The effort of this guidance document to prohibit counselors from affirming biological reality over a patient's perception of their body and their desires runs counter to my Christian faith, which affirms that God made humankind male and female.  Nearly all people (very unusual circumstances excepted) have a clearly identifiable biological sex, and affirming that sex while working through desires that may, to varying degrees, run counter to that sex is a faith-based approach to integrating one's passions with one's body.  Prohibiting this approach is oppressive to religious faith.