Transgender people – those who have a gender identity that differs from the sex assigned to them at birth – are not considered by medical authorities to have mental illness simply because they are transgender.
In 2013, the American Psychiatric Association revised its mental disorders manual and no longer listed being transgender as a mental disorder.
“Gender identity disorder” was eliminated and replaced with “gender dysphoria.”
Gender dysphoria is a diagnosis for the distress experienced by some whose gender identity conflicts with their sex assigned at birth.
Numerous medical groups, including the World Health Organization, have stated that being trans is not a mental disorder.
U.S. Rep. Nancy Mace, R-S.C., suggested May 17 at the Wisconsin Republican Party convention that being trans is a mental illness. She said “women shouldn’t be forced to share” facilities such as bathrooms “with mentally ill men.”
Her campaign spokesperson did not provide information to support Mace’s reference to mental illness.
This fact brief is responsive to conversations such as this one.
Like other types of gender-affirming care, voice therapy can help transgender people feel more at home in their bodies — and keep them safe from violence and harassment.
A 167-year-old statute requires trans people to publish their old and new names in a newspaper. Families and advocates worry the requirement now poses a risk as President Donald Trump has attacked transgender rights.
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Wisconsin law generally requires trans people, including children, to publish their legal name changes in a newspaper. Some worry the requirement poses a higher risk with the Trump administration’s anti-trans policies.
Lawyers working with trans people say Wisconsin’s publication requirements further endanger the trans community by creating a de facto dataset of people that some fear could be used for firing, harassment or violence.
“We live just in constant terror of the wrong person finding out that we have an 11-year-old trans child. … All it takes is one wrong person getting that information, and what we could end up going through, becoming a target, is horrifying.”
A Wisconsin law has dissuaded at least one transgender resident from going through with a legal name change. “It can put people at risk of violence and blatant discrimination simply because of who they are,” an ACLU lawyer said.
Update, April 18, 2025: After this story was published, the family of a transgender boy who changed his legal name at 15 years old learned a judge approved their request to retroactively seal his name-change documents. Wisconsin state Sen. Melissa Ratcliff and other Democrats have also introduced the bill that would eliminate the publication requirement for transgender people, so long as they can prove they’re not avoiding debt or a criminal record.
A transgender teenager had to announce his previous name, or deadname, in the newspaper when he legally changed his name under Wisconsin law. He is trying to retroactively seal those records because of concerns related to the political climate. (Joe Timmerman / Wisconsin Watch)
In 2022, after living as a boy and going by a new name for several years, a 15-year-old from Madison, Wisconsin, wanted to make it official. Like most teenagers, he dreamed of getting his driver’s license, and his family wanted his government identification to reflect who he really was.
But Wisconsin law has a caveat: He would have to publish his old, feminine name and new name in the local newspaper for three weeks — essentially announcing to the world that he is transgender.
In many instances, if he had committed a crime, the law would afford him privacy as a minor. But not as a transgender teenager changing his name.
His parents worry the public notice now poses a risk as President Donald Trump has attacked transgender rights, asserted that U.S. policy recognizes only two sexes and described efforts to support transgender people as “child abuse.” The publication requirements endanger the community, lawyers working with trans people say, by creating a de facto dataset of likely transgender people that vigilantes and even the government could use for firing, harassment or violence.
Transgender people are over four times more likely to be victims of violence, research shows. Most transgender people and their families agreed to be interviewed for this story only if they weren’t named, citing safety concerns.
“Publication requirements really leave folks open and vulnerable to discrimination and to harassment more than they already are,” said Arli Christian, senior policy counsel at the American Civil Liberties Union. “It can put people at risk of violence and blatant discrimination simply because of who they are.”
Wisconsin’s legal process stems from a 167-year-old law, one of many statutes across the country that Christian said were intended to keep people from escaping debts or criminal records. Changing one’s name through marriage is a separate process that does not require publication in a paper.
