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"So I think clinicians lean toward wanting to help people transition." And this, Jackie thinks, is part of the problem."I didn't really feel like I could talk to my counselors about detransitioning in the way that I wanted," she said, "because they have specific political views, and I felt like if I said I had these criticisms of the whole concept of transitioning, they would have thought I was being brainwashed by transphobic bigots or whatever." Instead of talking to therapists, Jackie found a community online.

Jackie and other detrans people I spoke to said their online community is in the hundreds, but no one knows precisely what percentage of the population has detransitioned.

(Others, however, contend that a diagnosis is essential for health-care access.

Many insurance plans that cover gender reassignment surgery may not if gender dysphoria weren't considered a disorder by the APA.) Jackie describes dysphoria as an unease in her body, one that she hoped would be alleviated if the world saw her as male.

Jackie didn't want to be on hormones anymore, but she didn't know what to expect. Ray Blanchard, a retired sex researcher and psychologist in Toronto who was among the early clinicians advocating for sex reassignment surgery (now called gender confirmation surgery), said that when he started in the 1980s, patients had to live as their target gender for two years before medical intervention.

"They were required to supply documentation that showed they were actually living out in the community as the opposite sex and not just ordering pizza delivery and putting on a dress," Blanchard said.

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Just make time in your life for each other, and don’t just spend time with them, connect with them. This sin effects all of the other sins on the list, if you can’t communicate your relationship will be more likely to breakdown.

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