For starters, I am nonbinary (they/them, afab) and I did talk with him upfront about his identity when this first came up. I asked him if he feels like he might be a trans woman and he said no. He still sees himself as a man, wants to be treated as a man, viewed as a man, and uses he/him pronouns. So I'm not exactly sure if this is the correct place to post this even, but whenever I try googling anything this is the subreddit that keeps coming up.
I also apologize if this comes off as ramble-y or disorganized, I have a lot on my mind.
About a year and a couple months ago, my boyfriend experienced something really scary while he was at work, where if he had been in the wrong place at the wrong time, he would have been killed. This sent him into a state of psychosis where he suddenly began experiencing visual and auditory hallucinations, memory loss, lost time, sudden mood swings that he then wouldn't remember once he snapped out of it, I would catch him just sitting and talking to himself sometimes as if he were on the phone but he wasn't. It was BAD. And also very shortly after the accident at work, he started feeling dysphoric about his body. Now, he's pretty much always struggled with body dysmorphia. No matter what he seems to do he always thinks he's ugly or fat, no matter how much I've tried to reassure him that I think he is attractive and I love the way his body looks. But before that accident, his efforts surrounding his body have always been to get more muscular. Since before I even met him, he's been fascinated with bodybuilding and wanting to be bigger, it's what he's always been most passionate about. And in 2025 he was even taking steroid levels of testosterone to try to achieve even more muscle mass than he already had. He's always been a big guy... The testosterone was kind of a compromise to keep him off the harder, more dangerous stuff but he eventually got off of it and said he regretted it. (It ended up contributing to some other problems in our relationship.) And then a few months after that is when his work accident occurred.
At first, when he started feeling dysphoric about his body, he described the feeling as feeling comforted by the thought of looking more female but then simultaneously feeling disturbed that he felt comforted by that thought since it's the exact opposite of everything he's ever wanted until now. Despite that, and despite my warning him that it might change our relationship and urging for him to take his time with these feelings and maybe talk to a psychologist about them, he quickly made an appointment to start hrt. However, he soon after cancelled it again because of uncertainty and fear of being socially rejected by his family and friends. He stopped talking about it for a good while after that but I still felt kind of uneasy.
Then, around the one year anniversary of that accident at work, he told me that those dysphoric feelings came back. I guess for a good number of months it wasn't an issue anymore until then. He said that he felt like part of him still wants to be big and manly but another part of him wants to be a pretty ladyboy. I told him that he shouldn't do anything rash or permanent if he isn't decided but that, from a practical standpoint, the former would still be easier to achieve based on how he already looks. I tried to share with him my experiences with coming to terms with my gender identity and how I present myself, how I used to get pretty bad body dysphoria but no longer do since I've focused more on my mental relationship with my body and how I view myself. I also used to have mixed feelings about what I wanted for my body, but a combination of reframing the issue and realizing that I didn't have to look a certain way or even be recognized by other people as androgenous to be nonbinary, as well as just working on my physical well-being and personal style all helped me feel A LOT better about myself and where I'm at with my identity. I feel like I really poured my heart out to him about stuff I've never really discussed with him before and it all just went in one ear and out the other.
Last month, he made another appointment to try to start hrt and suddenly I felt terrified for some reason. I was concerned when he first told me about how he was feeling a year ago too, but it was much more intense this time for some reason. I sat down to talk to him because I was worried that his expectations of what will happen to him are too high. From how he had worded it before, he wants a more feminine physique and breasts but still wants to keep his penis. And I thought he had it in his mind that being on hrt will magically turn him from a 6'0" 300lbs man to an hourglass ladyboy with a functioning penis, which likely wouldn't exactly be the case. So I asked him to describe to me exactly what he thinks will happen to him. He meekly began to list that he'd develop breast tissue, feminine fat redistribution, loss of libido... I asked him if he knew that he would likely experience erectile dysfunction and penile atrophy (not my main concern but it is a big one for me because sexual intimacy is important to me and I love cock). He said yes. I asked him what about our sex life? He tried to assure me that he has a mouth and ten fingers despite the fact that he has never been good at or even enjoyed giving oral nor is he very good with his hands, plus his fingernails are always disgusting because he's a welder for work... Idk I could only stare at him when he said that.
I also still think his expectations are too high. I believe he thinks that hrt is just automatically going to make him femme and pretty when, in reality, that shit takes work. I mean even women, both cis and trans, put in a lot of work into their hair care, skin care, learning makeup, learning how to style themselves, just to look pretty and he is not the type to put in that kind of effort. Honestly, he has no interest in dressing better, much less more feminine, and even his hygiene is subpar...
So, anyway, I tried to warn him that doing this may change our relationship. I was scared to even bring it up again because I really don't want to hurt him but I really don't know if I'll be attracted to him anymore if he changes too much and I thought it would be unfair if I didn't warn him about the risk he's taking. He cried and he got defensive and he started making all kinds of comparisons. That he'd still love me if I got top surgery, to which I told him I'd already given up on that for a few different reasons, one of which was because I didn't want to risk changing how he viewed me and the context of our relationship. He hadn't realized that, so then he started trying to make stuff up like he'd still love me if I got bottom surgery even if it meant I wasn't his exact type or that he'd still love me even if I got into a horrible accident and lost all my limbs and hair and couldn't do anything anymore (which I thought was an extremely weird comparison to make to hrt, but I digress) and I just stopped him and said that all of that is really easy to say when he isn't actually being faced with it. I also reminded him that not long after we started dating (and then once again after we had started living together) that he went out of his way to tell me that he would no longer find me attractive if I got fat. I also told him that I'm not just being shallow and I'll still love him no matter what he does, but loving him and staying with him in a romantic context are two different things to me. I told him that it's his decision and I just thought it was most fair to let him make it knowing what risks he is taking and that I hope whatever he chooses makes him happy and I ended the conversation there.
