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This research explored lived experiences of gender nonconforming people in a rural, Appalachian county in Southeastern, Ohio. The topic of transgender rights is intensively discussed in political spheres and day-to-day discourse, yet there is limited research on the true lived experiences of gender nonconforming people. This study aimed to increase education and understanding of gender nonconforming persons' experiences of discrimination, mental health strain, and resilience. The Meyer's Minority Stress Model provides a theoretical framework for the study, offering an understanding of the relationship between discrimination faced by gender nonconforming people and mental health strain. Nine gender nonconforming adults from Southeastern Ohio participated in this qualitative, phenomenological research. Semi-structured, open-ended interviews explored reactions from friends and family, treatment at work and school, reactions of others in public spaces, mental health strain and experiences with mental health treatment, and sources of support and resilience. Findings showed the greatest support among friends and romantic partners and limited support among family members. A reluctance to come out as gender nonconforming at work due to fear that family will learn of gender identity was identified. Dropping out of school due to treatment at school and/or poor mental health was commonly reported. Stares and disapproving looks from others were commonly reported reactions in public spaces, and participants shared discomfort with leaving the house and feeling unsafe in public settings. All participants reported experiencing frequent sadness and eight out of nine were found to be diagnosed with a depressive disorder. Similarly, feelings of stress and anxiety were commonly reported with seven out of nine participants reporting a diagnosis of an anxiety disorder. The most frequently reported negative experience with mental health providers was found to be a lack of education of the provider on issues related to gender nonconformity. Barriers to mental health treatment were found to be financial barriers and finding providers who felt safe and accepting of their gender identity. Strengths and resilience were sourced from understanding self and others, humor, and engaging in advocacy for their community. These findings are relevant to counselor educators so they may incorporate information on gender nonconforming persons' experiences and mental health strain to best educate future counselors and prepare them to serve this community effectively. Findings are also relevant to counselors and other mental health professionals who serve gender nonconforming people in rural, Appalachian communities.