Our psychology should be able to morph to meet our needs. If we are already comfortable where we are then fine but, if not, adjustments will be required to stabilize ourselves. A growth and maturing of the psyche will need to happen if we are to arrive at a point of relative harmony in life.
Older transgender people needed to do much more psychological work to reverse programming which forced them to ignore instinct and comply with instruction which began almost at birth.
Accomplishing this in youth had two significant challenges which were the social climate of the era plus the lack of emotional maturity and fortitude it takes to ignore opinion most of us lack at a young age. For many, arriving at the authentic self involved removing layers of old paint while we built internal fortitude which in numerous cases took decades.
Today youth has the possibility of early access to information plus the climate has changed drastically. These two things alone mean that options can be weighed much earlier in life; before they have hardened into mature trees.
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