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And so they ask us over many years. Just to be sure. And put barriers in the way. Just to be sure. Even if some of us die as a consequence. Because to them the worst possible outcome is that a cis person might mistakenly transition. Cis lives matter more than trans lives to them.

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The days of pleated skirts and white blouses may be gone (if you know you know) but the system is still, prove you're trans to the satisfaction of a psychiatrist. The only test is to be asked and say yes...

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And those clinicians will abuse that power over us. My experience of the system was that it was infantilising and coercive and less than helpful with any issues I had, even in the golden years when you could get seen inside a decade. Without genuine informed consent it will always be this way...

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