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Feminism: Sex and gender discussions

How do you support other siblings when a teen decides they are trans

663 replies

Autumnleavesareslippery · 07/10/2024 09:13

I've name changed for this, have been a member for 19 years since pregnant with DS. I'm going to try and be factual as I'm in shock and dealing with a whole host of mine and my children's emotions. Yes I'm using 'he' here as none of us have got our heads around this. I'm trying to be very honest in how I feel and really need some support from people who have more of an idea about how to handle this than me.

DS (19) came home from uni on Friday. On Friday night at about 11 pm in the family chat he declared he was transgender. He informed us what he was called. It was an unusual name choice for a 19 year old - that of someone perhaps born 150 years ago. Think Enid. He told us he'd known for years.

All of us were in shock. I have DD (17) and DD and DS (both 14). I sent a message privately to him thanking for letting us know as I wasn't quite sure what else to say. He didn't read it and remained in his room. Didn't even bother with the usual teen response of a thumbs up.

Saturday and Sunday he acted completely normally, like nothing major had happened and he had told us he was vegetarian now or something. He seemed calm and relaxed. He looked exactly the same - a 6ft 2 broad shouldered man.

He then came downstairs to get a lift to the train station dressed as what I can only describe as a stereotype of what someone might think a woman looked like. Badly done make up. An odd dress that didn't fit. And started talking in a completely different soft 'feminine' voice and doing strange things with his hands that he must have deemed 'female'. He had lace like gloves on. It looked so outdated and strange.

The best way to describe it was he looked like Dame Edna or the character out of little Britain from 20 years ago in that the clothing was odd and it seemed almost designed to get a reaction. But he appeared to be deadly serious and nonchalant about it. A woman would have been clearly mocked if she dressed like it. It just leaves me wondering whether this is what he views women as?! Not that he knows any women who would act like this - he's surrounded by many women who express themselves in multiple ways but not in an Edwardian lady about to collapse way.

I drove him to the station trying to make small talk about the weather and his course and came back to everyone sat staring in disbelief. He's never said anything, acted in any way 'feminine' (whatever that means). He's at a RG uni, studying a science subject with 3 As at A level, and has organised himself a part time job. I only say this because life seems to be going well for him, rather than a potential response to something.

He is however autistic.

DD 17 is furious and says he's making a mockery of women and that woman is not a costume. She says he better not be going in female only spaces.

DD 15 looks stunned and keeps asking why he thinks he can just become a woman and what he thinks that means. She can't identify out of periods etc etc. DS 15 is laughing in disbelief. DH just looks completely confused and keeps muttering about getting loads of tattoos when he wanted to shock his parents thirty five years ago.

I genuinely don't know what to do next. Please bear in mind I'm in shock, had only just 'got over' my first born leaving for uni and all the emotions that brings.

I want to support DS19 with whatever gender expression he wants. When he still looked like him (and didn't appear to be 'dressed as' a mockery of women) I was shocked but we just thought ok, this is him experimenting with finding himself or whatever. But now I'm really worried about him and his future and whether others will look at him and think wtf. I'm also angry at the very (sorry to stereotype) 'teen boy' way he told us - late at night, no response, informing us what he was called rather than perhaps asking 'could you call me'. No consideration of the impact but I guess that might just be being 19.

I agree with what both of my daughters are saying. How do I say this because it then directly criticises DS? Do I accept he is an adult, has made his choices and my care and focus should be on them? I can't gaslight them and tell them they're wrong.

I'm now worried he's going to go into female spaces, as a clearly visible six foot plus male. This would make me angry.

He is at a university where I know lots of his lecturers (I am an academic in the same field). I know many are gender critical. Do I mention it to them first or let it be the elephant in the room?

I don't know what to say to my 85 year old mother. I think she will be very shocked and worried. I'm trying to work out if we have to tell her (she doesn't live nearby).

I don't know how much to talk to him or challenge this. I feel a kind of grief. I'm worried he's going to take hormones or do something irreversible.

We all dislike the name / think it's a very odd choice - which makes me feel very alienated from him.

And at the end of the day he's my 'baby' - I want him to be happy. I don't want people to criticise him. I want to support him but how do you do that when you question so much what he is doing? It wasn't the fact he declared himself to have a different gender but rather what followed - the declaration of name, strange clothing and fear of him going in women's spaces.

