JD "Terrapin" Holt, who uses the pronouns "they/them" and "turtle," sits on the Oregon Health Authority's Consumer Advisory Council, which advises the agency's director on best practices around the state's provision of mental health services.

A member of a state panel advising the director of Oregon’s Health Authority (OHA) made a wild first impression at a meeting by proclaiming, “I use they, them and turtle for my pronouns.” JD Holt, who also goes by “JD Terrapin” on Facebook,