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This is a classic misunderstanding of what the purpose of treatment is, and thank you for giving me the chance to discuss it. Treatment isn't about imposing values on the patient, making them "good" when they are "bad". Many misunderstand this when it comes to mental health.
Rather, treatment is about improving health and functioning. If there was a treatment that allowed anorexic patients to maintain a low weight healthily without worrying about food or weight ever again, that would be an excellent treatment for anorexia.
The problem with anorexia isn't that the patient wishes to be thin, it's that this wish is an obsession that can never be satisfied. By contrast, trans people thrive post transition. Medicine doesn't care about to correcting our bad desires, just improving our quality of life.
This seems wrong to many people who feel on a gut level that medicine should be making bad people behave (or crazy people sane) rather than improving people's quality of life without worrying about whether they're good or bad, right or wrong.
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