“…These findings suggest that experiencing gender affirmation can be challenging for transgender people and they often face humiliation, discrimination, and violence from others (Galupo, Krum, Hagen, Gonzalez, & Bauerband, 2014; James et al, 2016; Kuper, Adams, & Mustanski, 2018; Maguen, Shipherd, Harris, & Welch, 2007). Furthermore, transgender youth often face misgendering in settings at which youth are already particularly vulnerable, such as when receiving medical care (Gridley et al, 2016), in foster care (Mountz, Capous-Desyllas, & Pourciau, 2018), court settings (e.g., when parents of transgender youth are fighting for custody; Kuvalanka, Bellis, Goldberg, & McGuire, 2019), and programs supporting homeless youth (Robinson, 2018; Shelton, 2015). Overall, the discrepancy between the need for gender affirming environments and low access to them because of social marginalization may result in anxiety and depression (Reisner et al, 2016; Sausa, Keatley, & Operario, 2007; Testa et al, 2017).…”