Nearly five hundred mental health professionals from around the world signed an open letter to CAMH protesting Dr. Zucker’s firing. It seemed obvious that the hospital had sacrificed an international expert on gender dysphoria and the families he served “for some real or imagined local political gain.”7 But to any mental health professional paying attention, the message was clear: Not even the most prominent members of their profession were safe from the activist mob. Get on board with “affirmative therapy”—or lose your job and maybe your license.

