The U.S. Department of Health and Human Services (HHS) released a report on Thursday, May 1, aiming to discredit gender-affirming-care and instead encouraging transgender and nonbinary individuals to try “exploratory therapy”—or psychotherapy—and stating that mental health care alone is a way to treat gender dysphoria in children.

LGBTQ+ advocates, researchers and some medical experts say the review is poor research, designed to advance an agenda to eliminate transition care.

In the review, unnamed authors determined there's a lack of evidence supporting certain medical interventions, breaking with most medical groups.