this post was submitted on 31 Mar 2025
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Coming from a trans person in Oregon who got my passport changed last year out of paranoia, I wonder if you're overreacting. I think Oregon and other states like Washington, California, and northeastern states are friendly to lgbt folk, and it will be a hard fight if Trump wants to stop us from having rights. Portland is a metro area friendly to lgbt, and if you have no income, you can get on the Oregon health plan for free healthcare. I'm worried about you saying that you don't want to get on meds because you are afraid of the withdrawals. Of course you should make the decision you think is best, but isn't it better to have good mental health now rather than have bad MH in the hopes of avoiding your fear sometime in the future? Take care of yourself, remember that there is no certainty in life, there are risks in exposing yourself as mentally unhealthy, but there are also risks in not getting the help you need.
The exposure is deliberate. If you keep secrets they can be used to blackmail or discredit you later. If everybody already knows something it’s more difficult to weaponize against you.
The illusion of a fine upstanding pretty perfect little muusemuuse is unimportant to me. I need to be safe, not to impress people.
Getting mental health help now works against me in multiple ways. First, it creates a dependency on a support structure that can’t travel. Therapists are in short supply and high demand. Psych medications can be taken away at any time and their sudden absence would effectively paralyze me. I’m actually at a rather strange advantage having finally adjusted to their absence. I’m miserable, I’m scared, but I haven’t lost touch with reality. I understand what’s real and what isn’t. I don’t hear voices or hallucinate. I don’t have violent tendencies. There’s just no compelling reason to put myself in greater danger by getting mental health help in red state USA in 2025.
Making things public like this also limits me. I’m more likely to be guided toward a better outcome. The majority of people are still good. They still want to help eachother. Even on the Internet there’s enough good there to help me. And if I should deteriorate significantly further, this acts as a failsafe for that too. People won’t notice a gradual decline but something sudden will raise alarms.
My friends and family are incredibly worried about me but right now is that’s what I need.
Strength is in connections. It seems like you have some friends in Ohio. Rely on them while you're there. It looks like from some of your posts that you are thinking of moving to Oregon. If you do, find a good community and get connected. Like I said, Oregon is less likely to fall to Trump than other states. I think OHP is less risky, and I would advise using the free healthcare and taking meds if they help you. Most meds can also be titrated down instead of quitting cold turkey. Plus have you researched grey market meds online? There aren't enough therapists, it's true, but at least here in Oregon, you can go to a county run mental health outpatient facility and get a therapist with maybe a month of waiting time. I know this because I am a therapist myself, or will be when I finish school.
The point behind the meds is I can’t always predict when I won’t be able to get them and I can keep going on and off psych meds. Medication treatment only makes sense for people in stable environments. I’m not in one.
My friends here are bummed by my being a downer lately to the point that some now avoid me. So I can’t rely on them being around either. I’m going to have to improve myself and survive however I can.