I also do absolutely realise he is an adult and can make his own choices and face the consequences. He has his own life (albeit he's being financially supported by us).

I guess it was just so sudden.

Any advice on what to do next would be gladly received.

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SophiaCohle · 14/10/2024 00:18

I'm afraid I think that there are powerful patriarchal interests that are supranational, and have a finger in everyone's legislative pie.

SquirrelSoShiny · 13/10/2024 22:48

Bookery · 13/10/2024 19:59

I know you did qualify your statement as outrageously unfair, but legally speaking the wave of gender identity politics via recognition of self-ID started elsewhere, namely in countries in South America (Argentina became the first country to pass self-ID laws in 2012, and the neighboring countries followed suit, all before 2020) and Oceania.

Multiple European countries, including Belgium, Ireland, Portugal, Denmark and Norway (by a Conservative government to boot), all legally adopted self-ID in mid- to late-2010s, before the US did in 2021.

The current iteration of the transgender rights movement in the form of gender identity politics is not something that can be simply attributed to the US.

Edited

That's news to me and I'm happy to stand corrected!

Maybe I'm influenced by some of the loudest social media voices being American 🤔 Also by the fact that I've recently finished working with a group of American trainers who shoe-horned identity politics into EVERYTHING.

But yes, I acknowledge it was a childish over-simplification!

Bookery · 13/10/2024 19:59

SquirrelSoShiny · 13/10/2024 18:16

I really feel your pain on this. I'm over it all. I blame America for this - outrageously unfair I know- but as the old saying goes, America sneezes and then Europe catches flu. I feel like America's 'newness' means everyone is desperately seeking identity and now we are catching the obsession - but it doesn't belong to us. It's not ours to obsess over. Fast social change and increased cultural diversity here is probably adding to this desperate questionning of 'who / what we are'.

I know you did qualify your statement as outrageously unfair, but legally speaking the wave of gender identity politics via recognition of self-ID started elsewhere, namely in countries in South America (Argentina became the first country to pass self-ID laws in 2012, and the neighboring countries followed suit, all before 2020) and Oceania.

Multiple European countries, including Belgium, Ireland, Portugal, Denmark and Norway (by a Conservative government to boot), all legally adopted self-ID in mid- to late-2010s, before the US did in 2021.

The current iteration of the transgender rights movement in the form of gender identity politics is not something that can be simply attributed to the US.

SquirrelSoShiny · 13/10/2024 18:16

RedToothBrush · 11/10/2024 18:58

You aren't allowed to differ and everyone has to defer to the noisiest most vocal disruptor because me me me. And if you don't defer to the identity then it's punishable by shaming.

The level of outright abuse this carries is awful. There is no space allowed for other opinions, experiences or feelings.

That isn't helped by social media generally and echo chambers.

Frankly I can't think of more boring people than those who are so self righteous about stuff like this. And half of them are doing as 'allies' whilst talking over people directly affected.

I am so DONE with identity politics as a force it's untrue. It's so open to abuse and the shutting down of any sane conversations.

I really feel your pain on this. I'm over it all. I blame America for this - outrageously unfair I know- but as the old saying goes, America sneezes and then Europe catches flu. I feel like America's 'newness' means everyone is desperately seeking identity and now we are catching the obsession - but it doesn't belong to us. It's not ours to obsess over. Fast social change and increased cultural diversity here is probably adding to this desperate questionning of 'who / what we are'.

MaidOfAle · 12/10/2024 18:06

MumOfYoungTransAdult · 12/10/2024 09:13

My DC was diagnosed young with an ASC and is very aware that trans is associated with ASC. DC's response is that it's disablist and transphobic to say that if you are autistic then you aren't really trans.

Your DC is misrepresenting the actual argument, which is that autism can cause body dysmorphia that can be mistaken for gender dysphoria and it's really important for clinicians to differentiate between the two.

CautiousLurker · 12/10/2024 11:18

MumOfYoungTransAdult · 12/10/2024 09:13

My DC was diagnosed young with an ASC and is very aware that trans is associated with ASC. DC's response is that it's disablist and transphobic to say that if you are autistic then you aren't really trans.

This is the line the TRAs take on Twix etc… but I always push back that they are being ableist (disableist?) because of the 6+ ASC’s in my family, only one identified as trans/queer!

