Yes, this is completely accurate. That's why protocol states that HRT and ESPECIALLY SRS should not be done to minors. There is a movement to giving kids who identify as transsexual puberty blockers. I am 100% against this. Research shows that, for example, 30% of kids who are 15 and identify as transsexual, AREN'T and eventually come to realize that. 30% is a HUGE number that I would not take chances on. And the percentages go UP as kids get younger. Most kids who identify as transsexual at a young age, have some other sexual, mental health, or developmental issue going on... or it is just standard fluidity and flexibility of the brain of children. I, personally, have worked 3 clients who claimed to be transsexual around that issue only to determine that they were not transsexual, but had something else going on. I remember hearing about one therapist who took a 14 year old, and in ONE SESSION, stated that they were transsexual and should immediately go on HRT. That kind of stuff annoys me... almost as much as tthe 16 year old who called me (never having seem me before) and asked if she could come in for me to write a letter so she could get HRT. I said, "absolutely not. That's not how I work". People don't always know the parameters around what can be done... or what should be done, nor do they know the work that goes into making the determination. My evals tend to last at least 3 months, for example.