TL;DR
- Supreme Court ruled against Colorado’s conversion therapy ban.
- Decision favors free speech over LGBTQ protections.
- Justice Ketanji Brown Jackson dissents, warning of potential harm.
- Conversion therapy is widely discredited by medical organizations.
- Ruling may impact other medical regulations.
In a jaw-dropping decision that has left many in the LGBTQ community reeling, the Supreme Court has ruled against Colorado’s ban on conversion therapy aimed at LGBTQ youth. This ruling, which came down on the global Transgender Day of Visibility, was decided by an 8-1 vote, with the majority siding with conservative Christian therapist Kaley Chiles, who argued that the ban violated her First Amendment rights.
Justice Neil Gorsuch, writing for the majority, declared that “the First Amendment stands as a shield against any effort to enforce orthodoxy in thought or speech in this country.” He further stated that Colorado’s law does not just prohibit physical interventions but also censors speech based on viewpoint. This ruling could have serious implications for similar laws in over 20 states, and it raises questions about the future of medical treatment regulations that involve speech.

Chiles, speaking to reporters after the ruling, expressed her hope that this decision would fuel a “greater pursuit of truth,” claiming it would allow families more options when it comes to therapy. But hold on a second—what about the truth of the countless survivors of conversion therapy who have shared their heartbreaking stories of trauma and pain? Colorado Attorney General Phil Weiser, who defended the law, called the ruling a significant setback for efforts to protect children from harmful practices.
Conversion therapy, a discredited practice that seeks to change a person’s sexual orientation or gender identity, has been condemned by numerous medical organizations, including the American Medical Association and the American Psychological Association. Research has shown that it is not only ineffective but can also lead to increased risks of suicide among those subjected to it.

Justice Ketanji Brown Jackson, the lone dissenter in this case, took the unusual step of reading her opinion in the courtroom, emphasizing the distinction between speech and conduct. She warned that the ruling could usher in an era of unregulated medical care, potentially compromising patient safety. Fellow liberal Justice Elena Kagan echoed her concerns, noting that similar laws could arise that would ban therapy aimed at affirming a teen’s gender identity, creating a dangerous imbalance in the debate.
Polly Crozier, director of family advocacy at GLAD Law, reminded us that while the ruling may seem like a victory for free speech, it does not absolve conversion therapists from legal accountability for any harm they cause. The stories of conversion therapy survivors are filled with heartbreak, and this ruling does not erase the damage done to families and communities.
As the Supreme Court continues to navigate the tricky waters of free speech and LGBTQ rights, this ruling serves as a stark reminder of the ongoing battles faced by the community. While the court has made strides in the past—such as legalizing same-sex marriage and protecting against employment discrimination—it has also shown a willingness to prioritize free speech and religious expression when they conflict with anti-discrimination laws.
As we reflect on this ruling, it’s crucial to remember that the fight for LGBTQ rights is far from over. With the Supreme Court’s conservative majority frequently siding with Christian conservatives, the future of our rights hangs in the balance. It’s time to stand up, speak out, and ensure that the voices of LGBTQ youth are heard and protected.