Although the right to change one’s legal name exists in every state, the effort and risk required to exercise it vary. Less than half of states require people to publicize their name changes in some or all cases, according to the Movement Advancement Project, a think tank that tracks voting and LGBTQ+ rights.
Wisconsin law grants confidentiality only if a person can prove it’s more likely than not that publication “could endanger” them. But the statute does not define what that means. For years, some judges interpreted that to include psychological abuse or bullying, or they accepted statistics documenting discrimination and violence against transgender people nationwide.
In 2023, however, a state appeals court set a stricter standard after a trans teenager was denied a confidential name change in Brown County, home to Green Bay. The teen said he had endured years of bullying, in which peers called him slurs and beat him up. Court records show the Brown County judge asserted that publishing the teen’s name wouldn’t expose him to further harm because his harassers already knew he was transgender.
The teen argued that a public process would create a record available to people he met in the future. While the appeals court conceded a “reasonable judge” could agree, it found the Brown County judge had not improperly exercised her discretion in denying the request. Crucially, the appeals court determined that “endanger” meant only physical harm. The case wasn’t appealed to the Wisconsin Supreme Court.
Both of these trans girls living in Wisconsin requested the confidential name-change process after the 2024 presidential election. A 14-year-old likes cuddling her cat, playing video games and practicing piano. (Illustration by Shoshana Gordon / ProPublica. Source images obtained by ProPublica.)
A 12-year-old shares her artwork. (Illustration by Shoshana Gordon / ProPublica. Source images obtained by ProPublica.)
The combination of Wisconsin’s public requirement, the restrictive ruling and the Trump administration’s anti-trans policies has dissuaded at least one person from going through with a name change.
J.J Koechell, a 20-year-old LGBTQ+ advocate from suburban Milwaukee, tried to change his name in November but decided against it after a judge denied his request for confidentiality, ordering him to publish his change in the local paper and create a public court record if he wanted to proceed.
“That’s already dangerous,” Koechell said of a public process, “given our political atmosphere, with an administration that’s trying to erase trans people from existence completely, or saying that they don’t exist, or that there’s something wrong with them.”
At the end of March, Wisconsin Democrats announced plans to introduce a bill that would eliminate the publication requirement for transgender people, so long as they can prove they’re not avoiding debt or a criminal record. Republicans, who control the Legislature, will decide whether it will receive a hearing or vote.
There has been a push in some states to make it easier and safer for transgender people to update their legal documents. Michigan and Illinois laws removing publication requirements took effect earlier this year. And a California lawmaker introduced a bill that would retroactively seal all transition-related court records.
Assembly Speaker Robin Vos, R-Rochester, did not respond to emails and a phone call to his office seeking comment. Wisconsin Watch and ProPublica sought comment from four other Republican leaders in the Assembly and Senate. Of the two whose offices responded, a staffer for Assembly Majority Leader Tyler August, R-Walworth, said, “It doesn’t look like something we’d consider a priority,” and a staffer for Senate Assistant Majority Leader Dan Feyen, R-Fond du Lac, said he was not available for comment.
Asked about the safety concerns people raised, a White House spokesperson said, “President Trump has vowed to defend women from gender ideology extremism and restore biological truth to the federal government.”
No exceptions for minors
Wisconsin’s law requires a transgender person to publish the details of their identity to change their name whether they are an adult or a child. The notice requirement makes no distinction based on age.
This is less privacy than the legal system typically affords young people, confirmed Cary Bloodworth, who directs a family law clinic at the University of Wisconsin Law School. Bloodworth said both child welfare and juvenile courts tend to keep records confidential for a number of reasons, including that what happens in a person’s youth will follow them for a lifetime.
“I certainly think having a higher level of privacy for kids is a good thing,” Bloodworth said, adding that she thinks the publication requirement is unnecessary for people of any age.
An 11-year-old trans girl recently went through the name-change process. She enjoys playing with her dog and swimming, and her mom describes her as a “major science geek.” (Joe Timmerman / Wisconsin Watch)
A mom living near the Wisconsin-Illinois border whose 11-year-old daughter recently went through the name-change process said these proceedings should automatically be private for children.
