What does dating mean to a man

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Many trans people are depressed or anxious or become socially isolated, but often it's the fear that loved ones will reject them (or have already done so) that bring those feelings.

"People struggle with anxiety or depression when they feel they can't be who they are," Friedman says.

"When I was emotionally, spiritually, and financially ready to begin transitioning, I decided to start medical, social, and legal [changes] all at once," Kellaway says.

In the same week, he told his loved ones his decision, changed his name legally and publicly, and began talking with a gender therapist about hormone therapy. It has nothing to do with the kind of people they have romantic feelings toward.

Transition for young people is different from adults.

Teens and adults who need advice can seek support and guidance from others who have already gone through the coming-out process.

She started hormone therapy last year and plans to legally change her name.

"It has given me a sense of triumph," Anderson says.

When a child is born, a doctor says, "It's a boy" or "It's a girl." Assigning someone's sex is based on biology -- chromosomes, anatomy, and hormones.

But a person's gender identity -- the inner sense of being male, female, or both -- doesn't always match their biology.

Some say they are the opposite sex of what they were assigned at birth. "The truth is, gender does exist on a continuum." Meaning, there's a lot of in-between.