The Mission Driven Mom Podcast

EP 128: My 5 Takeaways from the Controversial Trans Bestseller “Irreversible Damage”


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Want to get at the meat of what's wrong with the trans movement? In this episode Audrey outlines her 5 biggest takeaways from her extensive research into the trans movement and her study of the controversial book Irreversible Damage: The Transgender Craze Seducing Our Daughters by Abigail Shrier. 

If this craze has boggled, confused, or upset you, listen in for a synopsis of the biggest issues around this cultural trouble and how to look at it with more clarity. 

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PODCAST TRANSCRIPT (AI Generated)

 Years ago, at my organization The Mission Driven Mom, I was running a leadership retreat and decided to do a presentation on the sexual revolution in the United States.

I had already done quite a bit of research, but I dug even deeper before the retreat. When I presented all this information to the women there, I was honestly shocked — almost everything I shared was completely new to them. Some of the things they had never heard before, and most of it they knew little to nothing about.

That experience really opened my eyes to a serious problem in our culture. We live in what’s called the information age — which would make you think we all have access to high-quality knowledge about all sorts of topics. But that’s actually not the case. There’s a tremendous amount of misinformation out there, and it’s difficult to sift through the noise and find reliable sources.

Because of that, I’ve spent years reading some of the best books and research available on issues that are affecting our culture — topics that seem to have gone completely off the rails. The transgender movement is one of those.

So I picked up Abigail Shrier’s book Irreversible Damage: The Transgender Craze Seducing Our Daughters. I wanted to understand why there’s been such a sudden surge — this flood of young girls seeking testosterone, top surgery, and beyond. We know the numbers are climbing at a shocking rate.

Historically, we actually have very good data — at least a hundred years’ worth — on gender dysphoria. For most of that time, over 90% of those who experienced it were male. It usually appeared in early childhood, and in the vast majority of cases, the feelings resolved naturally by early adulthood. Of those who continued to experience it, many became homosexual men, and a small percentage transitioned — what used to be called “transsexuals.”

But even among that older generation, they never believed they could literally become the opposite sex. When you talk to trans individuals from those earlier decades, they often describe simply feeling more comfortable presenting as the opposite gender. Some had surgeries to help them do that, but they didn’t claim that changing clothes or undergoing surgery actually made them women.

So for a century, this pattern held steady — until around 2006. That’s when things began to flip. There are reasons for that, rooted in the broader history of sexual identity movements in the West, but 2006 marks a turning point. The number of girls identifying as the opposite gender — and seeking hormones or surgeries — began to rise dramatically.

By 2016, Shrier reports that natal females made up 46% of all gender reassignment surgeries in the United States. Just one year later, that number jumped to 70%, and it has continued to climb since then.

Now, one reason we struggle to understand what’s happening — even in the so-called information age — is that we don’t always do our homework. On this channel, I try to share tools and strategies for how to research well and think critically about the sources we use.

Another reason is that many people simply don’t know where to look or who to trust. Lots of experts have impressive credentials or bios, and it’s easy to assume that means they’re reliable. But in reality, good information is often hidden, misrepresented, or outright suppressed.

 

In Irreversible Damage, Abigail Shrier shares an interesting example. In November 2020, after the book had been selling well for about four months, a Twitter user posted this message:

“@AskTarget, why are you selling a book notorious for its harmful rhetoric against us? Historically, harmful products have been pulled from your shelves — and this should be too.”

And that was all it took. Based on the complaints of just two Twitter users, the book was pulled from Target.com. It was banned and protested in other places as well. There are also numerous YouTube videos denouncing it as “transphobic.”

So, I thought today we could spend a few minutes on this topic, and I’d share my five big takeaways from the book.

I’ve got to say right from the outset — I didn’t see a lot of transphobia in it. In fact, one thing that made reading it especially interesting was that I went through it with a book club. One of the women in our group identifies as quite a bit more liberal and left-leaning than the rest of us. She’s very supportive of LGBTQ+ causes, and she was nervous about reading the book. Her circles had warned her that it was going to be transphobic and problematic.

And yes — there are moments when Shrier uses a bit of tongue-in-cheek or sarcastic humor that can come across as a little distasteful. But beyond that, even this woman in our group ended up really enjoying the book. She saw the value in what Shrier was saying, and it led to some great conversations about what we can do — both individually and as a society — in response to this transgender craze.

