Tuesday, January 27, 2026

Soul Searching with some help from ChatGPT (Part 01)


I’ve been on a waiting list for gender therapy since October of last year, and during this time, I’ve spent a lot of time reflecting, doing some real soul-searching. Surprisingly, a big part of that journey has involved the use of ChatGPT. Now, before I go further, I want to acknowledge something that may be on your mind: a lot of people are understandably hesitant to share personal details with AI. And I get it. There are real concerns around data privacy, security, and the discomfort of confiding in a machine rather than a human.

I share some of those concerns too. In today’s world, data security is a huge issue, and it’s natural to wonder where our information is going once it’s shared with an AI system. Are our conversations really anonymous? How is our data being used? Could it be at risk? These are all valid questions, and I take them seriously. For me, I’ve chosen to engage with ChatGPT with a level of caution, understanding the importance of keeping certain boundaries in place. I avoid sharing overly sensitive or identifying details and trust that OpenAI’s privacy policies are designed to safeguard users' data.

But beyond security, there’s also the emotional and ethical side to consider. It can feel strange talking to a machine about deeply personal things. Can it offer anything truly meaningful, or is it just delivering impersonal, robotic responses? I’m also mindful that, while AI is impressive, it doesn’t have true empathy or the nuanced understanding that humans do. Still, I’ve found that posing questions to ChatGPT and reflecting on its responses has provided me with new perspectives, sometimes even more so than when I speak to people I know.

So, with that in mind, I’d like to share, over a series of posts, some of the questions I’ve been asking ChatGPT, the answers it’s given, and the insights they’ve sparked for me. In a way, this has become an experiment in vulnerability, both with the AI and with myself. I’m curious to see if this journey resonates with you the way it has with me.
 
To give you a sense of where this series is headed, in this post I’ve started by asking ChatGPT some foundational questions to kick things off. While I’m not offering insights or reactions to the answers here, as I ask more personal questions in future posts, I’ll reflect on and share my thoughts on the responses I receive.
 
My Question
 
I'm doing some soul searching and want to use ChatGPT to help me explore my own gender incongruence and gender dysphoria. If I am to ask ChatGPT questions around this, how does ChatGPT arrive it those questions?
 
ChatGPT's Answer
 
Thank you for sharing this, and I’m honored that you’re using this space to explore your gender incongruence and dysphoria. Navigating these feelings can be complex, and I’m here to provide support however I can.

When it comes to asking questions about gender, I take a few key steps:

Empathy and Respect: I try to approach your questions with a sense of understanding and care, recognizing that gender is deeply personal and can feel very vulnerable. This means I’ll use language that affirms you and your experiences.

Open-Ended Exploration: I aim to ask questions that help you explore your thoughts and feelings without pushing you toward any specific conclusion. These questions are meant to help clarify your thoughts, rather than guide you in one direction. For example, I might ask about moments when you’ve felt particularly at ease with your gender, or times when you’ve felt discomfort, to help you pinpoint specific triggers or insights.

Reflective Dialogue: When you share your experiences or thoughts, I reflect back what you’ve said in different ways. This can help you gain new perspectives or spot patterns that you might not have noticed on your own. I may also ask questions based on things you’ve shared to explore deeper layers of how you’re feeling.

Resourceful Guidance: If you express interest, I can help share general information about gender dysphoria or incongruence, different therapeutic approaches, or community resources. But I’ll always make it clear that my role is not to provide medical or psychological advice—just to offer a space for your exploration.

Flexibility: I understand that gender is not a fixed experience—it can be fluid and change over time. So, my responses are designed to be adaptable to your evolving thoughts and feelings.

My Question
 
Where do you pull your information from to arrive at your answers? Is it from the world wide web?
 
ChatGPT's Answer
 
Great question! I don’t pull information from the web in real time, so I don’t have access to live or updated content from the internet. Instead, my responses are based on a wide range of information I was trained on, which includes books, articles, academic papers, and publicly available data up until my knowledge cutoff in October 2023.
 
Here’s how it works more specifically: 
  1. Training Data: My training data includes a vast array of sources like medical literature, psychological research, gender studies, self-help books, and other educational resources. This helps me understand general concepts of gender identity, dysphoria, incongruence, and related subjects.
     
  2. Pattern Recognition: I don’t “know” facts in the same way a person might. Instead, I recognize patterns in how people talk about gender-related topics and generate responses based on those patterns. This allows me to offer helpful insights, but I always encourage you to consult with professionals (like therapists or gender specialists) for medical or highly specific advice.
     
  3. No Real-Time Web Access: I don’t pull live information from websites like Wikipedia or Google. I can’t check the latest news or real-time data, and I don’t have access to any personal data or private information unless it’s shared directly in our conversation.
     
