Dysphoria also twists what you hear and perceive from other people, seeing slights and prickly condescension where no ill-intent exists. When you’re dysphoric, the world feels like a grim and dreadful place, full of pettiness and callous strangers. Plenty of trans people, me included, have spent years with a reputation for being short-tempered and irritable, only to completely shred that status once they transition.

