Wratten, Marcus (27 March 2023). "Alice Oseman slams 'thriving' homophobia following Heartstopper guide ban in Florida". Wratten, Marcus (19 July 2023). "Alice Oseman slams choice to effective Hungarian bookshop for promoting Heartstopper: 'Sad and offended'". Valle, Jay (10 August 2023). "'Heartstopper' books quickly removed from Mississippi public library". Francke, Tyler (21 March 2023). "Greater than 35 Books Pulled from Canby High Library for Reconsideration". Many battle to return ahead, out of worry of not being believed or being unable to access support,' she added. Shrier additionally criticizes gender-affirming psychiatric support, hormone alternative therapy and intercourse reassignment surgery (together sometimes called "gender-affirming care") as treatment for gender dysphoria in young individuals. Shrier states that she started to analyze adolescent-onset gender dysphoria after being contacted by the mother of a young grownup with no obvious historical past of childhood gender dysphoria, who identified as transgender in college. By 1973, he was "totally into being a hippie" with long hair. These obscure sexual categories, that originated on Tumblr within the early 2010s, are now championed and regarded as vital as precise sexual orientations, as a lot as being homosexual. Shrier states that there was a "sudden, severe spike in transgender identification amongst adolescent girls" in the 2010s, referring to teenagers assigned female at delivery.

In the UK, the guide was published by Swift Press, with the subtitle "Teenage Girls and the Transgender Craze". Irreversible Damage: The Transgender Craze Seducing Our Daughters is a 2020 book by Abigail Shrier, printed by Regnery Publishing, which endorses the controversial idea of fast-onset gender dysphoria (ROGD). She discusses Lisa Littman's 2018 journal article on rapid onset gender dysphoria and the ensuing controversy and endorses Littman's findings. Shrier discusses trans activism and related controversies, including sex-specific privateness concerns; passing versus trans visibility; the role of celebrities in growing trans acceptance; battle between transgender folks and lesbians or radical feminists; transfeminine/male-to-female athletes competing in women' and girls's sports; the use of trans-inclusive language; intersectionality; and identity politics. She attributes this to a social contagion amongst "high-anxiety, depressive (principally white) women who, in previous decades, fell prey to anorexia and bulimia or multiple personality disorder". Then it happened, her children barged into her room while Ms Hood’s legs have been "sky high" however defined her husband Karl’s "pastey white ass" was blocking her "5’oclock shadow". Positive opinions mostly endorsed Shrier's thesis, while how much does chaturbate pay of the criticism focused on the book's use of anecdotes and different points with its proof. There were a number of boycotts aimed on the guide which characterized it as anti-trans and its use of "she" to discuss with teenagers figuring out as transmasculine and non-binary as misgendering.

In Gay City News, the journalist Matt Tracy criticized Shrier for misgendering subjects. Chase Ross, a transgender YouTuber interviewed by Shrier for Irreversible Damage, apologized in 2021 for his participation within the e-book, claiming he was misled concerning the book's contents and the writer's intent. Rosser, Michael (20 January 2021). "Netflix orders YA adaptation 'Heartstopper' from See-Saw, Euros Lyn". Kenneth Zucker, Ray Blanchard, J. Michael Bailey, Lisa Marchiano, and Paul R. McHugh. The contentious idea of fast-onset gender dysphoria (ROGD), which Irreversible Damage endorses, was first proposed in a 2018 paper by Lisa Littman. Autism will not be a "protected characteristic" the best way race and gender are, and so it doesn’t violate the coverage. She related transgender youth with autism. At the least 500 people signed the petition, which was offered to Amazon leadership within the summer season of 2021. Some staff quit working for Amazon over the company's refusal to cease promoting Irreversible Damage and Johnny the Walrus. Wade, Prudence (12 May 2021). "5 new books to read this week". Zornosa, Laura (9 May 2022). "'Heartstopper' Is a Tv Love Story With the Soul of a Comic".

O'Brien, Kiera (29 April 2022). "Children's: Heartstopper beats a path to the highest". In April 2021, employees petitioned Amazon to stop promoting the e book; a company official responded that the book did not violate Amazon's content insurance policies and the company would continue to offer it. In April 2021, a petition was launched to have the Halifax Public Library system remove their two copies of the guide from circulation. Responses to the e-book have been divided. Backlashes in opposition to the e-book have led to termination of its publication in Japan. That could possibly be extra time away from the youngsters, exploring new kinks or sexual interests, utilizing more trip days for intercourse-oriented staycations so you're not burdened about work all the time, working via lingering relationship issues which were preserving you distant, creating a stronger emotional connection throughout sex, or no matter it is likely to be. Chase Strangio, an legal professional for the American Civil Liberties Union (ACLU), tweeted that "stopping the circulation of this e book and these ideas is 100% a hill I will die on." Strangio later deleted the tweet, saying he was not calling for a authorities ban but "to create the information local weather for the market to be more supportive of trans self-dedication".