TL;DR

Positive outcomes from hormonal interventions, argues psychiatrist Alison Clayton, the article’s author, may be attributable to placebo effects generated by clinical encounters and the social context in which they take place, rather than to the underlying psychotropic effects of the drugs themselves.

Translation: Unhappy teens feel better because they get attention from whitecoats and told the pills will help, but really the pills are doing nothing to help them and destroying their bodies and the relief is entirely psychological and due to the attention and belief.

In other words, these unhappy teens would probably get the same result from being counselled and not going through social or medical transition or being put on puberty blockers.

This is basic medical research that hasn’t been done, and yet they’re allowed to peddle this shit to kids.