RACHEL PRENZLER is an outpatient therapist at M.P.A. Group, a behavioral health treatment facility in Bay City. Prenzler has been involved in the LGBT community since 2007, helped to set up the Perceptions transgender sup-port group and worked with University of Michigan’s comprehensive gender center. The M.P.A. Group works with local transgender people who are transitioning – the process of changing one’s gender presentation permanently to accord one’s internal sense of one’s gender.