But it is not uncommon for sexuality to shift over the course of a transition, according to experts who work with trans people. “Gender and sexuality are different things,” Katherine Rachlin, a psychotherapist in New York with a transgender focus, said in an email. For many people, sexual love and appreciation is gender-affirming.”How those shifts play out varies from one trans person to another. As well as trans women who go from having lived as gay men to being lesbians post-transition, she said. Ms. Tuft said she had lost a number of male clients who once saw her as a role model.

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Persons: ” Katherine Rachlin, “, Rachlin, ”, “ I’m, Curtis Hussey, Tuft’s Locations: New York