I wish I knew... My life is like a big gnarly ball of wire. For one thing I'm a tranny... I've always been a tranny except that I only learned the word for it about 3 years ago. But for about the same amount of time, I've also struggled with depression, anxiety & other stuff. So I don't know which came 1st. Did I start out transgendered & develop depression & anxiety as a result of it? Or did I start out depressed & anxiety-ridden & then become transgendered in response to it? Or did something else happen that caused all three? The reality is that I'll never know. And since I'll never know... I'll never heal...