S.E. Smith over at This Ain’t Livin’ wrote something that hits very close to home for me (and I’m betting for a lot of people in my social circle):
One very widespread perception about nonbinary people is that we don’t need to transition. Nothing could be further from the truth. While every nonbinary person is different and not all of us need or want to transition, some of us do, and we cannot access support for transitioning without lying and prevaricating; to transition, we need to lie about our gender, because transition for nonbinary people is not recognised. As a result, those of us who want access to medical transition, to hormones and surgery, must pretend that we are binary and must be able to do so effectively enough to be ‘approved’ by the gatekeepers.
In the early stages of my transition, I remember reading very scary accounts by trans people where they were denied letters approving hormone replacement therapy by their psychologists because they weren’t able to demonstrate that they were “woman” or “man” enough to warrant medical transition. I heard of trans sisters who were bluntly told that they weren’t “feminine” because they always wore pants and no make-up and of trans brothers who were denied because they were attracted to men. I also read about all the lines one should feed the therapist to “prove” that they adhered to their chosen gender identity so that they could get their HRT letter. In addition to proving that they conformed to their chosen gender, the idea was also to prove that one was in a horrible amount of distress and needed to be “cured.”