1 Gender Identity Development Service, Tavistock and Portman NHS Foundation Trust, 120 Belsize Lane, London, NW3 5BA, UK. ndegraaf@tavi-port.nhs.uk.
2 Department of Medical Psychology, Center of Expertise on Gender Dysphoria, VU University Medical Center, Amsterdam, The Netherlands. ndegraaf@tavi-port.nhs.uk.
3 Gender Identity Development Service, Tavistock and Portman NHS Foundation Trust, 120 Belsize Lane, London, NW3 5BA, UK.
4 Department of Dynamic and Clinic Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.