MumOfYoungTransAdult · 12/10/2024 09:28

DC being older and already living away from home made it easier. I feel less responsible and we're not in each others faces all the time so it's easier to get along. We were visiting DC when DC told us, we weren't staying with DC so we had more space to process.

Sympathies to everyone who is wrestling with this. Hope you are OK OP.

MumOfYoungTransAdult · 12/10/2024 09:13

My DC was diagnosed young with an ASC and is very aware that trans is associated with ASC. DC's response is that it's disablist and transphobic to say that if you are autistic then you aren't really trans.

Balloonhearts · 11/10/2024 21:11

RedToothBrush · 09/10/2024 19:43

I'm not making any assumptions.

I've read enough of your dismissive posts.

I told you. I'm not prepared to be held hostage to fantasy and denial of reality.

This! This is basically the whole argument in a nutshell. You can't force the rest of the world to engage in your fantasy.

I might give it a try myself. Identify as the sole UK lottery winner and anyone who says I shouldn't be paid is being wealthphobic and needs to be kinder! I've always known I should be rich. I could end up suicidal from your insistence on acknowledging reality! Whaddaya mean I have to buy a ticket? Don't you know I'm special!!!

SophiaCohle · 11/10/2024 21:09

This is all very interesting.

My belief (not very controversial) is that being autistic makes kids more vulnerable to the exploiters online trying to 'sell' trans ideology because they already don't fit in/feel there's always been something wrong with them, i.e that there's a positive correlation but it's not causal.

But now I'm wondering if they tell kids that present as vulnerable that if they get an autism diagnosis it will 'prove' that they 'are' trans, i.e. that the link is causal and it's their destiny to transition.

My son first said he had gender dysphoria and was considering a gender 'reassignment' (hate that term) at 17. Then he asked for an autism assessment. Once he had the autism diagnosis, the narcissism started - the expectation that everything would now revolve around him and his needs - "because of my Asperger's" (not a term we or the clinicians used really, so perhaps also encouraged by someone online). (Do they tend to talk about Asperger's still in the US?) And also just the out-and-out unpleasantness. It's not who he used to be, so would not be classic NPD imo, but, like the other stuff, I'm wondering now if he's been given a script.

He's a proper little dictator now. One of respects in which I feel most terrible about the estrangement is that it's actually been a relief. 🙁

RedToothBrush · 11/10/2024 18:58

CautiousLurker · 11/10/2024 18:49

@ExtremelyPrivate I think I am there too. Had a discussion on another thread where someone was saying you should not say ‘those with autism’ but ‘autistic’ because… ‘identity first, innit’.

I pushed back (okay, took umbrage) because as a family - with at least 6 diagnosed ASD/ADHD people across two generations - we don’t call ourselves ‘autistic’ first. We reject the ‘label’ as labels tend to be definitive, limiting and exclusive. Obviously, we accept we are ND people, but our divergence is multi faceted (ASD, ADHD, dyslexia, dyspraxia etc) and varied between us, and is as varied and complex as every aspect that comprises our ‘whole’ selves.

Autism is a part of us, a lens through which we experience the world. It is at times a constrictive and delimiting, but at others it is at the source of our creativity and compassion. I and my kids hate the label and won’t say ‘hey, I’m autistic’ as our first introduction to ourselves unless it is essential or salient to something specific.

I was told that I and my family are in the minority, though. 🤷🏻‍♀️

You aren't allowed to differ and everyone has to defer to the noisiest most vocal disruptor because me me me. And if you don't defer to the identity then it's punishable by shaming.

The level of outright abuse this carries is awful. There is no space allowed for other opinions, experiences or feelings.

That isn't helped by social media generally and echo chambers.

Frankly I can't think of more boring people than those who are so self righteous about stuff like this. And half of them are doing as 'allies' whilst talking over people directly affected.

I am so DONE with identity politics as a force it's untrue. It's so open to abuse and the shutting down of any sane conversations.

CautiousLurker · 11/10/2024 18:49

@ExtremelyPrivate I think I am there too. Had a discussion on another thread where someone was saying you should not say ‘those with autism’ but ‘autistic’ because… ‘identity first, innit’.

I pushed back (okay, took umbrage) because as a family - with at least 6 diagnosed ASD/ADHD people across two generations - we don’t call ourselves ‘autistic’ first. We reject the ‘label’ as labels tend to be definitive, limiting and exclusive. Obviously, we accept we are ND people, but our divergence is multi faceted (ASD, ADHD, dyslexia, dyspraxia etc) and varied between us, and is as varied and complex as every aspect that comprises our ‘whole’ selves.

