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A gay man may seek a therapist for internalized homophobia. A trans person often must fight insurance companies for years to access hormone replacement therapy (HRT) or gender-affirming surgery. In many regions, trans healthcare is illegal or considered "conversion therapy." This is a crisis unique to the "T."

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This "image problem" became the fault line. While cisgender gay and lesbian activists sought respectability—arguing that they were "born this way" and couldn't change—transgender individuals were challenging the very binary of male/female. To the mainstream, trans bodies were harder to explain, and thus, often the first to be sacrificed in the pursuit of marriage equality and employment non-discrimination. A gay man may seek a therapist for internalized homophobia