CW: depression, transphobia, mention of self-harm and attempt.
Hello! A little disclaimer: diagnoses can be life-saving. I’m on meds, and they are essential to me. This entry only wants to highlight one problematic aspect that can arise with diagnoses. Even a good tool can have its issues. Discussing them can be a first step towards improvement. This is MY experience. Yours can be entirely different. Those things can co-exist.
When I was in high school, I was diagnosed with depression and generalised anxiety. If you knew me at the time, you know I was struggling, hard. I couldn’t talk in public, I couldn’t stay in class for more than 10 minutes, I’d lock myself in the bathroom for five hours and cry and scream, and I won’t get into more detail, to keep this reading safe.
I was clearly mentally ill, and the issue was my brain. Or so was I told.
Nobody stopped to think: why is this guy in so much pain? Is there a pattern to it? Are we, as a society, doing something wrong?
Nope. The problem was me and only me. I was the only one responsible for my depression.
And so, after my diagnosis, the school decided to send me home for a couple of months, because they didn’t want to have the “responsibility of a possible suicide at school”. That’s literally what they said (in Italian, of course).
But let’s take a step back. Why was I crying so much? Why was I in so much pain? And that’s when it gets tricky: is the problem my brain or is my depression a natural response to what I was experiencing?
Because you see, while I’m now an adult trans man, on hrt, with new legal documents, always read as a guy in society, and I rarely have to stand up to defend my identity… that wasn’t the case in high school.
I was a young trans boy, that had no support from adults. The teachers straight up refused to call me by my chosen name, or even by my surname: deadnaming was the only option, to them. And they insisted: “School is an institution. It’s too much of a formal setting to call someone by a name that isn’t their legal one”. This is what one of the teachers told me. He often joked in class, called people by nicknames, even made fun of students with autism… so I’m pretty sure formality and institutions were not his primary reason for this choice. But I digress.
When I came out to a teacher, she told me the school would have found a therapist that could “stop this”. No, not stop my pain: stop my transition.
Now imagine: you’re in this setting. Teachers constantly refusing to accept your identity, constantly disrespecting your whole being. I remember once, a teacher kept deadnaming and I was feeling miserable, so I just ran away, cried, and couldn’t resist the urge to self-harm. What was her reaction? Worry, perhaps? Maybe she tried talking to me? No: she was annoyed. She went “tsk, come on, it’s not that serious”, and kept on misgendering me. Not even offering me a fucking plaster.
And yet the problem was me. My brain. A chemical imbalance. I was simply born with depression. The environments I lived in couldn’t do anything about it. I was the only one responsible.
When I got forced to stay home, I started to slowly get better. I learnt that I had a voice. That I could talk back. That I could demand respect. And if I wasn’t given any, I could walk away.
It wasn’t easy, and it took me years. But I realised that the problem wasn’t me: it was society. It was the system. A system that allowed teachers to shit on their trans students. A system that made it clear that I was a burden and a nuisance, a mistake and a weirdo. It wasn’t me as an individual: it was me as a trans guy.
I came back to high school, a couple years later. I demanded respect, always. If a teacher wouldn’t listen, I’d literally get up and leave. “Oh, but that’s against the rules”. So what? What’s more important? Some made up rules or the respect for a human identity? I was lucky enough to have found some great teachers. Not a single one from my previous high school experience.
So these new teachers were calling me by my name. And I started talking. I started intervening in class, raising my hand all the time. I could finally focus on studying, and not only worry about my dignity being stepped on. Suddenly my brain wasn’t as chemically imbalanced. Suddenly I stopped self-harming. Suddenly I was doing better. I finished my high school studies, cum laude. I was featured in the local newspaper, with my name. It was a nice gotcha-moment for me, to all the transphobes who didn’t see me as human.
But I know the truth: if I hadn’t changed school, I wouldn’t have done it. Because being in a class where the teachers constantly misgender and disrespect you, was incredibly painful. I would cry, scream, and I was ignored. Nobody ever stood up for me, but I don’t blame my classmates. They were as young as me. And honestly, it’s the teachers who should teach us respect. Not the other way around.
“You’re depressed, you can’t go to school”. I was crazy and weird. A trans weirdo. If I was depressed, it was clearly on me. That’s how my diagnosis was read. So school stayed the same way: transphobic, ignorant teachers, refusing to respect trans students. I was sent home, when what I truly needed was respect and support.
“You’re depressed, maybe there’s something wrong with how we’re treating you”. Nobody told me this. I don’t think it ever crossed the teachers’ minds. Because we’re putting the responsibility on the individual. Just like when people say “Ah, you’re poor. That’s because you’re lazy” and completely ignore the problems, the BIG problems of our economic and social system.
As a future social worker, this matters a lot to me. People are not their problem. People often have those problems because we, as a society, aren’t giving them a proper environment to live in. Communities, respect, acceptance, dialogue, support. This is what we need. And if we only give a diagnosis and some meds to people, the underlining problem isn’t going to change. Diagnoses can be a wake up call: they tell us that something is wrong. But that something isn’t always in the person themselves. It could be in the system. And if that’s the case, the system has to change.