Finn Story, 27, a transgender patient at Blue Mountain Clinic, poses for a portrait without a shirt after receiving top surgery at his family’s home in Missoula, Montana, U.S. February 26, 2023. Story became a patient at Blue Mountain Clinic when he was struggling with his mental health and hadn’t come out to his family as transgender. “I used to think I was alone”, Story said. “I thought I was literally like the only person in the world who was experiencing this.” REUTERS/Callaghan O’Hare