That’s mostly a very good article, but it seems to ignore the situation where the parents are unsupportive of their own trans children, or subscribe to those ideologies that the author acknowledges does exist.

‘Shared decision making’ is all very well when the child knows what they need, the doctor claims they’re ‘not an expert on trans people’ so they can’t offer a bridging prescription, the parents think it’s against their religion to acknowledge the existence of trans people in anywhere way besides a mental disorder that should not be given any credence. And even if they can find a decent doctor, there’s a 5 year waiting list - 5 years where they are given no treatment and continue to experience the wrong puberty, dysphoria, etc.