Something urgent sure as hell is going on. There are large upticks in the numbers of people, particularly young ones (nonbinary folks are mostly under 30, Bergner reports), who are experiencing such distress at being seen as male or female that they desperately want out the whole thing. As this anonymous therapist points out, though, there’s just no way to know exactly what’s at play here. And most of the people who are suffering don’t have access to a good, thoughtful, careful clinician to help them figure this stuff out — they might not even know what to look for in one. There are a million screaming sirens urging caution, and the only response, in terms of how progressives are publicly discussing this issue, is to call anyone with questions about this a bigot.