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OPINIONSocietyJune 13, 2025

Stop conflating being transgender with being sick 

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This week a tragic death was reported. Media handling of the story has only increased the harm.

News broke on Thursday that V, a transgender (trans) teenager, had died alone in emergency accommodation in 2023, in the late stages of an eating disorder. It is always a tragedy when a young person dies. The grief felt by V’s parents and others who loved him must be immense. For those of us who know and love trans young people, this tragedy has an extra sting in its tail. We know trans young people face higher risks of harm than other young people, due to the impacts of stigma, discrimination and violence on their lives. As trans communities and allies work to reduce the structural barriers that put pressure on trans young people’s health and wellbeing, it is a slap in the face when media coverage actively reinforces those barriers.

The RNZ article reporting on the events surrounding V’s death reproduces several harmful messages about trans young people. As researchers working on school and family support for trans young people, we know what damage this messaging causes. Below we offer perspectives that affirm the rights of trans young people to be recognised and supported for who they are.

It is normal to be trans

Being trans is part of the diversity of being human. Trans people have always existed, all around the world. The RNZ article is peppered with subtle and overt suggestions that being trans is a problem, reflecting an outdated treatment of trans people within Western medical science. In Aotearoa we uphold people’s rights to be trans. We now have laws to protect trans people from “conversion practices” because we know how harmful it is to suggest that being trans is an illness and a problem. Telling someone there is something wrong with them because they are trans, when their experience of gender is perfectly normal, will not support their mental health. 

Other people do not cause someone to be trans

Each person’s sense of gender is highly personal and unique to them.  The article says that V “became” non-binary after “being introduced to the concept of gender diversity” at high school, implying that this education made V non-binary. It also notes that “immediately after a messy break-up with [a] boyfriend”, V “started identifying as a boy”.  This framing suggests that V’s school and breakup were reasons why he “became” trans.  Being trans is not something you can catch like a virus from your school, or because you can’t manage a breakup. But supportive schools are more likely to create the conditions where young trans people can feel confident to share and celebrate their identity with others, enabling them to learn and thrive.  

Autistic people know who they are

Many trans people are neurodivergent – for example, they may be autistic or have ADHD. In the most recent Counting Ourselves survey of trans and non-binary people in Aotearoa, over two thirds identified as neurodivergent. There is no basis for claiming that neurodivergent people do not know their own gender, but this is a common narrative used to restrict autistic young people’s access to gender-affirming care. Trans people exist. Neurodivergent people exist. People who are both trans and neurodivergent exist. None of these things are a problem.  

Young people’s gender can shift and that’s OK

Trans young people can move through a range of different gender identities as they figure out who they are. The article implies doubt that V was trans because his gender identity apparently shifted over time. By highlighting these shifts, the article reflects ideas that being trans is never really real, but rather some departure from a normal state. Drawing attention to shifts in gender identity also reinforces the message that something made him trans and he could be “fixed” or “return” to being cisgender (not trans). Framing V’s gender in this way implies his transness was a central part of his mental health issues, rather than a fundamental part of his identity that needed to be recognised and affirmed by those involved in providing him care.

Treatments for disordered eating must take gender into account

Disordered eating is common among trans young people, with 39% of trans youth participants meeting the threshold for the likely presence of an eating disorder in the most recent Counting Ourselves survey. V clearly did not receive appropriate treatment for the eating disorder that took his life. Oddly, a psychiatrist is said to have recommended that the parents not affirm V’s gender as this might interfere with his recovery from disordered eating, but effective treatment of disordered eating among trans young people must take their gender into account.  

Gender-affirming language is important

Using a trans young person’s chosen name and pronouns shows you believe and support them in their gender. In the article, the parents use the name and pronouns they gave their child at birth, despite V having chosen a new name and going by he/him pronouns. RNZ’s Rainbow Communities Reporting and Content Guidelines state that articles should use the name and pronouns a person tells them to use, but the author chose to use a range of pronouns and names for the young person, based on the dubious rationale that the young person is not alive to state their wishes. Due to the poor timing of publication, before the release of the formal coronial report, no other professionals involved were able to gender V correctly. This is an attack on the mana of this young person. 

Family support saves lives

Research shows that family support helps trans young people stay safe and well.  A key finding of the 2022 US Trans Survey, published this week, was that family support is not just important for health – it is lifesaving.  Respondents with supportive families reported substantially better health and fewer thoughts of suicide than those with unsupportive families. The only heartening aspect of this tragic story is the glimpses of support that V may have received before he died. One of these was the manager at the emergency accommodation where he lived for the last three months of his life. The manager said of V: “My main concerns were ‘Can I help this person become more resilient? Can I help them find happiness? Can I help them get hold of life somehow and enjoy it?’”  We can all show support for the trans young people we have in our lives.   

Trans young people can thrive

The article paints a very upsetting picture for trans young people and their whānau. However, many trans young people in Aotearoa do have supportive whānau and those who do not are often adept at finding support in other places when support is lacking at home. Young people get support from family (biological or chosen), school, medical and social services, and organisations that support rainbow youth. Organisations supporting rainbow youth are struggling in the current political and economic climate, and deserve all our support.