“The fact that we still have to fight to get something as simple as a confidential name change for a minor who is obviously not running away from criminal or debt charges is just so frustrating and overwhelming,” she said.
The judge deciding their case seemed reluctant to grant confidentiality at first, questioning whether her daughter was being threatened physically, she said. The judge granted the confidential change. But the family remains shaken.
“We live just in constant terror of the wrong person finding out that we have an 11-year-old trans child,” she said. “All it takes is one wrong person getting that information, and what we could end up going through, becoming a target, is horrifying.”
Right before the pandemic, a teenager told her parents she was transgender. She spent much of that first year of her transition at home, attending virtual school like the rest of her peers in the Madison school district. She came out to only a few friends and wanted to keep her gender identity private, so she kept her camera off and skipped her high school graduation.
When she decided to legally change her name, the prospect of publicizing her transition terrified her, according to her mom.
A trans teenager was terrified of the public name-change requirement. She loves playing board games, reading and spending time with friends and her partner. (Illustration by Shoshana Gordon / ProPublica. Source images: obtained by ProPublica.)
“I explained to her that it’s in tiny, tiny print, and it’s in some page of the paper that no one is going to read,” her mom said. “But it felt to her like she was just standing out there in public with a ‘TRANS’ sign on her.”
While fewer people read physical newspapers these days, much of their content gets published online and is easily searchable. The court case, too, becomes a public record that is stored online and sometimes aggregated by other websites that show up at the top of search results.
The parents of the then-15-year-old boy who changed his name before getting his driver’s license discovered that happened to their son. When anyone — say, a prospective employer — searches the young man’s name, one of the first results shows his old name and outs him as trans.
“This is what somebody would use as their first judgment of him,” his mom said. “We certainly don’t want that to be something that people would use to rule him out for a job, or whatever it is he might be doing.”
Like many other states, Wisconsin does not have laws that ban discrimination against transgender people in credit and lending practices or in public spaces like stores, restaurants, parks, doctor’s offices and hotels. However, Gov. Tony Evers, a Democrat, issued an executive order in 2019 banning transgender discrimination in state employment, contracting and public services.
After Trump took office again and began issuing executive orders attacking trans rights, the boy’s family started to investigate how they could retroactively seal the court records related to the name change. It wouldn’t change what was in the newspaper, but it could help them remove the online records. The court records also contain sensitive information like their home address that someone could use to harass them.
A friend who was a retired attorney helped their son craft an affidavit describing his experiences. His mom read from it during an interview. “‘Because of recent political events, I fear violence —’” she said before breaking off. “Oh God, I hate even reading this. ‘I fear violence, harassment, retribution because of my status as a transgender person.’”
Her son, who is now 18, shared a statement over email.
“At this moment in time I’m probably more scared about being a trans person than I ever have been before, with the public record if you have my first and last name you can easily find my deadname and therefore find out I’m trans,” he said. “I would love to say that I feel safe and valued in our society but unfortunately I can’t, at times I feel that my personhood is being stripped away under this government.”
A trans teenager officially changed his name and now fears violence because that information is public. He enjoys doing puzzles with his family and creating metal artwork. (Photos by Joe Timmerman / Wisconsin Watch)
Anne Daugherty-Leiter, who has guided transgender clients and their families through the name-change process as board president of Trans Law Help Wisconsin, said where a person lives in Wisconsin, and therefore what court they must petition, affects their likelihood of getting a confidential change.
Confidentiality is important, she said, because of how the state handles changes to birth certificates. Wisconsin birth certificates that are issued through a confidential name change show only the new name. But if a person has to announce their name change publicly, birth certificates are amended to list both the person’s old and new names. Any time the person has to use that document, at the DMV or while getting a loan, it outs them, she said.
‘This is not who I am’
Koechell, a trans man and LGBTQ+ activist, was unwilling to go through with the name-change process after being denied confidentiality by a judge late last year.
