"The gatekeeper role becomes even more fraught when working with trans autistic individuals, as many autistic youth and adults know that mental or medical health providers have historically considered autistic people’s transgender identification, experiences, and decision-making capacities as suspect. If trans autistic people are sharing with others on the Internet, they are often aware of historical denial of medical referrals for autistic people. Because of this knowledge, they may not want to receive an autism diagnosis if they don’t already have one, and will try to present with better executive functioning and with less need of support than they truly have."
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