To be fair I wonder what were the studies on therapy of dysphoric people and that made all mental health workers conclude that it makes no sense to work with the issue but instead affirm it? It's the only mental issue, in which people are sent to surgeries and hormonal therapy. This is very invasive and risky in case the diagnosis is wrong (what happens even in case of different mental issues), wouldn't someone think of something similarly effective but not so invasive?