Koechell lives in Waukesha County, a Republican stronghold where multiple schools have enacted policies critics have called anti-LGBTQ+.
A judge denied J.J Koechell’s confidential name change with an order that referred to the trans man as “she” and “her.” (Illustration by Shoshana Gordon / ProPublica. Source images: courtesy of J.J Koechell, obtained by ProPublica.)
In a letter to the judge, Koechell wrote that people had sent him multiple threats and posted his family members’ addresses online, all for “being an advocate and being transgender openly in my community.”
“I do not want to publish my deadname for people to use against me,” he said in an interview, using a term common among transgender people to refer to their birth names. “I don’t see a reason why people who are not particularly fond of me wouldn’t show up at a hearing like that and try and cause trouble.”
Court records show the judge denied Koechell’s confidentiality request and his request to reconsider. The judge’s order referred to Koechell, a trans man with a masculine voice and beard, as “she” and “her.”
Koechell decided the public process wasn’t worth the risk. But it’s hard, he said, to move through life with his old identification.
“When I go to a new doctor or new appointment or something, then that’s the name on my chart, and then I get called that in a waiting room full of people, and it’s super uncomfortable. I just want to disappear,” Koechell said. “Then eventually, I have to correct the doctors, and I’m like, ‘Hey, just to let you know, I don’t go by that name. This is not who I am.’”
Data from the latest U.S. Transgender Survey found that 22% of people who had to show an ID that did not match their identity experienced some form of negative consequence, including verbal harassment, discrimination or physical violence.
If the U.S. Senate passes the SAVE Act, which would require voters to prove citizenship with a passport or birth certificate, those consequences could include disenfranchisement. Transgender people who can’t change the name on their birth certificate or passport would be ineligible to vote, according to the liberal think tank Center for American Progress.
U.S. Rep. Chip Roy, a Texas Republican and chief sponsor of the bill, has said the legislation directs states to create a process for citizens with a “name discrepancy” to register. “No one will be unable to vote because of a name change,” he said.
Trace Schlax, a trans man in Wisconsin, has tried to change his gender marker and name on official documents. (Joe Timmerman / Wisconsin Watch)
After Trump won in November, Trace Schlax, a 40-year-old IT project manager, decided to expedite changing his gender marker on his passport, figuring he could update his name later in state court.
“It matters,” Schlax said. He loves to travel but has encountered extra scrutiny from airport security with outdated documents. “I get comments from TSA when I go through to travel domestically, about my hair, about how I look. I get extra pat-downs.”
He sent his application in early December and crossed his fingers. He received it back in February, rejected. By that time, Trump had issued an executive order banning trans people from changing the gender markers on their passports.
Schlax decided to continue updating what records he could, like his birth certificate and driver’s license. He worries about having conflicting documents. Will he get accused of fraud? Will he have trouble flying?
But in the end, he decided it was still important to change his name and update his license to improve his day-to-day experience.
And he decided to go about it publicly. It felt less painful, he said, to accept the risks rather than detail his personal, traumatic experiences to a judge only to have them decide he hadn’t endured sufficient danger.
“Me changing my name and my gender marker affects absolutely no one but me,” said Schlax, who has a court date to change his name in late April. “Why does this have to be so hard? Why do I have to prove myself so hard?”
This article was produced for ProPublica’s Local Reporting Network in partnership with Wisconsin Watch. Sign up for Dispatches to get stories like this one as soon as they are published.
When Larry Jones arrived at the Wisconsin State Capitol on March 12, he didn’t know what he was getting into — let alone that he would be a viral internet sensation the next day.
The 85-year-old self-described conservative had been invited by his grandson to a public hearing on a Republican-authored bill that would ban gender-affirming medical care for transgender youth in the state. He decided to make the short drive from his home in Milwaukee.
“I thought, ‘OK, I’ll go up there and listen to a couple people moaning about some kind of problems and be there for a couple hours and be long gone,’” Jones told Wisconsin Watch. “I got into something that I really didn’t know a heck of a lot about.”
