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2023 Lambda Award Winner- Transgender Nonfiction

A boldly drawn, unforgettable memoir about trauma and the barriers to gender affirming health careIn the winter of 2004, a shy woman named Emma sits in Toby's office. She wants to share this wonderful new book she's reading, but Toby, her therapist, is concerned with other things. Emma is transgender, and has sought out Toby for approval for hormone replacement therapy. Emma has shown up at the therapy sessions as an outgoing, confident young woman named Katina, and a depressed, submissive workaholic named Ed. She has little or no memory of her actions when presenting as these other two people. And then Toby asks about her childhood . . .As the story unfolds, we discover clues to Emma's troubled past and how and why these other two people may have come into existence.