Shrier makes a striking point in the book:

“A remarkable thing about the continuous campaign against Irreversible Damage is that it came amid additional confirmation that the book’s claims were true.”

And that’s exactly what we’ve seen. The book is only two or three years old, but time has already proven many of her concerns to be valid. We’re now seeing several countries passing legislation to restrict certain practices or to slow them down. And while the transgender movement is still growing — and the majority of mainstream voices continue to promote it — evidence keeps emerging that supports what Shrier argued.

Her main claim is this: the sudden rush of girls seeking hormones and transgender surgeries — what’s being called “rapid-onset gender dysphoria” — is not actually gender dysphoria in the traditional sense. It’s a craze, a social contagion, and rushing these girls into medical transition is not in their best interest.

So, in light of all that, my first big takeaway from the book is this:

👉 We can only fight with truth.

Right now, we simply don’t know the full truth about the transgender craze. We don’t have enough solid, unbiased information — and it would really benefit us to read books like this one.

I have a couple of other books on the topic sitting on my shelf, and I’ve watched dozens of detransition videos and interviews with experts in this field. And I’ve got to say — if you’re only paying attention to surface-level information, the kind that shows up in your social media feed or the headlines — you’ll end up being pro-trans in ways that are actually harmful to young people, especially those under 18.

So takeaway number one: we don’t yet have the whole truth, and we can only stand for what’s right if we’re willing to seek it.

 

As I was watching all of these detransition videos, I started noticing some common themes — and I want to talk about a couple of them.

One thing that really stood out to me was this: sometimes, it’s easier to change what’s on the outside than it is to change what’s on the inside.

And that’s not unique to the transgender movement — that’s something all of us struggle with in different ways. It’s part of being human. But in these stories — mostly girls transitioning to boys — this theme came up over and over again.

Now, Abigail Shrier highlights the same thing in her book, and it matched exactly what I was seeing in these videos. In almost every case, there were preexisting mental health conditions — depression, anxiety, self-harm — and often social struggles as well. Many of these girls were on the autism spectrum or had traits associated with it.

So these girls were already struggling. They already felt like outsiders. They already felt broken or “different.” Shrier gives a few statistics about the number who were cutting, the number who were clinically anxious — and the pattern was striking.

Here’s what parents consistently reported: their daughter had social struggles and anxiety but no signs of gender dysphoria in childhood. Then she enters high school, makes a group of new friends — and several of those friends come out as transgender. Soon after, she makes the same announcement. And from that point on, her mental health actually worsens.

In other cases, it wasn’t the school friends but the online communities influencing them. These girls felt so lonely in real life that they turned to the internet, where they were quickly immersed in circles that reinforced the idea that they must be trans.

There are even online quizzes or “tests” where they’re asked questions like, “Have you ever felt uncomfortable in your body?” or “Have you ever struggled to fit in?” And of course, those are universal experiences! Every one of us could say yes to those. But for socially awkward, already hurting girls looking for answers, this becomes a new label that feels like relief — a new identity that promises to fix what’s wrong inside.

And again, it’s easier to change the outside than the inside.

So my second big takeaway from Shrier’s book is this:
👉 Virtually all of these girls have preexisting mental health challenges and social struggles — and that makes it tempting to focus on outward change instead of inward healing.

And in their defense, many of them don’t even know what’s wrong or how to fix it. They just know they’re unhappy, and transitioning looks like a solution. Add to that the fact that there’s a huge amount of social validation that comes with coming out as transgender — especially online.

Yes, there’s still bullying in schools. But overall, many of these girls suddenly receive an outpouring of support, encouragement, and praise. They’re told they’re brave and courageous. That kind of affirmation is incredibly powerful for someone who already feels invisible or broken.

Now, as I mentioned, I’ve watched a lot of these detransition stories — and everything I saw was echoed in Shrier’s research. It was like reading a well-documented version of what I’d already found on my own.

One thing they all talk about is how easy it was to get the medical interventions.

In most cases, on their very first visit to Planned Parenthood, they were prescribed testosterone. One girl said she even asked for the maximum dose — and they gave it to her right away.

It’s not just Planned Parenthood. Many psychologists and psychiatrists now approve medical interventions after a single visit. Parents of younger children are often told that if they don’t affirm their child’s new identity, the child will commit suicide. Puberty blockers are offered extremely early in the process.

