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This is a thing? People are so traumatized my their own sexuality that they can't function in the workplace? In ANY workplace? Alright, I'm gonna...

Uhm, she seems a woman to me... she said she doesn't work because she has social anxiety and back pain.

I think you mean gender dysphoria. Either way, both have to cause the person significant distress or impairment and Rafe is able to function...