Of course this body has never felt right – not because my gender identity clashes with its appearance, though, but because my body has never been a refuge. How could I recognize the discomfort of dysphoria when pain, anxiety, and exhaustion dominate my senses? How could I discern whether this disconnect between spirit and flesh is caused by a lack of gender or by all these years spent trapped in chronic illness? When it comes down to it, I’m not sure I’ll ever know whether I’m unhappy in my body because it looks “female” or because it has only ever been a burden requiring constant care. I can change my appearance all I want, slick back my short hair, cover my skin in tattoos, but that won’t stop the migraines or the stomach aches or the OCD. Even the clothing I wear is always half aesthetic and half will I be too warm in this or too cold, will it make me sweat too much and cause a panic attack, will this hat keep me from picking my scalp bloody or will it give me a headache instead? It’s always something; between the faulty wiring in my brain and all the other aching, breaking bits, I don’t really have tools sensitive enough to scan for undercurrents of dysphoria. My body’s never been a home and maybe it never will be, no matter what colors I paint the outside or what interior walls I tear down.