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It really depends if the paitent is smart enough to know that they are a woman, do not wish to be a woman, and can express other schizophrenic symptoms to the psychologist. In which case they're given a prescription like this.
Stupid people, people doing this as part of a fetish, and people who are doing this as a political stunt don't get that far and instead keep taking left turns until they actually become schizophrenic for real or they do enough physical damage to their bodies that causes them to die.
