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Because of the toxicity of the debate, [children have] often been bypassed by local services who've been really nervous about seeing them. So rather than doing the things that they would do for other young people with depression or anxiety, or perhaps undiagnosed autistic spectrum disorder, they’ve tended to pass them straight on to the Gids service.

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I have been disappointed by the lack of evidence on the long-term impact of taking hormones from an early age; research has let us all down, most importantly you.
The reality is we have no good evidence on the long-term outcomes of interventions to manage gender-related distress.