Having to suppress who you are, your agency, the ability to own yourself for fear of violence and discrimination is damaging to the psyche, anyone's psyche. Example: A Jew who passes for a German during ww2 to survive doesn't come out exactly peaches on the other side, even though the only thing separated many Eastern European Jews from Germans was not blood, but an invisible religious belief. Most shared family trees shared.
No agency, no ability to self determine the most basic aspects of yourself is damaging. If anyone should understand this its black folks.

The violence against trans people is so high that most people can't fathom that such a small population could sustain so much death and still keep on fighting. That should tell you right there, it ain't as simple as sucking it up and putting on some timbs.

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