Th RNZ article has greatly distressed many trans people, parents, community organisations, counsellors, teachers and health professionals. This is not only because of the pain we feel at the loss of another young trans person who did not get the care he needed, but because of the way his story was framed. Messaging that pathologises trans youth causes a great deal of harm. It is time to stop conflating being trans with being sick and look at where the real sickness lies – the lack of care we provide as a society to our precious trans young people, who deserve so much better. 

Julia de Bres is Associate Professor at Massey University, where she researches family support of transgender young people in Aotearoa.  John Fenaughty is Associate Professor at the University of Auckland, where he specialises in the wellbeing of rainbow young people in schools.  He led the Identify Survey of takatāpui and rainbow young people in New Zealand.  

Helplines

OutLine NZ – 0800 688 5463 (OUTLINE) is a rainbow helpline that provides confidential telephone support.

Youthline – 0800 376 633, free text 234 or email talk@youthline.co.nz or online chat.

Need to talk? Free call or text 1737 any time for support from a trained counsellor.

Lifeline – 0800 543 354 (0800 LIFELINE) or free text 4357 (HELP).

Keep going!
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SocietyJune 13, 2025

The cost of being: A public servant who took voluntary redundancy

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As part of our series exploring how New Zealanders live and our relationship with money, a public servant describes how gastric bypass surgery, a traumatic brain injury and taking voluntary redundancy have affected their finances.

Want to be part of The Cost of Being? Fill out the questionnaire here.

Gender: Female.

Age: 38.

Ethnicity: Māori/NZ European.

Role: Currently unemployed, on a sabbatical after taking voluntary redundancy from the public service. I’m also receiving weekly compensation for a workplace accident (TBI) I had in 2023. Before being made redundant I was able to work 30 hours per week with my injury, and I’m working towards being able to return to FTW (40 hours) soon.

Salary/income/assets: Weekly accident compensation of $1450 in hand (80% of my previous earnings). Husband’s annual income: $110,000. My KiwiSaver: $52,000. Husband’s KiwiSaver: $42,000. Term deposit: $30,000. Shares: $10,500. Savings: $20,000. Most of the assets aside from KiwiSaver have come from my redundancy payout.

My living location is: Suburban.

Rent/mortgage per week: $800 per week between my husband and I for our mortgage. We purchased our three-bedroom Lower Hutt home in early 2018.

Student loan or other debt payments per week: $150 per week. This is on our mortgage but not included in the above amount. This is repaying money borrowed for gastric bypass surgery (best investment I ever made) and some credit card debt.

Typical weekly food costs

Groceries: $350 per week for the two of us. We are pretty bougie with our food spend – meat is free range and often organic, we buy artisan bread and locally roasted coffee beans. We do a Moore Wilsons shop once a fortnight, but the bulk of groceries are split between New World and Woolworths – I shop them online and pick up and whatever I need, I get it at whichever one is cheaper. For products we use a lot and are regularly on special, I stock up when on special.

Eating out: Maybe once a month, about $80 for us both. We ate out more before my brain injury, but loud restaurants aren’t ideal while I’m recovering. Neither of us drink which saves lots, as does my gastric bypass surgery as I can’t eat large amounts.

Takeaways: One or two times per month, about $40 per time. It’s normally either Indian, Malaysian or Chinese as my stomach doesn’t tolerate many takeaways these days. My meals need to have a solid amount of protein, and lots of veges.

Workday lunches: No workday for me! But while I was working, I’d take lunch most days. I’d maybe buy lunch once a fortnight, and spend about $12.

Cafe coffees/snacks: Since finishing work, I treat myself to three bought coffees per week – one on a Wednesday morning when I drop my husband at work (he works from home the rest of the week) and then one each weekend day when my husband and I take the dog to the beach. The other days I drink plunger coffee at home using locally roasted beans.

Other food costs: Not quite food, but related costs include a number of supplements I take because I’ve had gastric bypass surgery: protein powder, bariatric level multivitamin, iron, calcium and – to help my brain injury recover – creatine, fish oil and magnesium. Also the cost of our fur babies – we have a dog with multiple health issues which requires prescription diet and expensive monthly shots, as well as a cat. Our total animal spend is about $250 per week.

Savings: We save about $200 per fortnight currently, to help with future bills mainly. Some of the assets we have will be used towards some work on our home.

I worry about money: Rarely.

Three words to describe my financial situation: Comfortable, privileged and learning (I’ve only started saving and investing in the last year).

My biggest edible indulgence would be: Little Spoon Sourdough Crumpets. They’re like $13 for a pack of six, but SO SO good – especially the chocolate ones!

In a typical week my alcohol expenditure would be: Zero. I stopped drinking almost 18 months ago. My husband hasn’t drunk in about six years.

In a typical week my transport expenditure would be: Our car is super economical so only about $20 between the two of us on petrol. I have my Snapper card for trips into Wellington when I don’t want/need to drive, but it’s pretty sporadic while I’m not working.