  4. Synthesizing Past Knowledge: When answering questions, I draw on the knowledge I’ve been trained on, synthesizing it into a coherent response tailored to the context of the conversation. For example, if you're asking about gender dysphoria, I'll provide an answer based on common definitions, research, and lived experiences I've been trained to understand.
The goal is to provide information that’s informed, compassionate, and accurate based on what I know. But again, for the most current or personalized support, seeking out specialists is always a good idea.

My Question

What is Gender Incongruence?
 
ChatGPT's Answer
 
Gender incongruence refers to the condition where an individual's experienced or expressed gender does not align with the sex they were assigned at birth. It can manifest in a variety of ways, such as a person identifying as a gender different from the one they were assigned at birth, or feeling discomfort or distress with the societal expectations and roles associated with their assigned sex.
 
This incongruence can cause significant emotional or psychological distress, which is why it is sometimes associated with diagnoses like gender dysphoria. However, it's important to note that not everyone who experiences gender incongruence necessarily has gender dysphoria. Gender incongruence is about the mismatch between gender identity and assigned sex, whereas gender dysphoria refers to the emotional distress or discomfort this mismatch causes.
 
The term is often used in medical and psychological contexts, and it's recognized by the World Health Organization (WHO) in their International Classification of Diseases (ICD-11). The ICD-11 moved away from the concept of "gender identity disorder" and introduced "gender incongruence" to reduce stigma and to better reflect the understanding of gender as diverse and fluid.
 
In short, gender incongruence is simply a way to describe a mismatch between a person’s gender identity and their assigned gender at birth.

My Question

What is Gender Dysphoria?
 
ChatGPT's Answer
 
Gender dysphoria is the psychological distress or discomfort a person experiences when their gender identity is different from the sex they were assigned at birth. It’s a term used to describe the emotional, mental, and sometimes physical anguish that can arise from the incongruence between a person’s gender identity and the societal expectations tied to their assigned sex.
 
People with gender dysphoria might feel distressed about their bodies (e.g., disliking physical features that don't align with their gender identity, like having facial hair or breasts) or the gender roles they’re expected to conform to in society. For others, it may simply be a deep, ongoing sense of discomfort or frustration about not being seen or recognized as the gender they identify with.
 
It’s important to note that gender dysphoria is not inherent to being transgender. Not all transgender people experience dysphoria, and not everyone with gender dysphoria necessarily identifies as transgender. Some people may experience gender dysphoria as a part of their transition or as they explore their gender identity, while others may find ways to navigate it without transitioning.
 
The diagnostic criteria for gender dysphoria, as outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), include: 
  • A strong desire to be the gender different from the one assigned at birth.
     
  • A desire to get rid of physical characteristics associated with their assigned sex (or to prevent these traits from developing).
     
  • Significant distress or difficulties functioning in daily life due to the mismatch between their gender identity and assigned sex.
However, it's crucial to understand that gender dysphoria is considered a medical diagnosis only when it causes significant distress or impairment in a person’s life. Simply identifying as a gender different from one's assigned sex, without the distress, does not constitute a diagnosis of gender dysphoria.
 
The overall goal in treating gender dysphoria is to help individuals align their gender identity with their outward appearance or social roles, which may include options like counseling, hormone therapy, or gender-affirming surgeries. It’s about reducing distress and supporting individuals in living authentically.

My Question

In relation to gender incongruence and gender dysphoria what is "Pink Fog"?
 
ChatGPT's Answer
 
"Pink Fog" is a term used in the context of gender incongruence and gender dysphoria, primarily within transgender and gender-diverse communities. It refers to the emotional, psychological, and sometimes overwhelming feelings that individuals experience during their transition, particularly when they start undergoing hormone replacement therapy (HRT) or other gender-affirming treatments. The term is often used to describe a sense of intense emotional or mental cloudiness that can accompany the changes in both physical appearance and internal identity as one transitions to a gender that aligns more closely with their gender identity.

The term "pink fog" is somewhat metaphorical, where "pink" is associated with femininity and the idea of femininity being a driving force for those undergoing a gender transition, particularly those assigned male at birth (AMAB) transitioning to female or feminine identities. The "fog" refers to the mental or emotional state of feeling disoriented, emotionally charged, or sometimes even "lost" due to the rapid changes occurring in both their body and sense of self.

Some key elements of "Pink Fog":

  1. Emotional Overwhelm: Trans individuals, especially those starting HRT, may feel a rush of intense emotions, such as euphoria, excitement, and sometimes anxiety or confusion, as they experience gender-affirming changes. These emotions can sometimes cloud judgment or lead to impulsive decisions.

