
| Talking | Speaking with others, voice memos, video messages | Send emails or texts instead of calling |
| Hygiene Practices | Shaving, showering, putting on makeup | Shower in the dark |
| Exercise | Lifting weights, running, swimming | Engage in exercises that minimize distressing movements |
Avoiding Social Gender Dysphoria
| Triggers | Examples | Avoidance Strategy |
|---|---|---|
| Misgendering | Dead naming, greetings, social interactions | Limit interactions with non-affirming individuals |
| Gendered Social Norms | Gendered language, being treated like assigned gender, sex segregated activities, enforcement of binary gender, lack of nonbinary representation | Do not partake in sex segregated actives |
| Family Interactions | Disrespect of gender identity, repeated use of dead name | Limit interactions with non-affirming family members |
| Discussing Personal History | Childhood memories, sharing about past | Do not talk about your childhood |
| Romance | Flirting with others, online dating | Temporarily do not engage in dating |
| Social Media | Anti-trans posts, old pictures | Do not log onto social media |
| Sex Segregated Facilities | Restrooms, locker rooms, changing rooms, lactation rooms, baby changing stations | Go the bathroom at home, avoid bathrooms in conservative spaces |
| School/Work Environment | Non-affirming co-workers, anti-trans policies | Limit interactions with non-affirming individuals |
| Anti-trans Politics | Bans on gender affirmation, bathroom bans, anti-trans political speeches | Limit talking about politics or viewing political news |
| Health Care | Non-affirming providers | Reschedule appointment if not medically necessary |
Coping Combos
Types of Coping
| Category | Definition | Skills |
|---|---|---|
| Deep Breathing | Intentionally concentrating on your breathing to create a sense of calm | Square breathing |
| Diaphragmatic breathing | ||
| Lion’s breath | ||
| Radical Acceptance | Acknowledging and embracing the gender dysphoria and the challenges associated with it, without fighting or judging it | Serenity statement |
| Focus on time | ||
| Sensory Grounding | Connecting with your senses to bring yourself into the present | 5 4 3 2 1 |
| Hold an object | ||
| Movement | Using physical movement to connect with your body and stay in the present | Wiggle |
| Stretch and release |
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Social Gender Dysphoria