I strongly object to these guidelines. There are significant legal, political, ethical, and spiritual problems with this guidance document. First, the science behind these guidelines is suspect at best and in need of more study. This has been rejected by the legislature and is an end-Run on the political process in the name of scientific chicanery. You invade core first Amendment protected speech and invade the privacy of the sacred position of trust between a patient and their counselor. Do you want patients to get the help they need? If my child was struggling in this area, I would want a counselor to not have a pre-directed course of treatment banned. Several studies have shown that conversion therapy is helpful particularly for deeply religious persons. Also, the transgender issue needs significantly more study. I ask you to reject these guidelines or I will have no choice but to reject your entire profession.