On Valentine’s Day 2014 Jack Metta (then known as Elizabeth Droge-Young) admitted themself to a hospital in Syracuse, N.Y. For more than a year they had been struggling with depression—not eating well and losing interest in the movies, books and music that usually delighted them. They had withdrawn from friends and were routinely missing classes at Syracuse University, where they were a fifth-year graduate student in evolutionary biology. Some days that winter they could not even make it out of bed, despite the fact that they had started taking antidepressants the previous fall. In their darkest moments, obsessive and frightening thoughts of self-harm and suicide flooded their mind. “It was horrible,” Metta recalls. “I felt very unsafe.” They realized they needed a serious intervention.