Yes that’s a great point PermanentTemporary
If as a kid you’re told yes, you ARE the opposite sex and it’s so amazing, and you are affirmed and convinced of such from a young age, there will be even less resilience to deal with the reality of their actual puberty.
This is such a missing piece of their treatment, grounding it in reality.
“Yes you feel like a girl, but you realise you can’t actually be a girl? We can help you accept that reality.”
“Yes the thought of puberty distresses you, but you realise it can’t be avoided if you want to be healthy as an adult? We can help you accept that reality.”
Adults who help children deny such realities should be ashamed of themselves.