In fact, Marchiano says, genuine therapy pushes patients to question their own self-assessments. It does this with the explicit purpose of making the patient stronger. “If I work with someone who’s really suicidal because his wife left him, I don’t call the wife up and say: ‘Hey, you just have to come back!’ That’s not the way we treat suicide,” she said. “We don’t treat suicide by giving people exactly what they want. We treat suicide first of all by keeping people safe, and by helping them to become more resilient.” We ought to treat gender dysphoria that way, too. This
