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Texas Attorney General Ken Paxton (R) has declared that it is illegal for mental health care providers licensed by the state to affirm trans youth and that doing so is child abuse.
The virulently anti-trans official issued the opinion on Monday to explain that the state’s gender-affirming care ban applies to mental health care as well. In a press release, Paxton’s office referred to the practice of affirming someone’s gender as “‘transitioning’ our kids.”
“Any radical facilitating the ‘transitioning’ of our kids is committing child abuse,” Paxton said in a statement. “The law is clear that these radical procedures are illegal and in no world should Texans’ tax dollars be used to permanently harm children. This opinion should send a clear warning there will be consequences for any medical professional, whether a doctor or a therapist, who is illegally ‘transitioning’ Texas kids.”
Trans news site Transitics said the opinion can be interpreted as essentially requiring mental health professionals to either refuse to see young trans patients or else engage in conversion therapy. The opinion states that therapists have an obligation to help children with “overcoming” an “underlying… condition,” which in this case is gender dysphoria.
“Even if they want to, they can no longer affirm a trans kid’s identity, offer alternatives in another state, or encourage parents to accept their kids for who they are,” Aleksandra Vaca at Transitics explained. “Under Paxton’s opinion, doing anything other than push a child to accept being their assigned sex at birth will result in providers losing their license and/or being imprisoned. This is conversion therapy, which is recognized by the United Nations as being tantamount to torture.”
Paxton has spent his tenure as attorney general terrorizing the trans community. In 2022, he issued a non-binding opinion calling gender-affirming health care a form of child abuse, which led Gov. Greg Abbott (R) to order the Texas Department of Family and Protective Services (DFPS) to investigate for child abuse any parents who allow their trans children to access gender-affirming medical care prescribed by their doctors.
In a post at the time, Paxton called gender affirming care and puberty blockers – which have been shown to reduce lifetime suicide risk for transgender people who have access to them before puberty – “monstrous and tragic.”
Paxton has also argued it should be legal to discriminate against trans people at work, and he once tried to force a school to cancel its Pride week. He has sued for the right to discriminate against LGBTQ+ students, sued a group that highlighted the rise in hate speech on Elon Musk’s social media platform X, and sued the National Collegiate Athletic Association (NCAA) to force it to inspect every athlete’s gender before allowing them to play.
He has also said consensual encounters between consenting same-sex adults should be illegal, and that state workers can deny marriage licenses to same-sex couples.
Paxton was previously impeached by the Texas House in 2023 for 16 counts of bribery but was later acquitted by the Texas Senate. The FBI also investigated him for years for securities fraud, but the Department of Justice eventually dropped its investigation. He also settled a state securities fraud case against him, paying $300,000 and participating in community service to avoid legal charges.
In July, it came to light that his wife filed for divorce from him due to adultery.
Paxton told his staff about an extramarital affair in September 2018 while holding hands with his wife, The Texas Tribune reported. But while he recommitted to their marriage during that confession, he continued to cheat on her, the publication reported, even going through great lengths to hide affairs from her: using burner phones, secret email addresses, and secret rideshare accounts to meet with his mistress.






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