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Just to add, although the US allows informed consent for adults, some of us are still required to do a certain number of months in therapy and/or provide letters from mental health professionals before we can access hrt or surgery, because that’s what some health insurance companies require. Even then, ofc, the option does exist to do informed consent and pay out of pocket.
I just want to point out, gender dysphoria is different from body dysmorphia, though the words look very similar. A person with dysphoria (eg, a trans person) sees their body the way it really is, but is uncomfortable with it. A person with dysmorphia (eg, someone with an eating disorder) sees their body as different than it actually is, and is uncomfortable with that perception.
That said, you can’t effectively treat someone experiencing body dysmorphia the same way you’d treat someone experiencing gender dysphoria, and vice versa.