Listening to Transgender and Autistic Voices: Reflecting on Affirming Research and Mental Health Practices
Abstract
Those who are both autistic and transgender/gender diverse, an often-overlooked group, face difficulties accessing gender-affirming care and appropriate therapy and have higher rates of mental health complications. This study focused on listening to the voices of people who live with both of these identities through semi-structured interviewing and by centring the writer who is also autistic and transgender. Seven participants shared their experiences and highlighted issues they have come up against while trying to access care. Thematic analysis revealed several themes that were sorted into barriers and strengths. Barriers included autism symptoms, complex medical factors, interactions with institutions, traumatic events, and lack of representation. Strengths that were identified were personal gender expression, connection to community, and openness to experience. This study helped gain a better understanding of the intersection between autism and transgender identity which can be used to increase the efficacy of further research and gender-affirming mental health practices.