The present study is an exploration of the psychological ramifications for transgender (trans*) individuals when asked to complete a form requiring them to self-select as either male or female. Study results endorse significant adverse psychological ramifications. Specifically, respondents indicated that when presented with these limited options they have often added additional information on the form to help clarify their gender and over half of respondents indicated having chosen not to provide gender information at all when asked. Further, respondents indicated concerns regarding feelings of safety, anxiety, and depression when asked to disclose one’s gender. Almost two-thirds of respondents indicated that disclosing their gender has lead to an awkward or uncomfortable conversation with their healthcare provider. Over half indicated the provider did not respect their gender after disclosing and 60.8% of respondents indicated an expectation to educate the provider after disclosure.
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