Autism is a part of us, a lens through which we experience the world. It is at times a constrictive and delimiting, but at others it is at the source of our creativity and compassion. I and my kids hate the label and won’t say ‘hey, I’m autistic’ as our first introduction to ourselves unless it is essential or salient to something specific.

I was told that I and my family are in the minority, though. 🤷🏻‍♀️

ExtremelyPrivate · 11/10/2024 18:26

Yes, I too distrust the ND movement, the framing of a developmental disorder as an 'identity'. It is damaging in all the ways that you imply, and I can also see in other threads currently active on MN, how it is blinding people who are unaffected by autism to the real and severe disability associated with this condition.

SquirrelSoShiny · 11/10/2024 18:17

ExtremelyPrivate · 11/10/2024 17:56

This does all make a lot of sense, but I want to add that even where they overlap, the narcissism and the autism will be two different things, and there is no intrinsic connection between them.
I think the overlap might often be one of two different things:

-- Autistic person is also narcissistic (for reasons not essentially connected with their autism), and their autism makes it harder for them to be aware of, police, monitor the boundaries between normal self-assertion and narcissistic tyranny.

--Autistic person is not also narcissistic but they are used and groomed for the gratification of other people's narcissism, and in this sense are a kind of human shield. They may adopt agendas shaped by others' narcissistic needs

My DS was intensely vulnerable to other people's agenda and may have fallen into the latter category. He was the opposite of narcissistic, very easily shaped by others' demands.

While I agree with much of what you say I'm starting to wonder if there really is more overlap than suspected before. It will be really interesting to see if focused research proves this to be the case and how much of it is attributable to social factors like the ND movement, online groups, discord servers etc. We know autistic / ND young people are often socially isolated in daily life and increasingly seek connections online. They really are ripe for grooming of all kinds including by older narcissists recruiting 'followers'.

ExtremelyPrivate · 11/10/2024 17:56

SquirrelSoShiny · 11/10/2024 12:18

Unfortunately I'm increasingly seeing narcissism going hand in hand with autism presentations. I think part of this has been unwittingly caused by the 'neurodiversity movement' which I am finding increasingly harmful to ND people- ironically because it is often being championed by the most narcissistic individuals! This makes sense because it brings a lot of narcissistic supply - admiration, money for the latest homegrown charity etc.

My own family is very ND and I keep all of us away from the ND movement. It often veers between narcissism and victimhood, between ND 'superpowers' and complete entitlement and infantilising. I'm probably explaining this very badly. In a nutshell in a bid to avoid 'masking' some people are being encouraged to do whatever the fuck they want whenever they want, then becoming very distressed that the world will not accommodate them. Trans ideology is just one expression of this and fits perfectly into the narcissistic end of autism. In real life people quickly find they are rejected by others except the 'allies' and those susceptible to narcissistic abuse but online they can find a bottomless pit of well-meaning idiots to cheer them on.

This does all make a lot of sense, but I want to add that even where they overlap, the narcissism and the autism will be two different things, and there is no intrinsic connection between them.
I think the overlap might often be one of two different things:

-- Autistic person is also narcissistic (for reasons not essentially connected with their autism), and their autism makes it harder for them to be aware of, police, monitor the boundaries between normal self-assertion and narcissistic tyranny.

--Autistic person is not also narcissistic but they are used and groomed for the gratification of other people's narcissism, and in this sense are a kind of human shield. They may adopt agendas shaped by others' narcissistic needs

My DS was intensely vulnerable to other people's agenda and may have fallen into the latter category. He was the opposite of narcissistic, very easily shaped by others' demands.

EugenieGrandet · 11/10/2024 17:29

@CautiousLurker exactly! When you're caught up going from crisis to crisis, when the most important thing is supporting Child A to keep them alive - unfortunately everything/ everyone else falls to the wayside.

I obviously regret some of the ways that I have parented, but we're down a path now where we're trying to maintain a positive relationship with DD1, so that includes saying only acceptable things with her. It doesn't always feel honest, but in the face of poor mental health (and how can trans not be viewed in any other way?) I know no other acceptable way to continue.

