Final Fantasy XI
Final Fantasy XI is the eleventh numbered installment in the… Okay, you know what it is, I’m just going to tell you about one of the storylines!
During the Wings of the Goddess expansion, adventurers will be sent back in time to experience the events of the Crystal War, a cataclysmic event that is the foundation for conflicts of the modern-day timeline. Should an adventurer choose to serve the Kingdom of San d’Oria, they will be immersed in the story of the Young Griffons—a group of children who would see themselves knights, many of whom grow into prominent characters later in life.
Among the Young Griffons, the player will find Bistillot, a shy boy who doesn’t like to be seen. With his penchant for engineering, shy demeanor, and lack of combat potential, Bistillot prefers to spend his time inside of an orcish war machine that he was able to repair to working condition.
He is often seen before he is heard, with his signature phrase, “HAAAALLOOOOOOOOO” being used to hail the adventurer. Through the course of the story, Bistillot finds his way, even contributing to the war effort with his engineering skills.
However, when another member of the Young Griffons is kidnapped and taken to the present day, the adventurer must return to the present day and reunite with the Young Griffons’ present selves! The adventurer’s first contact in the present day is Bistillot. When the adventurer hears the signature “HAAAALLOOOOOOO,” Bistillot approaches the player, but what the player sees is… a woman?? She introduces herself as Bostilette, a “friend of Bistillot.”
After the rescue mission, Bostilette comes clean. She is, of course, the very same Bistillot who was a little boy twenty years earlier. She explains that she was very sick as a baby, so her parents gave her a boy’s name so that she would be stronger and survive the illness. Once she overcame the illness, she was comfortable to reclaim her name and gender. Well, that closes the book on that story, except… I’ve decided that’s bullshit!
I have unilaterally decided that Bostilette is trans, the sickness she had was dysphoria, she stayed in the orcish war machine because she was an egg, and I hope you all agree!
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CW: Dysphoria, mental health, questions about medication
After spending the last couple of days in a depressive/dysphoric hole, I have decided to go ahead and try SSRIs, and to get an HRT consult scheduled sooner rather than later. Obviously, dysphoria and depression are two different things, but I wanted to know if there were any issues with beginning the two around the same time, and if it'd be better to start one before the other.
spoiler
Shouldn't be a problem to start both. Depending on your country they might have an issue with starting you on both - but gender dysphoria and depression are comorbid and treating the dysphoria tends to treat the depression as well.
In terms of what it does to your body, you should be okay. I haven't seen any interactions between spiro and/or E and first-line SSRIs like sertraline. You might feel pretty weird getting on to an SSRI, that's normal it takes a minute to adjust, it wouldn't be because of any interactions.
If I were to pick one to start with, it'd be am SSRI because in all likelihood you are in a country where they won't hold it against you having a mental health issue and starting HRT and SSRIs take fewer hoops to get on to. Otherwise, get on HRT and then get your SSRI. There are non-pharmaceutical coping mechanisms and therapy that can help tide you over.