We didn't talk about it that much after that, except for one night when I told him that I was scared of him changing and I feel like I'm losing him. He tried to assure me that he's still going to be the same person and he's still going to love me. But I've read so many stories now from other people whose partners completely changed after hrt, both their personalities and preferences...
Before his appointment, I prayed that they'd at least look into the records of his mental health and have him go through some therapy and then maybe social transition first so that they have a better understanding of where these feelings of his are coming from and so that he would have to put in some work and see that transitioning like this is going to be a challenge and is going to change a lot of aspects of his life other than just his appearance. But the state we live in is informed consent, so they gave him a prescription of estradiol and spironolactone the very same day. Literally all he had to do was go in and say "Yeah, I suddenly feel weird about my body and I wanna look like a woman even though I still see myself as a man." If he was even truthful about it in the first place.
I don't know, I thought I was prepared for that possibility, but that night I couldn't stop crying even if I tried. I didn't say anything, the tears just wouldn't stop. He ignored me and went to bed. I already struggle with depression and suicidal ideation so I ended up having to call my best friend (who still lives in my hometown) to talk to for a couple hours until I could actually calm down. What's frustrating is that only then, when I was on the phone and going to someone else for comfort, did my boyfriend even try to come and ask me if I was okay.
Maybe a week or so after that, I did try to talk to him one more time just to let him know that before he gets too deep into this, it might be a good idea to try some shapewear and even a breastplate to see if he even likes how he looks with more feminine features before he causes permanent changes to himself. He said he'd think about it but hasn't said or done anything in that regard.
Since then, I haven't talked to him about it anymore. I'm still scared for him and for us. I have a bad gut feeling about all of this and regardless of what I decide to do and whatever happens to our relationship, I also just think he is going to end up miserable if he continues on this path. Call it pattern recognition or call it just knowing him really well, but I feel like he's going to get himself to a point of no return in his transition and then realize that this wasn't what he actually wanted (just like he did with the testosterone) and then be stuck with man-boobs and a micropenis for the rest of his life. He's just always been really impulsive and even prone to developing addictions and I really don't trust his decision making skills. Plus, I have a really bad feeling that all of this, his body dysphoria and his psychosis stem from the all the trauma he went through as a child. He had a childhood that I wouldn't wish on my worst enemy, honestly. Without getting too graphic or detailed, he was mistreated and physically and sexually abused by a lot of adults in his life and especially by his biological father. And his whole life he's refused to go to therapy for it or to really heal from it. He'd talk about it a little here and there, enough for me to understand most of what happened to him, but mostly has kept it bottled up. Well, I have a feeling that that accident at work scared him so badly that it broke the proverbial bottle and all that trauma came pouring out and his mind doesn't know what to do with it all except to create a bunch of new issues for him. I'm not a psychologist by any means but even I can see the direct correlation between what he went through as a kid and what he's going through mentally now as an adult.
However, I don't think he sees it. At least not in regards to the dysphoria. And every now and again he goes on about how he doesn't want to be defined by his trauma and he doesn't want to be that kind of person (whatever that means) all the while completely bending to his trauma. I believe that he is trying to treat symptoms rather than healing the actual wounds and is going to do so much more damage to himself in the long run. And I've tried to kindly suggest that possibility to him but he either doesn't understand or just won't listen. I don't know if I'm being too gentle and the only way to get him to understand is to be more firm and direct but then I'm afraid that he will just get angry and defensive because he'd much rather take the word of complete strangers and google gemini than his own partner who actually knows him and his history.
I feel so hopeless at this point. Our relationship hasn't been perfect but I still love him. I want him to be happy. I'm trying to get used to the thought of him being different but I don't know if I can. I feel so full of grief for what I thought our life would be together. And I feel so guilty that even though he accepts me for being nonbinary, I can't just readily offer him the same acceptance. I'm anxious he thinks I'm just being shallow, and hurt that he doesn't even seem to be trying to consider my feelings about all of this. And worst of all, I am so scared that he is doing all of this for the wrong reasons and is going to seriously regret it.
I haven't been treating him any different, for the record. I'm still affectionate with him, still spending time with him and doing things for him. Hell, we even still went on vacation together and went to my cousin's wedding together because I do still love him. The only thing that's different is that some days he gets into a sulk and won't talk to me about it and sometimes he'll just suddenly say some guilt-trippy or even just mean stuff to me. I know it's because he's scared he's going to lose me, so I've just been taking it. I don't think he actually knows what he'll do if I do decide to leave him, but he often says that he can't live without me which is also worrisome.
I really don't know what to do at this point. Thank you to anyone who took the time to read all of this, I know it's pretty long and maybe not as well organized as it could be. Any advice or anecdotes or just any support would be appreciated. And if there's a more fitting place for me to post this then feel free to point me in that direction.