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38. Trans Mental Health with Zander Keig, LCSW



Long-time listeners of this show have heard from numerous voices in the post-trans community, all of whom feel that the beliefs and medical practices surrounding transgender identification have been harmful to them. Today’s guest, on the other hand, has a different perspective. Zander Keig is a "trans man” with no regrets after 17 years on testosterone. As it turns out, though, Zander and I have a few things in common. We’re both mental health professionals who share practical concerns about how certain culturally sanctioned ways of thinking and relating to others impact wellbeing. We’ve both been accused of bigotry for expressing concerns about whether “transitioning” is right for everyone. And we’re both world-bridgers, who respect viewpoint diversity, and see the need to help society collectively navigate sensitive issues more gracefully.

In this episode, Zander debunks the myth of the "trans monolith,” arguing there is no consensus in his community about the right way to approach certain issues. We exchange ideas about how certain prevalent mentalities, narratives, and dialectics impact behavioral health and social wellbeing. Zander articulates his pragmatic understanding of how and why emotional health should not be taken for granted, nor can it be catered by the outside world, but must be actively cultivated by the individual. We share our mutual concerns for the welfare of trans-identifying people in general, whether or not they will eventually desist. And we debate important questions for which there are no easy answers, such as: what should the future of healthcare for trans identifying people look like, and how should it be governed?

Plus, Zander shares about his own personal history. Zander began his “transition” in his late 30’s, after a lifetime of facing discrimination as a gender-nonconforming butch lesbian. Zander had no history of dysphoria earlier in life, yet he felt as though a weight had been lifted the moment he started taking testosterone. What does this tell us about the relationships between sexism, homophobia, social pressures, and transition? Zander also tells us about how counseling would have been helpful during such a disorienting time in his life, and how, despite the horror stories we’ve all heard, his marriage survived his transition just fine.
If I do say so myself, I believe we had an excellent discussion. We each represented a different voice with which many others will find themselves agreeing. I believe an ongoing dialectic between these two different perspectives is necessary in order to help move society forward constructively while navigating unprecedented challenges.
Zander Keig is an award-winning licensed clinical social worker, educator, and author who served in the US Coast Guard. Zander serves as an Advisory Board member and Senior Fellow for the Foundation Against Intolerance & Racism (FAIR) and helps develop and deliver FAIR's corporate diversity training, emotional wellness, and interpersonal growth courses. As a trans man and first-generation American of Mexican heritage with subject matter expertise in transgender health, social care, and mental wellness, Zander brings a unique perspective to all aspects of his work. You can find Zander’s work at ZanderKeig.net, Zanderology on Locals, or FairForAll.org.

A note on pronouns and my choice of guest:

My audience comprises many thoughtful people with a wide range of viewpoints on controversial issues in the field of gender. Many open questions are up for debate in the broader community, such as the notion of “true trans;” conceptualization around “dysphoria” and social contagion; and of course, the question of pronouns. Perhaps you recall how I spoke with Jayme in episode 28, and what I stipulated in that show’s notes and introductions, or how I spoke with Corinna Cohn in episode 31. Given that I have grown increasingly comfor


Published on 2 years, 11 months ago






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