Patients claiming gender dysphoria, she says, ought to be treated according to the same therapeutic principles as any other troubled patients. “When someone walks in and says, ‘I think I want to leave my marriage, that’s why I’m here.’ I don’t know what’s going on. We have to listen and find out, and the way that I work, that could take months of listening. This idea that a kid’s going to come in and tell us that they’re trans and that within a session or two or three or four, that we’re going to say, ‘Yep, you’re trans. Let me write you the letter.’ That’s not therapy.”
