For refusing to validate opposite-sex identities, I risk an investigation, but I'll live with that. I'm going to do what's best for my patients.

Zach lives in Utah and Nicole in Massachusetts—both states that ban “conversion therapy” for minors. That means any approach that fails to immediately affirm a child’s new identity is prohibited.

I put myself at l risk when I argued that Zach and Nicole should not be affirmed but instead have their long-term mental health issues treated.