My own psychologist was a prude...he didn't want me to talk about sex...And my own field I'm scared of the most. I've had some of the worst experiences in mental health, it's been where I've faced discrimination, and after my own experiences I just can't bring myself to tell someone they have to take their meds.
But...if I was facing a gender dysphoria path....talking about sex was unavoidable....I guess...
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