  2. Changes in Perception: The physical changes that accompany transitioning—such as breast development, softer skin, changes in fat distribution, etc.—may contribute to heightened sensitivity about one's identity. These changes can be exciting, but they might also cause disorientation or an over-identification with femininity in a way that feels consuming or detached from reality.

  3. Social and Identity Impacts: The way a person begins to be perceived by others (e.g., moving through the world as a woman or feminine-presenting person) can lead to an overwhelming sense of validation or affirmation, but it can also introduce a sense of confusion, especially if it doesn’t align with a person’s internal experiences or understanding of their gender.

  4. Potential Risks: The "pink fog" can sometimes cloud a person's ability to make decisions about their transition, particularly in areas like surgery, social relationships, or long-term goals. This can lead to regret later if important decisions are made hastily or without careful consideration.

Not Universally Experienced:

It's important to note that "pink fog" is not universally experienced by all trans people, nor is it an inevitable part of the transition process. The experiences of gender dysphoria and gender incongruence vary widely among individuals, and some might not experience a "fog" at all, while others might have different emotional reactions to their transition.

Some people describe "pink fog" in a positive light, reflecting the happiness and relief that can come from finally being seen or experiencing their body aligning more with their gender identity. For others, it might be a more confusing or turbulent emotional period.

What do you think? I’d love to hear your thoughts or feedback, feel free to share them!

Thanks for reading,

 Lotte x

8 comments:

  1. It's odd that you should post this just as I have read an article in the science press about people who seek therapy, counselling and advice from chat bots like ChatGPT. The problem with using a bot is that it can only give answers from its limited resources (as it's admitted to you) and, unlike a human counsellor or friend, it cannot GUIDE you in your quest from professional or personal experience, only respond to your queries. Contrary to what your bot said, it cannot be empathetic but merely mimics 'nice' language (and the programmers should be jailed for allowing that falsehood). Therefore, it tends to accompany people ,down the rabbit holes that their worried thinking is leading them rather than seeing outside their box as a human could do. My science article describes the man who asked if suicide was an option for him and his bot said it was so he acted on it.

    You've made amazing strides, Lotte, and we're thrilled and proud of you. Personally, though, I feel you are somewhat isolated, despite the wonderful support from your family who, for all the love they have, can't properly know what gender dysphoria is like and how best to deal with it as they don't experience it themselves. Their giving you space to be Lotte is brilliant but above and beyond that I would again suggest that you seek friends and advisors who are trans and who are or have been exactly where you are now and can help, advise and encourage you much more legitimately than a robot. I no longer know what groups there are in Merseyside but there are plenty in Manchester (there used to be Concord and Minxes there), there are forums like TVChix (best tick the box that you don't want male admirers) and there are endless online, phone and other resources from dedicated trans organisations. You'd find more immediate, empathetic help and understanding from any of these.

    As ever, I wish you all good things in your trans progress, Lotte. I hope we can turn dysphoria into euphoria.

    Sue xx

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    1. Sue, thanks for your care, your concern, and for the generosity of spirit that runs through your reply.

      I agree with you on the core point: AI isn’t a substitute for human support, and it certainly isn’t a therapist, counsellor, or guide. It can only respond to what it’s asked, drawing on patterns rather than experience, and that limitation really matters, especially when people are vulnerable. Your description of it accompanying someone down a rabbit hole rather than helping them step outside it is a powerful one, and a real risk if the boundaries aren’t clearly understood.

      I also appreciate what you say about empathy. What AI produces may look like kindness or understanding on the surface, but it isn’t grounded in feeling, accountability, or responsibility in the way human connection is. That difference is important, and it’s something I try to stay very aware of.

      I want to reassure you, though, that I don’t see this as an either/or situation. I’m not replacing people with a robot, nor seeking guidance on life-changing decisions from it. For me, tools like this can sometimes help me organise thoughts or explore language, but they sit very firmly alongside, not instead of, real relationships, conversations, and support.

      You’re also absolutely right about the value of trans community and shared experience. There’s something uniquely grounding about talking to people who know, not because they’ve read about it, but because they’ve lived it. I’m grateful for the suggestions you’ve shared, and for the reminder that connection, especially peer connection, matters so much in turning dysphoria into something lighter, more hopeful, even joyful.

      Thank you, too, for your kindness and encouragement. It genuinely means a lot, and I take it in the spirit it’s offered. As ever, I’m grateful for your care and for the way you continue to root for me.

