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‘General health clinics do not have the knowledge to treat me or to address me how I should be addressed,’ says Zie. ‘It leaves me feeling unsafe, so I am not comfortable discussing my health with those nurses. ‘They are unaware of, or do not acknowledge, trans people and non-binary people. I was always anxious about going to clinics and this was made worse by all the assumptions made about me by nurses and doctors. And because I was not treated with dignity and respect, I was uncomfortable about going back.’ Non-binary is an umbrella term for people who do not identify with a binary gender pronoun, but as a combination of the two or as neither gender. Zie prefers to use the pronoun ‘they’ rather than be referred to as ‘he’ or ‘she’. Non-binary can be an identity in its own right, not something in comparison to male or female. A 2012 study on trans mental health (see over) found that when accessing general health services, more than 60 per cent of respondents felt they had to educate a health worker, and more than 50 per cent were told the professional did not know enough about a type of trans health care to provide it. The survey shows that even gender identity clinics do not always get it right. And the The cliniQ service is offering trans and non-binary people health care with dignity, writes Elaine Cole