There is no scientific consensus that gender-affirming care fixes the mental problems of transgenders. Psychological problems are complex. You cannot determine the cause of dysphoria accurately all the time. What people think will make them happy, does not make them happy, and what makes them sad isn’t always clear, because the right questions are not asked, or the answers are abstained. It is also clear that this type of dysphoria extends beyond perception of themselves, but what they expect from other people perceiving them. This doesn’t appear much different than a weird or different looking person being ostracized. Teens have suicidal ideation that have nothing to do with gender identity. Yet, how do we treat those versus transgender youths?