@DoreenonTill8 Does that continue to harm DD2? Probably, it certainly feels as though that harms me. But we're tied together as a family and as parents we continue to try and balance everyone's needs. I'm not always successful in this, I am struggling. If anyone has a better suggestion, I'm all ears :)

Pelagi · 11/10/2024 17:27

I’m going to join this thread because I am in a similar situation. So far my child hasn’t wanted to tell any other family members so I am carrying this on my own. It’s been very helpful to see that so many others are in this situation. Although so sad, and makes me so angry, that there are people out there exploiting young people like this and medical professionals who really should know better totally abdicating responsibility for their patients - in my child’s case, an NHS GP who seems happy to just agree to endlessly repeat prescriptions obtained from GenderGP, who it now seems clear are basically charlatans.

FarriersGirl · 11/10/2024 15:57

I have followed this thread closely because although I don't have any direct experience of trans identifying children, I am just in absolute awe at the courage and honesty of some of you posting on here. These conversations are so important and have the potential to help many families. Thank you!

DeanElderberry · 11/10/2024 15:01

And your own needs @Kalalily .

Delphinium20 · 11/10/2024 14:51

I am in awe, and grateful, for the wisdom on this thread. Hugs to you all. And thanks for sharing. It really helps me consider how to analyze my godson and friend.

Kalalily · 11/10/2024 13:42

I am sat here in tears reading today’s posts. Thank you all so much for sharing so generously and helping me understand.

SquirrelSoShiny, keeping away from the ND movement is what we were doing, albeit unwittingly. My child, however, suffered constant bullying during childhood, they didn’t have an autism diagnosis as nobody ever suggested it and we didn’t think a label would be helpful. Consequently, they spent their whole teenage years in fight or flight when they should have been forming their identity. They then found something online which enabled them to self diagnose and ultimately land on changing gender as the solution. I can’t help but wonder if the rush to medicalisation via hormones is a desire for a quick fix.

An earlier post advised to stay away from adult gender clinics. This was my feeling too having read the Cass report but we are at a stage now where they are a young adult and will access hormones online via GenderGP, like all their trans friends, if we don’t make an appointment.

I pray that the pendulum will settle sooner rather than later. And, in the meantime, thank you OP and everyone else for showing me how important it is to keep all my children’s needs front and centre.

RedToothBrush · 11/10/2024 13:33

MaidOfAle · 11/10/2024 12:30

In a nutshell in a bid to avoid 'masking' some people are being encouraged to do whatever the fuck they want whenever they want

It's true that masking, meaning attempting to act neurotypically, is genuinely exhausting, psychologically harmful, and sometimes physically painful. It's therefore reasonable to want to minimise the amount of masking you do. But there's a difference between saying that it's ok to flap your hands or wear sunglasses indoors and saying that you can do whatever you want.

"Your right to swing your fist ends where my face begins" applies here. No one is harmed if I slip my sunglasses on, but I don't have the right to turn the lights off without asking others in the room first.

Not being forced to mask is a massively different thing from refusal to acknowledge and respect boundaries and harms to others.

That's the stumbling block.

SquirrelSoShiny · 11/10/2024 13:02

MaidOfAle · 11/10/2024 12:30

In a nutshell in a bid to avoid 'masking' some people are being encouraged to do whatever the fuck they want whenever they want

It's true that masking, meaning attempting to act neurotypically, is genuinely exhausting, psychologically harmful, and sometimes physically painful. It's therefore reasonable to want to minimise the amount of masking you do. But there's a difference between saying that it's ok to flap your hands or wear sunglasses indoors and saying that you can do whatever you want.

"Your right to swing your fist ends where my face begins" applies here. No one is harmed if I slip my sunglasses on, but I don't have the right to turn the lights off without asking others in the room first.

Yes I really do understand how harmful masking can be having done it for decades and burning out pretty spectacularly but I do also see that it taught me how to live in society, have positive relationships, develop resilience etc. It actually limited the 'harm' that my ND did me in some ways while wrecking me in others.

I love the fist analogy! ❤️ Sums it up perfectly. Like all pendulums the ND movement has swung too far and is probably beginning to return to centre. Interestingly the trans pendulum is making the same slow reset. They really do seem very bound together.

