The first pdoc I went to tried to jolly me out of being totally confused about life by asking me to look at how I dressed (workmen's pants and doc martens probably, and I'm female) and how much I ate (not that much, but I wasn't skinny) and pointedly asked me to think about what I'd look like when I'm 40. Who cares? I'd look like me!

He later went on to specialize in gender reassignment, if that means anything.