these are the transgendered subjects most like anorexia nervosa patients. they become persuaded that seeking a drastic physical change will banish their psychosocial problems. diversity counselors in their schools, rather like cult leaders, may encourage these young people to distance themselves from their families and offer advice on rebutting arguments against having transgender surgery. treatments here must begin with removing the young person from the suggestive environment and offering a counter message in amily therapy. that's not me, that's what one transgender gentleman who has the sex change operation says knows more about the sex change operation than any m.d. in the world, dr. paul mchugh. dr. mchugh said he thinks there are some others that know more but they support his positions. on what he's saying. which helped him come to these positions. but dr. mchugh gos on, then there's the subgroup of very young, often prepubescent children who notice distinct sex reels in the cull her and exploring how they fit in begin imitating the opposite sex. mis