The Board appears to be saying that "gender dysphoria" goes only one way -- FROM actual biological reality, TO the current fad for 'trans.' Patients who seek counseling need to have the right to choose the path they want to pursue! Muzzling counselors is not only unfair to their patients, but also is an unconstitutional violation of the 1st amendment. Virginia's government should not and must not determine what kind of counseling an individual is allowed to seek.