In all this, it cannot be emphasized enough that the political demands of trans people align with those of disabled people, migrants, people with men… - Shon Faye

When non-binary people ask for legal recognition or a rethinking of gendered language (for instance through neutral pronouns, or new words for new genders), they are asking for more freedom for us all. In one sense, the claim that everyone is non-binary isn’t wrong: the binary is a powerful and pervasive myth, and everyone is somewhere on a spectrum. ‘Non-binary’ is only useful insofar as it is a term which can be used to make such ideas legible to policymakers, families, schools and societies. It is a term designed to make conversation easier; it is not the end point.

What we choose to define (and stigmatize) as ‘mental illness’ is itself a matter of politics. For instance, our perception of homosexuality as an identity instead of a disorder is a relatively recent development, made possible by decades of campaigning to depathologize it.

First, one of the most important – and, for many, confusing – questions: why do some trans people need medical intervention at all? Dysphoria, the antonym of ‘euphoria’, is the clinical term now used to describe the intense feeling of anxiety, distress or unhappiness some trans people feel in relation to their primary sex characteristics (genitals), their secondary sex characteristics (breasts, facial hair, menstruation, face shape, voice) or how these physical traits cause society to interact with them, by perceiving them as a male or female. Previously called ‘gender identity disorder’ and, before that, ‘transsexualism’, gender dysphoria is the name given to an experience many trans people struggle with, which can be helped by medical intervention. Although the term is widely used within the community, different trans people can experience dysphoria in very different ways, and so might have different clinical needs.