 The onslaught of the anti-LGBTQ legislation sweeping the country and the powerful homotransphobic trends within psychotherapeutic fields, they can make it feel like, now more than ever, they can make it feel like the only viable position for clinicians who don't see queer and trans patients as pathological, they can make it feel like the only viable position for such clinicians is to double down on the born-this-way rhetoric.