It is very noble and appropriate that the Virginia Department of Education’s (VDOE) is attempting to address the long overlooked needs of teens struggling with gender dysphoria (GD). The proposed "Guidance Document" unfortunately does not deal adequately with the root of the issues. Gender dysphoria is unequivocally a psychiatric disorder and has to be addressed within this context. Unless a school can ensure that any given student struggling with GD is in the care of an accredited psychiatrist, experienced in the management of teens with GD, attempts at "enabling" or "empowering" these students will only backfire. While it is certainly important for schools to create a supportive and harassment free environment for students struggling with GD, the open ended tolerance of any title /name the student wishes to be addressed will only further isolate & harm these students, and leave room for potential abuse. Likewise, the coercive & punitive articles aimed at both faculty & students who fail to adhere to these policies will likewise result in sowing disdain for the very students the Guidance Document seeks to help.