ABSTRACT

Transgender people who are not nonbinary are less of a threat because they do not challenge the two-gender system. A significant portion of people who identify as transgender also identify as nonbinary. Some people have argued that intersex people are ‘naturally’ nonbinary. Nonbinary study subjects were almost uniformly in their teens and 20s, reflecting the youthful nature of this population. The nonbinary subjects reported more victimization and less support from peers, parents, and health care providers than either binary transgender or cisgender subjects, and more self-harming behaviors, including drug abuse. Contrary to what many people assume, many nonbinary people want some form of medical intervention to change their bodies. Perhaps more common are nonbinary people who want ‘micro-dosing’ of hormones. Nonbinary people also need help dealing with rejection from both cis and trans people. Nonbinary people may not want medical interventions, but many do, and this creates problems which the therapist must help navigate.