Have you seen the new policy statement by the AAP? pediatrics.aappublications.org/content/early/2018/09/13/peds.2018-2162
As someone on Twitter put it "they've gone full Tumbler".
... Affirmative care is best, watchful waiting is "outdated", pushing puberty blockers, threat of suicide...they note that kids with ASD are increasingly presenting as T and just shrug. 