Older people

I've come to the conclusion based on my own experience that the psychology of older transgender people can be greatly improved but cannot be perfectly made new. The reason for this is that too much programming went into creating the individual which, once absorbed and bought into, becomes the default coding. 

Yes, neuroplasticity can work wonders in rewiring the brain but not to the extent that we can undo all of the internalized transphobia. The result will be mixed depending on the individual situation and the social environment within the family structure they grew up in. 

The advantages that youth today have is that their exposure to a less restrictive world has given them less baggage to need to undo later in life. In other words, they can start with a healthier self image with other role models that we didn't have. They also don't need to spend as many years in hiding pretending that they don't have a gender incongruence. 

Older people will most often be left with varying degrees of success which depend on many factors. Decisions made in life prior to realizing something needed to be done about their dysphoria will often act as roadblocks to addressing it and compromises will be required. 

Coming out later in life is also not for the faint of heart and despite many fears being unwarranted it can still be a scary process not devoid of challenges. 

What I have been calling my cleanup phase has been very rewarding and yet there are still little artifacts having to do with that baseline coding which I'm fairly certain are there to stay. You realize that, no matter how successfully you have reached a formula which on paper might look tailor made for you, there is no erasing decades of personal history.

Nevertheless, the option to do nothing about your dysphoria remains easily the worst one.