In a 25-year battle to have the identity of genderless people recognised in British passports, Christie Elan-Cane fought depression and unemployment.
The campaigner, who was born female but identifies as neither male nor female, wants the government to change its passport policy and introduce a third category for people who regard themselves as genderless.
Elan-Cane could move a step closer to realising that goal when the high court holds a hearing on Wednesday and Thursday to review the government's passport policy.
The current system allows applicants to tick only a male or female option, and does not provide for a genderless alternative, which is usually symbolised with an 'X'.
It is the first legal challenge against that policy, Elan-Cane said.
"I'm quite apprehensive because it could go either way, and the future direction of what I'm doing and the lives of a lot of people will be dependent on this," Elan-Cane said.
"I can't remember when I last slept a night," Elan-Cane told the Thomson Reuters Foundation in an interview in Cheltenham, a town in southwest England.
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