Some people tell me I pass, some say I don’t, the worst case was someone telling me that I look like a handsome man and ugly woman at the same time, but I can’t trust any of it. Every time I look in the mirror I see different face, ranging from manly man to effeminate twink, it changes several times a day and is always distorted in some disgusting way. The only things I absolutely know for a fact is that I have strong jaw and visible browbone but with okay-ish proportions, the rest is a blur filled in by my brainworms.
I guess it’s caused purely by dysphoria, your subconscious doesn’t accept the fact that this is supposed to be your face and tries to remove it from the mind, and then your brainworms fill-in the gaps, so the image depends mostly on how you feel and how dysphoric are you at the moment.
We really shouldn’t ever see psychs who have no experience with transsexuals, they’re useless or even harmful to us, and many are there only to torture us.