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Limits of Psychological Treatment
- Gender dysphoria treatment differs from anxiety disorders; no simple cognitive fix exists.
- There's no protocol to dispute feelings of gender incongruence and resolve it quickly.
Varied Paths of Transition
- Only about 25% of trans people pursue surgery and 44% use hormones.
- Many find a personal plateau, not all seek full medical transition.
Dana on Surgery and Comfort
- Dana felt much more 'at home' after surgery but acknowledges not all trans women choose surgery.
- Some feel comfortable without surgery if dysphoria about genitals isn't severe.


