There are lots of women who suffer mental anguish and mental health problems due to their bodies. It can be from being deeply unhappy about their nose so they don't socialise because of a chronic lack of self confidence. It can be associated with weight (and notably weight gain after pregnancy). Or it can be to do with being distressed at the amount of unwanted attention they get because of the size of their boobs.
All these concerns are effectively recognised as 'a condition' known as anxiety. But because it hasn't got a particular title it doesn't get the same lobbying behind it.
And we could have a long argument about how endometriosis is a recognised condition but so many doctors don't give a fuck hundreds of not thousands of women are in pain for decades before actually getting any treatment which has a known clinically proven effectiveness. Also see doctors withholding HRT because they are pricks.
Arguably weight loss drugs for mental health reasons would have a very good case of evidence behind it to as a means to have a change of lifestyle and improved mental and physical health. But the idea on monjaro for mental health hasn't got a flag behind it.
People just have to get the fuck on without treatment or support in so many of these cases. The state of mental health care in the UK is utterly shocking across the board as it is.
But somehow there's shreks and wails about cross sex hormones and cosmetic surgery from political quarters but active tumbleweeds about less fashionable causes which don't get you woke points on Reddit, Bluesky, Twitter or whereever.
A friend of mine is a doctor and did have a breast reduction because it was causing her so much distress. She was refused it on the NHS. But I know of other people in different parts of the UK who have had it because their area funds it. If she had just claimed she was gender questioning she'd have probably got it for free.
And yes we absolutely should be having robust and difficult conversations about why unproven treatment is given a free pass when others which are no less legitimate are just shoved in the tray labelled 'cant be arsed, not going to get enough likes on socials'.
It then raises the question of whether the NHS should fund treatment if someone private botches it or there's complications too. This is known as a rising problem with cosmetic surgery done abroad and the NHS picking up the tab.