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The Conversation
The Conversation
Susan Radzilowski, Lecturer in Social Work, University of Michigan

Transgender youth and their families struggle to find gender-affirming care – even in states where it’s still legal

Transgender Mental Health
In the face of a confusing and hostile political climate, trans youth and their families are often left to fend for themselves. Chalffy/iStock via Getty Images Plus

Imagine this scenario: In late 2025, a social worker sits down with a transgender teenager and his parents. The family is trying to decide whether, and when, to begin gender-affirming hormone treatment.

No one in the family was questioning this young person’s gender identity. The teen had been living as a boy for years. By all accounts, he was thriving: emotionally, academically and socially.

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