This whole mindset is called affirmative care — the idea that if someone says they are something, you simply affirm it as truth. But if you stop to think about that for even a minute, it doesn’t line up with how we treat any other medical or psychological condition.

In every other area, there’s testing, diagnosis, and careful consideration before prescribing serious medication or recommending surgery.

I remember watching a Jordan Peterson interview where they were analyzing the case of Chloe Cole — a detransitioned young woman I actually met a few weeks ago at the Capitol in Austin. Peterson said, from a professional standpoint, that before such a life-altering decision, a person should have at least a year of weekly or biweekly therapy sessions to truly unpack what’s going on.

Of course, that didn’t happen for Chloe — and it doesn’t happen for most of these girls.

In any other situation — whether we’re talking about cancer or bipolar disorder — we would never give medication or perform major interventions without solid evidence and diagnosis. Yet, in this space, we’re skipping all those steps and making irreversible changes based solely on self-identification.

And that’s deeply concerning.

 

Building on everything we’ve talked about, it actually gets even worse — because not only is the affirmative care model being used, but in most cases, there’s also no real informed consent happening.

So many parents have shared that they didn’t understand even the most basic facts — like what puberty blockers actually do. They were told these medications were “safe” or “reversible,” but no one explained that they stop normal puberty and physical maturity, and that this can lead to long-term psychological and physical consequences.

Many of these kids end up developing osteoporosis — that’s something most parents never hear about beforehand. They’re also rarely told that puberty blockers can cause permanent sterilization, or that cross-sex hormones can significantly increase the risk of heart disease, cancers, and other serious medical issues.

I’ve personally met several of these young people and watched dozens of their stories online. Almost all of them said they never truly understood what they were signing up for. No one explained what these treatments would mean for their fertility, their long-term health, or their ability to experience sexual function later in life.

So my third big takeaway from all this research — and from Abigail Shrier’s documentation — is this:
👉 Affirmative care doesn’t work, and there is essentially no informed consent happening in the transgender movement.

Now, another thing that really hit home for me while reading Irreversible Damage was just how lonely this generation of teens is.

Across the board, people are lonelier than ever before — but Shrier goes into great detail showing how isolated and sheltered today’s teens have become.

In the past, teens were often seen as reckless — they’d push boundaries, do things like drink, smoke, sneak out, or drive too fast. And while those behaviors aren’t healthy, they at least represented real-world experiences. Kids were learning through trial and error, interacting face-to-face, and navigating relationships.

Today’s teens are missing that. They’re living largely online. They’re anxious about in-person interaction, and many of them are struggling with depression and social anxiety. Instead of developing healthy romantic relationships, many are turning to pornography — which completely distorts their sense of intimacy.

And if that’s what intimacy looks like to them — something degrading or violent — then it’s understandable that they would say, “I don’t want any part of that.” So when someone tells them, “Transitioning might sterilize you,” they shrug it off. They don’t care, because their concept of real love and real connection has already been damaged.

In fact, some of these girls explicitly say that their desire to transition came after watching disturbing pornography that left them afraid of men and unwilling to ever be intimate with one.

Shrier cites some powerful statistics:

  • In 1994, 76% of 17-year-olds had experienced some kind of romantic relationship.
  • By 2014, that number had dropped to 46%.
    And we’re almost another decade past that — so you can imagine how much lower it is today.
  • So nearly half of our 17-year-olds have never had a real-world romantic relationship. They feel anxious about human interaction, spend up to nine hours a day online, and experience the highest rates of depression, anxiety, suicidality, and loneliness we’ve ever seen.

    Now, one thing I really appreciated about Shrier’s approach is that she’s not saying these girls aren’t in pain. She’s saying the opposite — that they’re in deep pain. She simply believes — and I agree — that transitioning isn’t the right answer to that pain.

    Most of these girls will end up regretting these irreversible decisions because they never addressed the real source of their suffering.

    So my fourth big takeaway is this:
    👉 Teens today are lonelier than ever, and because they lack deep, real-world relationships, they’re unequipped to make major life decisions like transitioning.

    They’re already too young to fully grasp the consequences — but their emotional and social isolation makes them even more vulnerable. This loneliness and lack of connection is a huge source of pain for these girls, and it’s one of the driving forces behind this movement.

