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This study explored the lived experiences of TNB people with atypical anorexia by examining how gender identity impacted experiences of ED illness and (potential) recovery. Nine TNB adults with atypical anorexia were followed for one year and completed semi-structured, in-depth, longitudinal qualitative interviews at baseline, 6 months, and 12 months. Interviews were coded using Braun and Clark\u2019s thematic analysis procedures. Four themes, along with subthemes, emerged regarding the intersection of gender identity and ED experiences: (1) Conforming, (2) Coping, (3) Connecting, and (4) Critiquing. In Conforming, participants highlighted how societal pressures around gender contributed to ED vulnerability. In Coping, participants explained that their EDs represented attempts to cope with the overlapping influences of body dissatisfaction, gender dysphoria, and body disconnection. In Connecting, participants described ED recovery as a process of connecting to self, others, and communities that welcomed and affirmed their diverse identities. In Critiquing, participants described how current ED treatment settings were often unwelcoming of or unprepared for non-cisgender patients. Overall, participants viewed their EDs as intricately linked to their gender identity and experiences of social pressure and discrimination. This study suggests the need for targeted ED prevention and intervention efforts within TNB communities, and the ethical imperative to meaningfully address the needs of TNB patients in ED treatment settings.<\/jats:p>","DOI":"10.3390\/ijerph20021156","type":"journal-article","created":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T04:42:17Z","timestamp":1673239337000},"page":"1156","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["\u201cHow Do I Exist in This Body\u2026That\u2019s Outside of the Norm?\u201d Trans and Nonbinary Experiences of Conformity, Coping, and Connection in Atypical Anorexia"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0933-1098","authenticated-orcid":false,"given":"Erin N.","family":"Harrop","sequence":"first","affiliation":[{"name":"Graduate School of Social Work, University of Denver, Denver, CO 80208, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hillary K.","family":"Hecht","sequence":"additional","affiliation":[{"name":"Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5176-7864","authenticated-orcid":false,"given":"Vern","family":"Harner","sequence":"additional","affiliation":[{"name":"Harborview Injury Prevention & Research Center, University of Washington, Seattle, WA 98104, USA"},{"name":"School of Social Work and Criminal Justice, University of Washington Tacoma, Tacoma, WA 98402, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarrod","family":"Call","sequence":"additional","affiliation":[{"name":"School of Social Work and Criminal Justice, University of Washington Tacoma, Tacoma, WA 98402, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5126-9606","authenticated-orcid":false,"given":"Brendon T.","family":"Holloway","sequence":"additional","affiliation":[{"name":"Graduate School of Social Work, University of Denver, Denver, CO 80208, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1097\/YCO.0000000000000641","article-title":"Review of the Burden of Eating Disorders: Mortality, Disability, Costs, Quality of Life, and Family Burden","volume":"33","author":"Hoek","year":"2020","journal-title":"Curr. 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