The speaker has just asked for advice, something they rarely do, and someone actually listened. That small act means a lot because home offers so little of it. Siblings tune them out, and their father, the last time he listened, said he would never accept their gender. Their mother pretends to be fine but sends a "Why Gender Matters" post. The speaker describes both reactions as a punch to the stomach, and lists depression, dysphoria, ADHD, ADD and body dysmorphia as other weights they carry.
The poem turns toward Wattpad, which the speaker calls their hometown, a place where they can choose their own family. An online figure has done little more than call them "sweetie," yet it makes the speaker feel loved in a way mom, dad and stepmom do not. The teasing names that follow, like "doofus" and "moron," read as affectionate banter. The mood is raw and hurt at first, then quietly hopeful, ending on a short, plain line: "I'm getting better parents."