The hearing was packed with speakers there to testify either for or against the bill. Most people were limited to two minutes, but the hearing lasted more than eight hours. Jones was there in support of the bill, but wasn’t intending to get up and speak. But after listening to nearly seven hours of testimony, he put his name down.
“I have very little knowledge of gay people and things like that there, so when I came here, my eyes were opened,” he told the state Assembly’s Health, Aging and Long-Term Care Committee just after 9 p.m. “I was one of the critics that sat on the side and made the decision there was only two genders, so I got an education that was unbelievable. And I don’t know just exactly how to say this, but my perspective for people has changed. … I’d like to apologize for being here, and I learned a very lot about this group of people.”
After he spoke, several attendees applauded.
Shortly after, his grandkids told him about a video of his testimony going viral online — as of Sunday the video had nearly 1 million views on YouTube. They called him a hero.
“Thank you for the compliment, but what the heck are you talking about?” he recalled responding.
Jones told Wisconsin Watch he doesn’t think he did anything out of the ordinary and spoke because he felt like he owed it to the people there protesting the bill. He never thought a few sentences would garner such attention.
“After a day or two, my 15 minutes of fame were long gone, and I went back to who I am, just plain old Larry,” Jones told Wisconsin Watch.
Others saw an act of courage.
“Listening to his testimony was incredible,” one user commented under the viral video of Jones on Instagram. “It is powerful and brave to admit that you were wrong and have learned. I wish many of our legislators had that same strength.”
The bill
Republican politicians in recent years have frequently targeted transgender rights. One of President Donald Trump’s first executive orders the day he took office disregarded biological nuance in declaring there are only two sexes, male and female, which can’t be changed, and that gender identity “does not provide a meaningful basis for identification and cannot be recognized as a replacement for sex.” A later order declared the country wouldn’t fund transition of youth from one sex to another or medical institutions that provide such health care.
Wisconsin Assembly Bill 104 would ban gender-affirming health care, including puberty-blocking drugs, hormone replacement therapy or surgery, for those under the age of 18. Under the bill, medical providers found to be providing this care could have their licenses revoked. The legislation faces a certain veto by Democratic Gov. Tony Evers, who has vetoed a similar bill before.
The authors of the bill — Sen. Cory Tomczyk, R-Mosinee, and Rep. Scott Allen, R-Waukesha — say it would “protect minors from making life-altering, irreversible decisions that cause mental and bodily harm.”
“They’re not voting on this bill as a person, they’re voting Republican party lines,” Jones told Wisconsin Watch. “That shouldn’t be that way. … Party line is a bunch of garbage.”
It was just one of four bills raised in the Legislature in recent weeks targeting transgender youth in Wisconsin. Twoothers are aimed at banning transgender girls and women from participating in high school and collegiate women’s sports. Another would prohibit school employees from using a student’s preferred name and pronouns without parental consent.
For hours, Jones listened to the stories of kids who wanted to transition and said it seemed like “their brain was tearing them apart.” He now believes the decision to receive gender-affirming care should involve a child, a qualified doctor and a parent — not lawmakers. He likened the issue to lawmakers banning doctors from providing abortions.
Just the introduction of such bills can have negative effects on LGBTQ+ kids, research shows. The Trevor Project, a nonprofit that works to end LGBTQ+ youth suicide, found in a 2024 national survey that 90% of LGBTQ+ young people said their well-being was negatively impacted due to recent politics. Research also shows that transgender youth who are called by their preferred names and pronouns are happier and healthier.
Larry Jones, shown in his Milwaukee home on March 21, says testimony from a transgender teen helped change his perspective about a proposed ban on gender-affirming care for minors in Wisconsin. “All of these kids, they deserve a chance to see where they belong,” he says. (Joe Timmerman / Wisconsin Watch)
Jones said a 14-year-old transgender teen — one of the youngest speakers who advocated for their right to go on hormones — helped to change his perspective at the hearing. In their testimony, they shared that they had recently contemplated suicide.
