In Missouri, restrictions on gender-affirming care for all ages would take effect on April 27. Some trans people have been making contingency plans.
If a patient wants hormones or other transition-related care, the order stipulates, they must have exhibited a “persistent and intense pattern of gender dysphoria” for at least three years, and that dysphoria must be medically documented. Patients have to go through 18 months of therapy with at least 15 sessions, and they have to have “resolved” all other mental health comorbidities. They also have to undergo a screening for autism.
“Overwhelmingly patient after patient was just terrified and angry,” McNicholas said. “So many of them feel like they finally have found the thing that helps them feel whole and helps them be seen and helps them live healthy lives. Then they wake up in the morning and the attorney general has decided that their life is not worth valuing and that he’s going to take that care away from them.”
Clark Roman, a 32-year-old transgender man in St. Louis, said he has considered that option. Roman has been on testosterone for four years, but he’s had documented depression since he was a child. A mix of hormones and an antidepressant has made him feel better, he said, but depression, for many people, never fully resolves. Now, he feels he may have to choose between treatments.
Rather than stop taking antidepressants, Roman said he and his boyfriend may move to Minnesota. Neither wants to leave St. Louis. They each own their homes, and Roman loves the work he does at a coding nonprofit. Without the order, Roman said, he and his boyfriend would have put off moving in together for a while.
In St. Louis, Finn, a 33-year-old agender person who has not come out to their family or co-workers yet, said they hadn’t imagined pursuing medical interventions so soon. They just came out to their therapist in March. They cut their hair into the style ’90s heartthrob Rider Strong used to wear, and they bought a binder to compress their chest, and “felt an absence of the pain that I have carried my entire life.
Finn could buy time by moving, but doesn’t want to. They grew up in St. Louis, and though they lived out west for four years after college, they never stopped yearning for home. Besides, they said, other states could follow Bailey’s example.
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