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Alex may decide not to proceed, but, if he does proceed, the counselling he will have received should assist him in having a clearer idea about his identity. The counselling will also help him to be better informed about the procedure and its implications. With this support, he is grades much more likely to be making an informed, autonomous decision. The harm of treating versus the grades harm of not treatingThe harms that may occur with the proposed treatment (eg, practical and social difficulties, victimisation, and the grades possibility of regret) are theoretical, while the harms of not proceeding with the proposed treatment are likely and substantial. According to the Royal College of Psychiatrists report, interventions that recognise and accept the problem of gender-identity disorders and remove the secrecy can bring considerable relief.6
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