Hillary Dupuis, MA, LMFT
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The Logic of Being Trans: Why It’s Not What You Think It Is

6/11/2026

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We’re told that having a healthy mind means staying grounded in reality. But people tend to define reality way too narrowly, often basing it solely on their own limited, subjective experiences. When someone opens up about being transgender, they’re often hit with the argument that they’re just "confused," "going through a phase," or experiencing some kind of mental glitch.

How hurtful it must be to be told that your own lived experience isn't real?

Beyond the hurt, that argument is a massive misunderstanding of both how psychology works and what it actually means to be human. Being trans isn't a cognitive distortion; it’s about having the courage to live your truth, even when the world around you is obsessed with labels you never asked for. To really understand why being trans is a valid, authentic experience, we’ve got to stop gatekeeping reality and start looking at the difference between a simple error in logic and the deeper truth of who someone actually is. My intention is to help broaden your sense of reality with some straightforward definitions and an invitation to consider that your perspective might not be the only "right" one.

What is a Cognitive Distortion?
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They're automatic, maladaptive patterns of thought, such as catastrophizing, black-and-white thinking, or overgeneralizing, that cause someone to interpret events in a way that is inaccurate or harmful to their well-being.

What is Transgender?
Being transgender refers to having a gender identity that differs from the sex assigned at birth. Major medical and mental health organizations - including the American Psychological Association (APA) and the World Health Organization (WHO) - agree that gender identity is a foundational aspect of human diversity, not a pathology nor a flaw in logic.

The Clinical Consensus vs. The Surface Reality
Being transgender isn't a matter of opinion; it's a clinical consensus. Medical professionals look for evidence-based outcomes. When they observe that gender-affirming care significantly improves mental health and reduces distress, they acknowledge that the identity is real and the need for alignment is genuine. Reality isn't just chromosomes or birth assignments; it's also our internal, subjective experience. If a person feels a profound, persistent, and authentic sense of being a gender other than the one assigned to them, that internal experience is their reality. Ignoring that internal truth is often what leads to the mental health distress (dysphoria) that society frequently mislabels.

Why Dysphoria Isn't a Distortion
People often confuse gender dysphoria with a cognitive distortion, but they are not the same. Dysphoria is the distress caused by the mismatch between one's body or social role and their internal identity. It isn't an error in thinking; it is a painful emotional response to a concrete, felt disconnect.

The 'fix' isn't to force a trans person to fit into a binary role that's comfortable for society - this is both impossible and harmful - but to support them in living as they truly are. It's about allowing them to bridge the gap between their internal identity and their outward life so their authentic self can finally shine through. Being trans is a complex, beautiful aspect of the human experience that our scientific understanding has finally caught up to.

We don’t call a person’s deep-seated personality traits or career passions distortions just because they don't align with someone else's expectations. Gender identity is no different. It's a core facet of who someone is, and recognizing that is a mark of both scientific rigor and human empathy.


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© 2026 Hillary Dupuis, LMFT
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