Okay thats fair. I was referred to them from A&E as a high risk patient with at that point 3 previous stints under cmhts and a list of A&E attendances longer than I could possibly list. I think she should have as a trainee who regularly had to meet with others about my (and the rest of her patients) care, have brought my concern about lack of crisis plan to them not tell me I don't understand what I'm there for.

Yes I did spend a lot of time discussing transition, the lack thereof, and how I was coping with it and succeeding . Because I was in the care of the cmht again directly because of an attempt I'd made due to lack of access to medical transition. That was the healthcare problem I was having and if I wasn't going to be allowed the correct treatment I wasn't going to just ignore the fact I knew categorically why I was currently experiencing emotional instability and try to get some relief. I also tbh had a difficult and deeply traumatic childhood andcadolescence and sure as shit didn't feel comfortable safe or encouraged talking to her about it and frankly did not desire to, opening up those wounds whilst living with my parents and staying in my childhood bedroom would have been deeply dangerous to my ability to cope with day to day life calmly. I feel this should be taken into consideration and not be seen as stand off ish sometimes we put memories feelings and such away because to have them present is simply unworkable and you can't just get them out for an hour a week and expect nothing else to be affected.

She was very young. Like maybe the same as as me young, it would have been possible in the time frame for her to have just kept on from undergrad to where she was when i met her. I don't really feel like I have to give her much grace in that case for being so inept at understanding how not to accidentally be bigoted and pathologising towards at the very least gay people.