Bringing God into the heart of the situation is absolutely necessary because this is a spiritual issue too. Her gender distress has another element of struggle, beyond what she or others think about this issue. And it is this: that to go against God’s design and purpose (and reality itself) brings about increasing confusion and pain. Searching for healing is not necessarily wrong, but pursuing solutions that violate God’s intentional design and purpose is rebellion against him. Bringing God into the center is to move toward obeying him, even when it is difficult.