In an unexpected move, the Supreme Court announced on Monday that it will not hear a lawsuit challenging Washington state’s restrictions on an anti-LGBTQ practice known as “conversion therapy” — meaning that the restrictions will remain in place.

Conversion therapy is a discredited method of counseling that attempts to turn LGBTQ patients into cisgender heterosexuals — or, at least, to prevent them from expressing their actual sexual orientation or gender identity. As a federal appeals court that upheld the restrictions explained in its opinion, “every major medical, psychiatric, psychological, and professional mental health organization opposes the use of conversion therapy.”

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