An advocacy organization for people with autism partnered with a New York state agency to create a guide to child sex changes, condemning efforts to protect children from irreversible medical interventions as “based on lies.”

The 198-page document, titled “A Self-Advocate’s Guide to Gender-Affirming Health Care,” was published by the Autistic Self Advocacy Network in conjunction with the New York State Developmental Disabilities Planning Council. The guide advances the core tenets of gender ideology and condemns laws that protect children from irreversible medical procedures that can render them infertile.

The document includes a step-by-step guide for children to change their sex through various medical interventions.

“Some transgender and nonbinary children who have not yet gone through puberty do not want to go through puberty yet,” states the document, which includes illustrations of people undergoing medical interventions that seek to change their sex. “They want to put off puberty until they are old enough to take hormone replacement therapy. These children can take puberty blockers.”

The Autistic Self Advocacy Network is a non-profit that “seeks to advance the principles of the disability rights movement with regard to autism.” Its decision to promote irreversible medical sex changes has worried advocates who warn that children with autism could be deceived into believing that they are the opposite sex.

“Children on the autism spectrum are especially vulnerable to the lies of gender ideology and falsely believing they have been born in the wrong body due to a variety of reasons, including their tendency toward dichotomic thinking and atypical social functioning,” January Littlejohn, a parent advocate with Do No Harm, told The Daily Wire. “It has been reported that up to 40% of children experiencing sudden onset of distress over their sex are on the autism spectrum.”

Studies show people on the autism spectrum are significantly more likely to attempt sex changes.

The guide describes a hypothetical scenario of an eleven-year-old child deciding that she is a boy and attempting to artificially block her puberty.

“Sean is an eleven-year-old trans boy. He is starting to go through puberty. If Sean goes through puberty now he will grow breasts. Sean does not want to grow breasts,” the document says. “Sean wants to wait to go through puberty. Sean wants to have hormone replacement therapy when he is older. Sean takes puberty blockers.”

The guide goes beyond explaining the means by which people attempt to transition into the opposite sex, however, wading into the political fight over irreversible cross-sex medical interventions.

“One big barrier to care for transgender and nonbinary people is new laws about gender-affirming health care,” it reads. “A law might say that nobody under 18 years old in the state can get gender-affirming health care.” It goes on to categorically condemn laws that seek to protect children from irreversible medical procedures intended to change their sex.

“All these laws are bad. All these laws are wrong. These laws are not based on science. These laws are based on lies about how gender-affirming health care works. These laws do not keep transgender and nonbinary people safe.”

Other portions of the document explained how one could find a therapist who would encourage a patient to undergo a transition attempt.

“Chantelle is a Black trans woman … she wants a therapist who works with trans women. She wants a therapist who is Black,” it reads before going on to warn against those who encourage patients to embrace their birth sex. “Some therapists say they help transgender and nonbinary people. But these therapists really do conversion therapy. Conversion therapy is not real therapy.”

“The only word to describe this document is awful. It is full of misinformation as well as a complete failure to outline any of the complications associated with such things as puberty blockers, hormone replacement therapies, or genital or breast surgeries,” Dr. Stanley Goldfarb, a former dean at the University of Pennsylvania School of Medicine and the Board Chair of Do No Harm told The Daily Wire. “The people who put this together to confuse, and in fact, groom, vulnerable, autistic, children should be ashamed of themselves.”