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The clinic's treatment of the patient is sheer nonsense on stilts.

First there's the nonsense of prescribing hormones and surgery instead of following a course of watchful waiting that includes evaluating whether the patient really is trans.

Secondly there's the clinician's response to the patient's alleged multiple personalities. That they'd accept such a doubtful claim is bad enough, but that they'd then insert themselves into the patient's inner dialogue/headmate community and recommend masculinizing hormones when it was clear the patient was ambivalent was the height of irresponsibility.

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