I was referring to diagnosed transsexual under 18's.
A transsexual is someone who has medically transitioned, that is someone who has sought to alter their body through hormones and/or surgery. You don't diagnose a child as transsexual. You diagnose a child with gender dysphoria and such a child may medically transition to become a transsexual. Preferably in adulthood. Early medical transition is a mechanism that allows most male children who identify as trans to pass better in adulthood. Because as you pointed out earlier, testosterone is such a potent drug, females who identify as trans can achieve a convincing presentation as male in adulthood. Medicalising them in childhood is therefore unnecessary, especially since this is harmful to them.
To think that a condition of this nature can't present and be treated until adulthood is for me a bit short sighted.
We are not suggesting that children cannot present with gender dysphoria. They can. We are in this debate however distinguishing between children who present typically, that is before puberty and those who present long after puberty. Gender dysphoria in homosexual transsexuals presents almost uniformly in the same way and by the same time in childhood before puberty. The largest number of referals are now for children however who present atypically post puberty, and most of them not with longterm distress or a longterm history of gender-non-comformity.
But, that's just my opinion, you'd have to defer to the Tavistock and put that suggestion of just leaving them to it to them. A bit cruel and unusual if you ask me but, maybe you've a point.
This is disingenuous. Watchful Waiting does not equate to leaving them to it and doing nothing. It is a treatment protocol that seeks to alleviate distress through a number of techniques, including psychological counselling.
Unlike the affirmation model, this approach simply holds the door open for desistance without having to undo a medical transition while at the same time ensuring that when these patients do wish to transition they can do so at a later date in adulthood.