MaidOfAle · 11/10/2024 12:30

SquirrelSoShiny · 11/10/2024 12:18

Unfortunately I'm increasingly seeing narcissism going hand in hand with autism presentations. I think part of this has been unwittingly caused by the 'neurodiversity movement' which I am finding increasingly harmful to ND people- ironically because it is often being championed by the most narcissistic individuals! This makes sense because it brings a lot of narcissistic supply - admiration, money for the latest homegrown charity etc.

My own family is very ND and I keep all of us away from the ND movement. It often veers between narcissism and victimhood, between ND 'superpowers' and complete entitlement and infantilising. I'm probably explaining this very badly. In a nutshell in a bid to avoid 'masking' some people are being encouraged to do whatever the fuck they want whenever they want, then becoming very distressed that the world will not accommodate them. Trans ideology is just one expression of this and fits perfectly into the narcissistic end of autism. In real life people quickly find they are rejected by others except the 'allies' and those susceptible to narcissistic abuse but online they can find a bottomless pit of well-meaning idiots to cheer them on.

In a nutshell in a bid to avoid 'masking' some people are being encouraged to do whatever the fuck they want whenever they want

It's true that masking, meaning attempting to act neurotypically, is genuinely exhausting, psychologically harmful, and sometimes physically painful. It's therefore reasonable to want to minimise the amount of masking you do. But there's a difference between saying that it's ok to flap your hands or wear sunglasses indoors and saying that you can do whatever you want.

"Your right to swing your fist ends where my face begins" applies here. No one is harmed if I slip my sunglasses on, but I don't have the right to turn the lights off without asking others in the room first.

MaidOfAle · 11/10/2024 12:20

CautiousLurker · 11/10/2024 10:27

I agree it seems (from my perspective, in hindsight) to be almost unconscionable that a second child’s needs are de-prioritised, but when you have been fed a narrative that one child will kill themselves if you do not pander to them they necessarily become the focus. We were told that our DD planned to be dead by her 18th birthday. We were not allowed to make plans, buy cards or gifts because she was going to kill herself by then (acc to SocServs, CAMHS etc). The family was on an agency-imposed suicide watch for years: which meant I slept barely 2 hours a night for more than 2yrs because she is a night roamer and would be in the kitchen etc where medications and knives etc were under lock and key; I used to be physically sick every morning when she did not appear by my DS’s school run as I would have to go up and waker her. We lived in the fear that we would find her dead every morning. It kills you inside.

In your head, preventing death of child A has to be the imminent and urgent priority, but you justify it to yourself as being in Child B (& C & D etc)’s interests because you don’t want them to discover the body or suffer loss.

The fear, out of the narrative you are fed by the professionals, is so raw and acute that you have no choice. You are made to feel that if Child A succeeds, you have failed, been negligent. The onus is on you, even though it means Child B cannot access urgent medications (migraine drugs etc), even if it makes keeping the loos clean impossible because medications and bleach is locked away. It’s like living on a psych ward.

It is only afterwards when it becomes clear that they never had any REAL intention of doing anything, that they were just deeply depressed, distressed and had learned on line that presenting as suicidal MIGHt get them elevated up the Tavistick wait list, might get them PB/X-sex hormones sooner, might get them onto the surgery wait list immediately that you realise you have been totally conned. And that the professionals who should have discerned what was going on and not enabled it, have allowed you to psychologically damage Child B.

There is no support offered for Child B - at least there wasn’t until our Child A decided to moot with Child B which would be the least traumatic way of killing herself from Child B’s perspective - drinking bleach or jumping off the roof - that social services finally considered his needs. Briefly. But after a few visits, a 360 review covering school etc, they concluded he was safe and our parenting was responsible and grounded. But the suicide safety plan was implemented meaning Child B had to join the psych ward along with all of us regardless of their duty to protect HIS wellbeing too.

sorry, another long ranty reply…

had learned on line that presenting as suicidal MIGHt get them elevated up the Tavistick wait list

This is what happens when mental health services are under-resourced:

  1. Teen is miserable.
  2. No one is available to help teen because of under-resourcing.
  3. Teen self-diagnoses incorrectly.
  4. Teen seeks advice on how to game system to get the treatment they incorrectly think they need.

And all that is before even considering the impacts on the whole family of CAMHS misdiagnosing the teen, failing to diagnose the teen with the actual condition§, and affirmation-only "treatment" of the teens self-diagnosis.

§: I could write for a long time about how CAHMS missing my autism has harmed me, but I won't on this thread.