As conservative momentum grows to tap the brakes on transgender medical procedures for children in the U.S., a group of “gender identity specialists” in England claims that the “toxic media” created an “atmosphere of fear” around such procedures for minors.

More than 40 clinical psychologists have signed an open letter to the Association of Clinical Psychologists UK (ACP-UK) to protest the organization’s recent statement on providing gender-affirming care to children and young people. They say that experts in the field were not consulted, resulting in a “misleading” statement that “perpetuates damaging discourses about the work and gender-diverse identities more broadly.”