I estimate in the past year the ballpark amount I spent on my personal clothing (including sleepwear and underwear) was: So much. Clothing and fashion are one of my true loves. As I’ve got older, I’m all about being super comfortable while also looking great, and I’m super fussy about fabric, preferring only cotton and linen. I absolutely love Kowtow – the brand ethics align with mine, and the pieces make me happy. The girls in the Wellington store are amazing, and I love going in there (they also have the best changing rooms ever). I’ve recently discovered the NZ lingerie brand Ohen and am currently replacing all my bras and underwear with their glorious products. I also love second hand shopping – mostly online via Trade Me and Designer Wardrobe.

I should probably sit down and calculate my spend because my guesstimates aren’t known for their accuracy, but I’d say about $12,000. It’s a lot, I know. But it’s also my hobby, brings me joy, and unlike my prior habits, is entirely funded by money I already have, not credit cards and BNPL.

My most expensive clothing in the past year was: Probably a Kowtow dress – specifically the striped Martha dress which sold out in record time. It looks amazing! I think it was $379. Back in 2022 I did the biggest splurge of my life and bought a full length, hot pink wool coat from Cue. I consider it an investment I will wear every winter for many years to come, and it gets so many compliments. It was just over $900 but I will never admit that to my husband!

My last pair of shoes cost: $279 (including shipping from Germany) for a pair of Feelgrounds (barefoot sneakers). They are the most comfortable thing I have ever worn, and the rest of my shoes have barely got any wear since they arrived. They are white tennis style shoes with a gum sole. Most of my shoes are between $250 and $400, and are mainly sneakers and Dr Martens. I only buy high quality leather shoes because comfort is key, and non-leather shoes lead to smelly, sweaty feet.

My grooming/beauty expenditure in a year is about: Two hairdressing trips per year, about $300 each for cut and colour. About $200 in haircare products (mostly Olaplex products, colour booster and dry shampoo!). Make-up about $100 per year – it used to be way higher, but post-pandemic I only wear mascara (Ilia Limitless), brow wax (Anastasia Beverly Hills), a bit of bronzer and blush and lipstick (MAC Lady Danger or Candy Yum Yum).

Skin care is where my beauty spend is focused these days – I use a CeraVe cleanser and then splurge on Emma Lewisham products: Skin Reset Serum, Supernatural Face Creme and Supernatural Face Oil. I also use Dermalogica Daily Microfoliant a couple of times per week. I’d estimate about $1400 on skin care, so that’s looking about $2000 all up. Oh wait…. three-weekly manicures too, so that adds another $1500.

My exercise expenditure in a year is about: About $1000 per year for my gym membership. I haven’t had to replace any gear this year as I’m not exercising as much because of my injury.

My last Friday night cost: Absolutely nothing. I stayed in and watched Netflix.

Most regrettable purchase in the last 12 months was: A bicycle. It was supposed to save on petrol money, but TBH riding on the road scares the shit out of me.

Most indulgent purchase (that I don’t regret) in the last 12 months was: My outdoor egg chair which I bought for the sole purpose of sitting and reading on my deck. I’ve wanted one for almost five years, and I’m so happy with it.

One area where I’m a bit of a tightwad is: Paying full price on items that are regularly on special.

Five words to describe my financial personality would be: I like nice things!

I grew up in a house where money was: SPENT! My parents, mostly Mum, were big spenders and there was little in the way of savings. We had a pretty comfortable upbringing, and had everything we needed and most of the things we wanted, but I look at my parents now, getting close to retirement age, and wish they’d prepared themselves more for that.

The last time my Eftpos card was declined was: Two days ago at the petrol station. I had the money but not in the right account. Whoops!

In five years, in financial terms, I see myself: Regularly saving and investing. Hopefully being in a position to sell our current home and buy in our dream beach suburb.

I would love to have more money for: Honestly, buying loads of beautiful fresh flowers to keep around the house. I normally allow a spend on flowers of no more than $50 per month, but i’d love to be the type of rich that has regular, abundant florist deliveries (especially in peony season!). Also, my dream is to open a housing facility for street people with animals in Wellington. I want them to have a safe, warm space and in this housing market low income people with animals have a near impossible time finding housing. It would be called ‘Harry and Misty House’ after my friend Harry who lives on the street with his beautiful dog Misty.

Describe your financial low: I had gastric bypass surgery in 2019. I didn’t realise prior but I was addicted to food and after the surgery I couldn’t consume food in the same way, so my addiction transferred to shopping. I amassed a lot of credit card debt throughout 2020 and 2021. I literally had a room in my house full of boxes of things i’d brought online. It was bad. Thank god I had a mortgage with equity so was able to consolidate it at a much lower interest rate and pay it off. Since then I’ve done a lot of financial education as well as therapy and while I still spend a lot, it’s within my means, while still saving and investing.

I give money away to: When I was working I used Payroll Giving to donate $50 per fortnight towards various charities – KidsCan, Women’s Refuge and HUHA. I’ll restart these when I start working again.