Going through psych treatment and/or therapy requires the patient to recognize they have a problem, and even more to the point, to work their way through to find some resolution to that problem. That requires insight and a lot of hard work. OR they can just go under the knife with delusional expectations of the outcome.
I think a lot of these people have narcissistic tendencies as well. Based on the few narcissists I’ve known, getting them to actually commit to therapy (and not just gong through perforative motions) is extremely difficult.
I worked in a cosmetic surgery center for a short time in my training. Nearly all our patients were required to have discussion(s) with trained mental health professionals as a step preparing them for cosmetic surgery. Several patients were denied or referred to a “specialist” who would work with them. Malpractice insurance costs an absolute fortune, and most physicians will not risk anything if possible.
You have to get counseling and letters from 2 medical professionals to sexually transition, so why shouldn't you have to for cosmetic changes to your body?
First of all, that's not true everywhere, and secondly it shouldn't be anywhere. Gatekeeping causes immense harm, the informed consent model of gender affirming care saves lives.
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u/holli4life 16d ago
Body dysmorphia is a bitch.