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Across the room, Sam, a trans man in his thirties with a sleeve of tattoos, was tuning a guitar. He strummed a few chords—a folk song from the 90s, one of the anthems from the height of the AIDS crisis. A young trans woman named Lila, who had just started estrogen, hummed along, though she didn’t know the words. When you find the right therapist, you’ll know

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