 And her Twitter bio proclaims, working for a radically inclusive world for all transgender people. Some cases are relatively straightforward. After a year of weekly conversations with Liz, a 15-year-old who had no mental health issues and had long questioned her gender before she came out as a girl. Let's stop there for a second. Had no mental health issues and had long questioned her gender, his gender. I think we're talking about a boy. No mental health issues and had long questioned his gender.