Hi, first off so there is no confusion I am transgender. I also have been diagnosed with schizoaffective, depression, anxiety, and ptsd. My symptoms often play off each other. When I'm paranoid my anxiety kicks in. Sometimes my depression and anxiety play off each other to. Other symptoms do the same thing. I was diagnosed at 18 and now 38. I have been to group therapy where I learned ddp to help cope. My issue is I'm trying to cope with multiple symptoms at the same time. Anyone else go through the same thing and how do you cope?