. 2023 Nov 13;76(Suppl 2):e20220183. doi: 10.1590/0034-7167-2022-0183

Chart 6. Discourse of Collective Subject of the consequences of transphobia on the psycho-emotional health experienced by trans men and transmasculine people, Salvador, Bahia, Brazil, 2022.

Key-Expressions	Discourse of Collective Subject
Decision conflict Sexuality and body perception impairment Negligence Contempt Disgust Strangeness Mental health impairment Anxiety Agitation Irritability Body dysphoria Suicide Psychiatric care CAPS Lack of welcoming Disrespect for trans identity Sadness Revolt treatment abandonment	[...] the most difficult were not the moments of conflict of decision with my gender identity, but the transphobia that I started to experience, affecting not only my sexuality, my perception of my body, my image and personality, but my existence. It has been almost a daily battle to survive in the face of transphobia that demonizes, exoticizes, neglects, harasses and denies the trans experience. They are games in bad taste, looks of contempt, disgust, strangeness, lack of acceptance and sensitivity that even happens in health services. These experiences generate real compromises in my mental health. I feel constantly anxious, agitated, irritable, with high stress, change in mood, appetite, in addition to the body dysphoria I’ve already experienced. I even tried to commit suicide, with the desire to end my life, due to a severe depression that I experienced. Due to the serious mental health situation I was in, I sought psychiatric care at a CAPS, but even in that space I already suffered transphobia and did not receive the care I needed. Several times, I was called by my registered name, delegitimizing my male identity. That situation humiliated me, made me sad and angry, and became the reason why I abandoned, missed subsequent appointments, abandoned treatment and became resistant to seeking a health service. (DCS)

Key-Expressions

Discourse of Collective Subject

Decision conflict Sexuality and body perception impairment Negligence Contempt Disgust Strangeness Mental health impairment Anxiety Agitation Irritability Body dysphoria Suicide Psychiatric care CAPS Lack of welcoming Disrespect for trans identity Sadness Revolt treatment abandonment

[...] the most difficult were not the moments of conflict of decision with my gender identity, but the transphobia that I started to experience, affecting not only my sexuality, my perception of my body, my image and personality, but my existence. It has been almost a daily battle to survive in the face of transphobia that demonizes, exoticizes, neglects, harasses and denies the trans experience. They are games in bad taste, looks of contempt, disgust, strangeness, lack of acceptance and sensitivity that even happens in health services. These experiences generate real compromises in my mental health. I feel constantly anxious, agitated, irritable, with high stress, change in mood, appetite, in addition to the body dysphoria I’ve already experienced. I even tried to commit suicide, with the desire to end my life, due to a severe depression that I experienced. Due to the serious mental health situation I was in, I sought psychiatric care at a CAPS, but even in that space I already suffered transphobia and did not receive the care I needed. Several times, I was called by my registered name, delegitimizing my male identity. That situation humiliated me, made me sad and angry, and became the reason why I abandoned, missed subsequent appointments, abandoned treatment and became resistant to seeking a health service. (DCS)