. 2022 Apr 12;31(9):2695–2703. doi: 10.1007/s11136-022-03134-x

Table 3.

Summary of themes and sub-themes

Theme	Sub theme
1: Interactions with healthcare services	1.1 Struggles of accessing appropriate healthcare
1: Interactions with healthcare services	1.2 Benefits of understanding and rapport in healthcare
2: Seeking societal acceptance	2.1 Harmful expectations of gender presentation
	2.2 Feeling unsafe due to a lack of societal acceptance
	2.3 The stress of gender identity disclosure
	2.4 Difficulties in finding a sense of belonging
	2.5 Rewards of promoting trans awareness
3: Quality of social support	3.1 Benefits of having the right kind of social support
	3.2 Harm of support lost due to transition
	3.3 Comfort from LGBTQ + support
4: The ‘double-edged sword’ of media and social media	4.1 The negative impact of transphobia and harassment in media and social media
4: The ‘double-edged sword’ of media and social media	4.2 Benefits of connecting through social media and the positive representation in the media