…nds that as many as 41.5% of trans people have a mental health diagnosis or substance use disorder. This is widely accepted to be a consequence of minority stress, the chronic stress from societal stigma and discrimination experienced by trans …nds that as many as 41.5% of trans people have a mental health diagnosis or substance use disorder. This is widely accepted to be a consequence of minority stress, the chronic stress from societal stigma and discrimination experienced by trans people due to their …