Abstract

This chapter explores trans men's mental healthcare experiences in the Southeastern United States. Structural barriers, such as low socioeconomic status, un- and underemployment, and being un- or underinsured, alongside interpersonal barriers, such as discrimination from providers and staff, leave many trans people without the resources and access they need to address their mental health needs. These structural and interpersonal barriers are exacerbated in the South, and in rural areas more generally. Through interviews with 51 trans men in the region, we examine trans men's experiences locating mental healthcare and dealing with uneducated, and sometimes hostile, mental healthcare providers and staff. Overall, trans men report a lack of appropriate resources. The men in this study discussed long hours searching for mental healthcare providers, driving long distances to reach providers who would serve them, and then still having to educate their healthcare providers about what it means to be trans.

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