anhis or her creating a gender dysphoria-- tera an extremenhpiness about e's icalex. dysphoriais what led d to t program in han sexty anto dr. eli coleman. i guess fr the time wavery young, couldn't understand why everyone kept telling me that i was a girl and i shld be doing thgs that girls do. that i was a girl because as far as i was concerned, i was a boy, and i didn't understand. there was a lot of confusion. didn't know how to relate to... anyone else. uh... it's just very uncomfortable. it makes you feel crazy. this is a female-to-male transsexual who always thought of herself as a boy. she had extreme discomfort with her body as it changed from a you girl to an adt woman. and with those changes, there was increasing anxiety and discomfort about her breasts, her genitalia, and also out their gender role. their role as a female felt very uncomfortable. oftentimes, they just feel that somehow they were just given the wrong body. in their mind, they felt themselves to be of the other sex. i know that when i started going through puberty, um... i decided that-- up

so it tends to induce vomiting, and a lot of dysphoria and distress. dr. bigelow: the main subjective effect of heroin when it's used is to produce a subjective, dreamy euphoria in individuals. they tend to be sedatedat . the effects ll last perhaps an hour or so. with chronic use, the nature of the cycle becomes not just being high and then back to normal, but being high and then experiencing withdrawal sickness and then using the drug and getting back to normal. once i got addicted to heroin, my life-- i can explain it real simple, i was either in jail, or out on the street using heroin. narrator: there are also health risks associated with using heroin. if it's injected, there's a risk of hepatitis, of aids, of hiv, of many infectious diseases that are transmitted by the needle. for both heroin and cocaine, many of the public health problems one sees are related to the illegality of the drugs, and the difficulty individuals have in getting it, and in self-administering it in sterile ways. so they're very high-risk of infection. narrator: people who are