"When you compare someone with gender dysphoria who gets hormones and affirmation surgery to schizophrenics who want to make their delusions real, it sounds like a critique of current treatment for gender dysphoria"

Again, you're saying this because you're assigning different moral weight and validity to different types of psychological distress. Schizophrenia = crazy. Gender dysphoria = valid. No. Both schizophrenics and people with gender dysphoria simply want their distress to stop.

What if I compared gender dysphoria to body integrity disorder (https://en.wikipedia.org/wiki/Body_integrity_dysphoria) instead? Where people identify as disabled and feel powerfully compelled to amputate healthy limbs or paralyse themselves so they become the wheelchair users the deeply feel themselves to be? Can we then have a conversation about whether these people should be unquestioningly affirmed?

I'm not saying that treating people with gender dysphoria harms them. I'm saying that the current affirmation only model is potentially harmful (as evidenced by the increasing numbers of people, mainly young girls, coming forward to say how they were let down by their gender health care providers).

I'm saying that comparing counselling for young people who are about to make life-long, life-altering changes to their bodies, to gay conversion therapy, both trivialises the horrors of conversion therapy and fails our duty of care to minors.

I don't want trans people to do anything. Well, except get the care they need and live happy lives. But I want the medical community to act responsibly.

I want us to continue being able to talk honestly about biological reality (in the case of sport for example) so that the needs of both women and trans people can be addressed.

And I want us to fully recognise the influence we have over the thinking of young children. And to stop telling them that a preference for stereotypically male/female things means there's something wrong with them that needs to be fixed through lifelong medicalisation.

It's widely known that ~80% of trans identifying children will stop identifying as trans after puberty. And this saves them from a lifetime of hormone therapy and surgery that, as we can see in Feffy's case, absolutely does not guarantee good mental health. I don't think we should make these facts taboo.