Alex has stayed in a psychiatric facility for the past few years because they struggle with suicidal thoughts/ideation. Their mother struggles with drug addiction and their father has been incarcerated for most of their life. They have a younger brother and older sister also in care. Several months ago, Alex made enough progress to "step down" into a foster home and they initially did well there. As time went on, Alex began going downhill fast, and it was discovered that the foster family was very strict about traditional gender roles and Alex was questioning gender identity. Today, Alex identifies as non-binary, prefers to go by "Alex" and prefers the pronoun "they." Alex is in a new, supportive, foster home and they are absolutely thriving.