Sam Smith reflects on the decision to come out as non-binary: 'I wasn't prepared for the ridicule'

Sam Smith has opened up about the choice to come out as non-binary, and the "ridicule and bullying" that immediately followed.

The 'Stay With Me' singer, 28, discussed changing pronouns to they/them in a candid interview with CBS This Morning.

"I honestly, I can't express to enough people how much courage it's taken. I wasn't prepared for the amount of ridicule. And bullying, really, that I've experienced," Smith said.

"Gender, for me, has been nothing but traumatising and challenging throughout my life... I just feel like myself. I don't feel like a man."

Smith, who made the decision in September last year, said the inevitable announcement took its toll on their mental health.

"2019 for me was a fight with my mental health. For the first time ever I started to get panic attacks and feeling anxiety," Smith said.

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Last year, Smith clarified their preferred pronouns in a lengthy Twitter announcement.

"Today is a good day so here goes. I've decided I am changing my pronouns to THEY/THEM after a lifetime of being at war with my gender I've decided to embrace myself for who I am, inside and out...

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"I'm so excited and privileged to be surrounded by people that support me in this decision but I've been very nervous about announcing this because I care too much about what people think but f--- it!

"I understand there will be many mistakes and misgendering but all I ask is you please please try. I hope you can see me like I see myself now. Thank you."

If you or anyone you know needs immediate support, contact Lifeline on 13 11 14 or via lifeline.org.au. In an emergency, call 000.