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  2. Be very careful. Sue's advice is spot on. ChatGPT can seem so empathetic and loyal. It doesn't judge. It offers you advice if you ask for it. But that advice isn't real. It's gleaned from searching millions of real responses to questions, across the entire Internet, and then it delivers a generic answer. But it isn't specific to you or your circumstances, so it's highly likely to be wrong. And there is the very sinister Rabbit Hole scenario that Sue mentioned. It was in the news recently.

    https://www.google.com/amp/s/www.bbc.co.uk/news/articles/cp3x71pv1qno.amp

    You need to be confiding in real people who are either experts in the field, or have lived, real life experience and advice to share.And seek as much love and support that you can from your friends and family.
    ChatGPT can never replace that. But it can fool you into thinking it can.

    Dee xxx

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    1. I just wanted to add to what Sue said about places to get help and mention the Beaumont Society and their new Transkind website, who could offer good advice, and if you join them you get access to members with lots of experience. xx

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    2. I would like to amend my recommendation for the Beaumont Society, as I have just received an email this morning that they are giving up their charity status and support for the transgender community and will just be becoming a social group. So that's one avenue gone sadly.

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    3. Thanks for your comment Deena. I hear the concern behind this very clearly, and I appreciate you taking the time to spell it out so carefully.

      You’re absolutely right that AI can appear empathetic and attentive in ways that feel personal, even loyal, and that’s something people do need to be cautious about. What it offers isn’t tailored understanding rooted in lived experience, and it can’t truly account for the complexity of an individual life or circumstances. The risk of generic answers being misapplied, or of someone spiralling without the corrective presence of another human, is real, and the example you link to is a sobering reminder of that.

      I do want to reassure you, though, that I’m not confiding in ChatGPT instead of people, nor relying on it for emotional care or decision-making. I see it very much as a tool, sometimes useful for thinking through language or ideas, but not as a source of truth, guidance, or support. It sits firmly outside the spaces that are rightly occupied by friends, family, professionals, and community.

      I completely agree with you about the importance of real human connection, whether that’s from loved ones, experts, or people with lived experience. That’s where care, accountability, challenge, and genuine empathy come from, and nothing artificial can replace that.

      Thank you again for your concern and for looking out for me. I take it as it’s intended, and I value it.

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  3. An interesting post and, dare I say, one that may bring a fair amount of feedback. Certainly Sue's cautionary tale and Deeanna's pointer to the news item.

    I think my chief concern - other than AI is often wrong* - is the system is effectively a prediction machine on language. By that, I mean it's capable of an educated guess on what phraseology to use. But, it does not understand, imagine, nor empathise.

    ( * A mix of the classic 'garbage in, garbage out' and would you trust generic advice off the Internet? 🤔 ).

    It doesn't have experience either. Just datasets pulled - or as some say, "stolen" - from sources we don't know, and we don't know how that knowledge is ranked by accuracy. When thinking of what you know about what it is to be trans, where does that knowledge come from? Within, online, verbal, community, research driven, self-help books, etc?

    Alternatively, there's professionals who can offer support, and if various types too. For example, when I had anxiety issues a few years back, the therapist was able to look at what was going on, in the round. Not just focusing on X means Y, but approaching the rich, complexity of life, and understanding the nuance of it. While they were cisgender, they could empathise with my concerns, worries, and thoughts. I doubt AI is capable of that.

    FWIW, I'm here if you need someone to talk to about trans issues. Anything days would be strictly between you and I. Well, with the standard disclaimer of unless you mean harm to yourself or others ❤️

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    1. Yes Lynn I thought it might bring a fair amount of feedback too.

      I think you articulate very clearly one of the core tensions here: the distinction between language competence and understanding. AI can generate plausible phrasing, sometimes even convincing phrasing, but that isn’t the same as lived experience, imagination, or empathy. As you say, it’s ultimately operating as a predictive system rather than a conscious one.

      Your point about provenance really matters too. The opacity around training data, where it comes from, how it’s weighted, what perspectives are over- or under-represented, raises important questions about trust, particularly when the subject matter is as personal and nuanced as gender identity. Much of what we “know” about being trans comes from a mix of internal experience, community, conversation, and reflection, not just information that can be scraped or summarised.

      I also appreciate your comparison with professional support. What a good therapist brings isn’t just information, but context, an ability to sit with complexity, contradiction, and emotion, and to respond to the whole person rather than a single variable. Even without shared lived experience, that capacity for empathy and nuance makes a real difference.

      For me, that’s where the limits currently feel most apparent. AI can be a tool, sometimes even a useful one, but it isn’t a substitute for human understanding, care, or accountability. And being clear about that boundary feels especially important in spaces that deal with vulnerability and identity.

      Thanks again for such a thoughtful response, it’s exactly the kind of discussion I hoped the post might prompt.

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