Very good points! I’ll be sharing this article with some folks on the ground here in TN currently in the trenches fighting this so-called culture war.

In my experience dealing with loved ones (and myself) who’ve had mental health issues (not gender dysphoria related), the best treatment outcomes result when the patient’s social support structure understands and responds to the patient with with love and affirmation. By “social support”, I mean close friends and family, those with whom the patient derives at least some of their identity and self-worth. If loved ones can’t or won’t understand what the patient is going through, accepting and loving them regardless, then outcomes of pharmacological and other treatments aren’t going to be so great.

I bring this up, because the social factors you speak of are undoubtedly working overtime against a positive treatment outcome in the case is gender dysphoria and any other attendant issues that may also be present. It really doesn’t help treatment outcomes or mental wellbeing when someone is tossed out of their home and onto the streets, which is all too often the case.