I have told every professional that I have worked with that I know it does not work for me, and instead of respecting that, I get stealth attempts at it or they do end up giving me the fucking worksheets.

That is some fucking horseshit right there, in a just world you'd be able to easily sue such clowns for malpractice or at least submit a complaint that would actually lead to re-training or re-certification or something for these assholes.

I'm not trying to say CBT is a perfect panacea of mental health, just that its ... basically an example of the field of therapeutic psychology not even really having any real empirical validity until fairly recently.

The mental health care system is just as, if not more broken than the rest of our healthcare system.

Absolutely full of people faking or overstating their qualifications, just doing literal fraud, or what isn't technically legal fraud, but should be considered as such.

Its a clusterfuck, designed primarily to extract money, wase time, deliver subpar treatment.

ie, right now I’m terrified of leaving the house because my drivers license is now invalid by state law and EO - my county’s jail has killed quite a few people and a little gay trans man like me is not going to do well. I can’t “replace” that thought with a better one. Ranking how I feel about that just makes me more freaked out.

I sympathize and empathize with that.... I'm not gay or trans, but I've spent a year or so crippled and homeless, no id, no phone, all your shit stolen every month, getting assaulted every other week... I know what its like to live in constant fear.

... Your concerns are extremely real, and any decent doctor would look to identify and then alleviate the source, the cause of the problem.

I wish I had a solution for you.

... We're gonna need to build an underground railroad to get people into at least bluer areas...

Had I the money, and properly functioning legs, I'd rent a car for a week and drive you myself.

Fuck, I dunno, you might be able to successfully apply for asylum in Canada... you might be able to make a decent case you're a directly targeted minority by their asylum seeker guidelines.