Well then, my dear, please come with me.

I assure you, I will do everything in my power to get you the help you need. You need not worry so long as you are under my care. I wouldn't dare to mistreat you like so many others would.

I suspect I might have trouble sleeping on the first night despite my exhaustion. It has been this way since I was a little girl — always the insomniac in unfamiliar rooms…I’m sure I will settle eventually. I imagine you may think it ill-advised to help me along with medication before you have had the time to examine me, though of course, I am far from an expert.

That is, I suppose, part of the problem. I do not know exactly what it is that I need. Talking has helped in the past, but I believe this fatigue and melancholy to be, at least in part, physiological. Why else would I feel both motivated, and betrayed by my body in my pursuit of the things I want to do? I have experienced pure melancholy in the past, but this feels different. More of a sadness caused by my condition than one that precedes the fatigue, if that makes any sense at all.

Of course, I place full trust in your discernment. If you believe the issue to be psychological, I shall answer your questions, no matter how intimate and prodding. I do so hope to make an improvement while I am in your care, and I will submit to any treatment you see fit.

Sincerely

-🕰️

I am so thankful that you find comfort in my care, that truly means the world to me, my dear patient.

As for your insomnia, I do think medication could help, perhaps some melatonin? Of course, there are other ways to assist in your sleep. Chamomile tea might be a good start, if you like. I can also make sure the room is adjusted specifically to your needs, I want you to be as comfortable as possible here.

Your awareness of your issues is also very interesting, I hope I will be able to help you further discern and understand your situation. It could be perhaps due to a neurological condition, such as Autism or ADHD. If you have one or both, that might help to identify the root of the problem. If not then, I am personally not adverse to keeping you here for longer observation periods.

My problem might seem like a minor discomfort but it's causing me a great deal of complications. I've been on testosterone for a while, and if I'm happy with the results, there's ... Well. Dryness. My vagina is basically shrinking, and penetration has become painful. That's...really not ideal, because I used to enjoy it a lot. Now I'm just scared to get hurt...

I haven't been able to come for months. Some friends told me I should focus on my homegrown penis, but even if jerking it feels good, it's ... Not the same.

I don't know what to do...

🐈‍⬛

Such kind words, I can tell you're going to be a wonderful patient. I am both flattered and honoured.

What you're experiencing, is known as "Vaginal atrophy", and it is not uncommon amongst people who are undergoing medical transition. It can be caused by the lowered amounts of Oestrogen present in the body, which can cause the symptoms that you are describing.

Fortunately, there are many treatments for this condition, so you need not worry any longer.

We can start with some topical or oral Oestrogen treatments, which include: tablets, cream or a ring that will stay inside of the body. The amount of Oestrogen in these products will not interfere with the Testosterone levels in your body, therefore your transition will not be disrupted. These products will simply help improve internal tissue lubrication and alleviate discomfort.

I would also like to keep you for observation, should you permit it. I appreciate your honesty and patience with me, my dear. You should not be made to feel that your problems are minor, they are still enough to cause you a great deal of stress, which isn't right. Your struggles are worth every ounce of my attention, just as much as anyone else's.

I’m afraid I may be too soft for the modern world. Everything is hastened, overwhelming me to exhaustion. I wake up without difficulty in the mornings, but it is so challenging to stay awake. My body demands rest by eleven, which my working hours do not allow.

I have wondered if I am lazy, but my fundamental motivation for what I do has not dwindled; it is only that I cannot keep up with the rhythm of the world. Each sadness turns into melancholy; each stress into anxiety symptoms. I fear I do not know how to fix myself anymore, but I have hope that you might.

As such, I would like to commit myself to your care. I shall be your most obedient patient; please help.

-🕰️

Oh my sweet patient, I cannot imagine how hard you must have worked to get this far. For that alone, I am proud of you. I am even more proud that you have found the courage to reach out to me, that takes a great deal of effort.

What you are experiencing is completely normal, though I can see why it has troubled you so. It is only normal to feel that the world will not wait for you, that is how it has always been. This does not mean that you are at fault however, merely that you work at a different pace. Which is a perfectly reasonable thing.

You need not confine yourself to the rhythm of the world, for it is exhausting to do so. Time is a very fickle thing, but there are a multitude of solutions that I would love to try with you, should you permit me.

Your obedience is sure to be rewarded, and I myself will do all I can to make you feel safe. Whatever you need of me, you need only ask it. Be it medication or someone to talk to.