    Finally, my fifth and last takeaway has to do with how all of this is being promoted and reinforced by powerful institutions — the medical establishment, the psychological establishment, the government, and the schools.

    Shrier gives several examples from each, and I have to admit, I had a sense this was happening — but I didn’t realize the extent of it.

    We’ve already talked about how the medical community is allowing these interventions without informed consent, and how therapists are labeling kids as trans after just one or two sessions. That’s the psychological establishment’s role — cooperating with, and in some cases outright promoting, the rush to medicalization.

    Then there’s the government, which is increasingly cutting parents out of the process altogether. In Canada — and now, increasingly in the U.S. — there have been cases where parents have lost custody, been fined, or even jailed for refusing to go along with their child’s transition.

    And the manipulation starts early. Parents are often told things like, “Would you rather have a dead daughter or a living son?” — an emotionally manipulative statement that pushes them to comply. In some situations, they’re even legally forced to comply or threatened by professionals if they don’t.

    And then there’s the school system — which I honestly didn’t realize was as involved as it is. I assumed this was mostly student-driven, maybe supported by a few activist teachers. But in many liberal states, it’s actually institutionally promoted — a very aggressive push.

    Some universities now even include gender transition surgeries in their student health insurance, making it not only accessible but almost free. And, of course, there’s tremendous social and institutional support for those decisions at the college level.

    All of this adds up to a perfect storm: emotional vulnerability, misinformation, social isolation, and institutional reinforcement.

     

    Now, you’re an adult—you can make all your own decisions. But even in elementary schools, middle schools, and high schools, the schools are beginning to—especially in California and along the West Coast—put policies in place that intentionally create a break between the child and the parent.

    In fact, the NEA has a policy stating that when a trans-identified student comes out at school, the parents don’t need to be informed—in fact, they usually should not be informed. There’s even a place where the child can check a box that says, “Do my parents know?” And if the parents don’t know, then the school’s policy is not to tell them.

    So what happens is that schools create a separate set of documents with the child’s new name and gender on them, while holding onto the originals with the legal name. The parents only see the legal documents, so they have no idea their child is literally living a double life.

    There are many stories about this happening—parents have come to the Capitol to testify about it. Schreyer gives several examples in her book, including interviews with parents who experienced this firsthand.

    The NEA says, “Privacy and confidentiality are critically important for transgender students who do not have supportive families. In those situations, even inadvertent disclosures could put the student in a potentially dangerous situation at home. So it’s important to have a plan in place to help avoid any mistakes or slip-ups.”

    It’s absolutely mind-blowing that these practices are becoming more and more commonplace.

    So my last big takeaway is this:
    👉 The profound loss of parental rights!

    We are no longer seen as the ones ultimately responsible for our children. And I don’t mean “owning” them, but who does the child belong to? Is it the doctor’s child? The psychologist’s child? The school’s child? The government’s child?

    It’s complicated, I get it—there are laws to protect children from abuse, and sometimes that gets gray and sticky. But this is different. These children are not capable of making such major life decisions, especially when parents genuinely believe it’s not right for them. Parents should have the right to stop that process.

    Once a child turns 18 and is a legal adult, they can move forward however they choose. But parents shouldn’t have to go through the anguish and heartbreak of cooperating with something they know is deeply harmful for their child.

    In one interview I watched, parents described the process as a kind of grief—they’re losing their child as that child transitions to another gender. And they’re often ostracized for it. Nobody’s on their side. Nobody sees their pain, because the focus is all about “celebrating” the child and condemning the parents if they hesitate or struggle emotionally.

    I want to end with something C. Scott Miller said. He’s the Equality California liaison to the California Teachers Association—the one who gives recommendations and works on policy. Here’s what he said:

    “Even parents that come in and say, ‘I don’t want my kid to be called that’—that’s nice. But their parental right ended when those kids were enrolled in public school.”

    So parents, this is a call to you: rise up. Do whatever you can to educate yourselves. Read this book, read others, watch interviews, learn what laws are active in your state, and fight for your right to do what’s best for your child—whatever that looks like.

    Because you are their parent, and you have the right to make those decisions. You shouldn’t be left in the dark while your children are working with Planned Parenthood, the government, or the schools without your knowledge.

    Thank you for joining me for this overview of my five takeaways from Irreversible Damage. I’ll see you next time.

     

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    The Mission Driven Mom PodcastBy Audrey Rindlisbacher

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