And she is correct about that. It is certainly important to understand how the hormonal changes can be a particular issue with mental illness.

My mtf daughter and her mtf fiancee are going through hrt right now, and with the girlfriend, who also has some serious PTSD issues, the hormones create more intense anxiety issues and nightmares. Fortunately, she was aware of that possibility and has good support in place, but it is creating additional issues.