She was criticised for interviewing James Caspian and "trans-critical" feminists who oppose the right of transgender people to self-identify, one of whom asserted there is no scientific evidence anyone is "born in the wrong body".

[15][6][1][16] Dr Helen Webberley, a UK based GP and gender specialist who had declined to participate in the film, criticised it for not including any trans adults who had transitioned as children.

[6] Sarah Carson concluded in her review that "a film like this that tries to prove that to be transgender can be "a phase" – with few statistics and not enough concrete evidence – could do more harm than good".

[22] The Trans Writers Union also announced a boycott of the paper due to what they characterised as advocating conversion therapy and a pattern of transphobic behavior.

A large number of people contact me seeking help and I don't know enough Irish therapists who can provide compassionate and nuanced therapy."

[29] Jenn Burleton, Executive Director of TransActive, described Genspect as "an anti-trans, 'gender critical' organization ideologically affiliated with TERFism, Rapid Onset Gender Dysphoria, and Alliance Defending Freedom".

[19][31][32] In March 2022, O'Malley would have appeared at an NHS conference on gender dysphoria at Great Ormond Street Hospital, alongside paediatrician Hilary Cass, journalist Helen Joyce, CEO of Mermaids, Susie Green, and fellow Genspect advisors Sinéad Watson, Stephanie Davies-Arai, and Lisa Littman.

[29] On 6 May 2022, Gay Community News (Dublin) published an article about concerns people raised over O'Malley being invited to address an Education and Training Boards Ireland (ETBI) conference on managing gender issues in schools.

[23] On 10 May 2022, TD Mick Barry raised issue with O'Malley's invitation to the conference, referring to a Twitter Spaces conversation in which she stated "I don't think you need to give empathy at all, none, zero.