The proposed "guidance" document, authorizing government persecution of licensed counseling professionals who offer help to patients seeking to overcome gender confusion and unwelcome sexual desires, is an unethical pandering to a bigoted political lobby, which is pushing intellectually dishonest junk science as a cover for gagging opposing speech.  The gag rule has the potental to cause significant psychological harm to the very minors it purports to be concerned with "protecting," is an egregious political interference with the counselor-client relationship and the duty of counselors to provide the best treatment for their clients, violates constitutional protections for free speech and religious freedom, and is patently based on an animus against particular religions which the Supreme Court has ruled is impermissible for government agencies to act upon.