Just last week our team diagnosed a 16 year old with HIV. She was assigned male at birth, but identifies as female. From a young age, she felt forced to be something that she is not — forced to be a male when she identified as a female. She felt suffocated, trapped and unable to be herself. At 13 years old, she told her mother that she was a girl. Instead of offering her the support she desperately needed, her mother kicked her out. On her own, as a teenager, she had few options for survival and felt forced to have sex to have a place to sleep at night. She frequently feels isolated, alone and abandoned, and drinks alcohol to cope.