Transgender people shouldn’t have to lie about their mental health. But many do.

Sam discusses difficulties many trans people encounter getting both gender-affirming care and mental health care.

Let's Queer Things Up!

Until this last year, accessing top surgery was a losing battle for me. But it’s not because of where I live, my health insurance, or any of the othertypical barriers you might imagine when trans people are looking for care.

It’s because I’m mentally ill.

I live with obsessive-compulsive disorder (OCD) and complex trauma; I’m also transgender. And I’ve found that, at this particular intersection, accessing the health care I need has been an uphill battle.

I’ve been denied care numerous times over the years, under the premise that I was too mentally ill to undergo a major surgery — ignoring that gender dysphoria, an acutely painful experience for many trans people, was contributing to my poor mental health.

It took two years to be placed on a waitlist for surgery, when a therapist finally decided that I was “stable” enough (without any explanation of what that actually means).

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