“I started to listen to this kid, and it wasn’t some kind of whim or something like that. This kid was actually suffering,” Jones said. “And I thought to myself, nobody has to do that. You’re only a kid.”
The GOP-controlled committee voted to advance the bill. Republican lawmakers in the Assembly passed it last week.
“Children are not allowed to get tattoos, sign contracts, get married, or smoke — so why would we allow them to physically change their gender?” Rep. Tyler August, R-Walworth, said in a statement.
Jones had a different take.
“All of these kids, they deserve a chance to see where they belong,” he said.
Who is Larry?
Jones grew up in a small, rural unincorporated town in northern Michigan before moving to Milwaukee when he was 19 years old.
“When I moved to the city, it was like I was a kid in a candy store. I discovered books, and once I discovered books, I discovered the world,” he said.
For most of his life, he worked in the maintenance department at the Milwaukee County Community Reintegration Center — a prison formerly known as the House of Corrections. There, he encountered gay men and women, but said he had never met someone who was transgender.
“If there’s something you don’t understand or don’t know anything about, it kind of frightens you a little bit,” Jones said.
When he was younger, he said LGBTQ+ people were “hidden.”
“In the area where I grew up … men were men,” Jones said. “I was taught by men who had their own visions of what gay people were like. They were called ‘queers’ and ‘fairies’ and off-the-wall, ungodly names back in the day. As I grew older … the whole world changed.”
A note given to Larry Jones by a young woman lies on a table in his Milwaukee home on March 21, 2025. As Jones was leaving a Wisconsin Assembly hearing on a bill that would ban gender-affirming care for minors, a woman in her early 20s tapped him on the shoulder and handed him this note that reads, “Thank you for being open to hearing all this and being open to changing your mind. That’s brave.” (Joe Timmerman / Wisconsin Watch)
Jones calls himself conservative, but said he’s willing to look at both sides of an issue. He mostly tunes into Fox News and local TV stations. He said he still has a lot to learn about the transgender community, and he’s made that his mission for the next six months or so.
Prior to the hearing, he said he believed that someone who was transgender was “play acting” and simply changed their name and clothes along with a few other cosmetic things.
“It’s through no fault of their own. I don’t think there’s a medical problem. I think these kids were born this way,” Jones said. “I looked at it through a different perspective, from a different set of eyes, and I promised myself that I would look into this with a clearer sense of understanding.”
After his testimony, a young woman handed him a note that read, “Thank you for being open to hearing all this and being open to changing your mind. That’s brave.” Jones kept it.
His advice to others? “Don’t wear a pair of blinders and walk down the road. Keep an open mind.”
Wisconsin Watch reporter Jack Kelly contributed to this report.
Wisconsin Watch is a nonprofit, nonpartisan newsroom. Subscribe to our newsletters for original stories and our Friday news roundup.
The U.S. Supreme Court on Monday rejected an appeal from Wisconsin parents who wanted to challenge a school district’s guidance for supporting transgender students.
The justices, acting in a case from Eau Claire, left in place an appellate ruling dismissing the parents’ lawsuit.
Parents with children in Eau Claire public schools argued in a lawsuit that the school district’s policy violates constitutional protections for parental rights and religious freedom.
Sixteen Republican-led states had urged the court to take up the parents’ case.
Lower courts had found that the parents lacked the legal right, or standing. Among other reasons, the courts said no parent presented evidence that the policy affected them or their children.
A unanimous three-judge panel of the 7th U.S. Circuit Court of Appeals included two judges Republican Donald Trump appointed during his first term.
But Alito described the case as presenting “a question of great and growing national importance,” whether public school districts violate parents’ rights when they encourage students to transition or assist in the process without parental consent or knowledge.
“Administrative Guidance for Gender Identity Support” encourages transgender students to reach out to staff members with concerns and instructs employees to be careful who they talk to about a student’s gender identity, since not all students are “out” to their families.
Wisconsin Watch is a nonprofit and nonpartisan newsroom. Subscribe to our newsletter to get our investigative stories and Friday news roundup.This story is published in partnership with The Associated Press.
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