In my last role as a school nurse there was a girl who, at the age of 11 told her parents she wanted to be a boy. So,, the parents did what they could and got help from various doctors and experts, and over the course of the next 3 years I got to know this student well, and regardless of what I thought on the matter, was able to support this student. The student knew I had a different perspective but we had a good working relationship and this student appreciated a different perspective eg I disagreed with the hormone blockers, chest compression brace and eventual male hormones.
Anyway, during this student's time here, 2 close female friends of the student decided they were trans as well. The thing is, I believed they were not trans. I knew both of them had serious family issues, including a family divorce, and had also gone through the gambit of self harm - from cutting, eating disorders etc. But the rest of the group of girls all agreed they were trans, and encouraged this.
At about the same time this was happening, Brown university came out with a study looking into ROGD (rapid onset gender dysphoria) which showed that the vast majority of the teens and young adults coming out as trans, were not actually trans. They cited various issues, including media pressure as well as underlying, unresolved psychological issues. Unfortunately, because this study was not 'affirming' of their transition, the study was withdrawn due to media pressure.
Anyway, regardless of my thoughts, these students were sent to the pediatric psychologist, who promptly refused to see them. I knew the psychologist very and and she confided in me that it's far too dangerous a minefield and she could easily lose her licence. She said that basically, any opinion that did not affirm someone as trans risked it all. A second pediatric psychologist I knew also refused to see them.
Anyway, the school decided to go along with one of the girl's requests to be called a boy. I was not happy to do this, but did ask my manager if the girl's parents were aware we were calling their daughter a boy. My manager said 'Yes' the parents were aware.
I was not convinced I was being told the truth, and about one week after being told the parents were aware, the headmaster had a talk with us in the health center, and told us that if we have any communication with the parents, not to call their daughter a boy or use her boy name ie we were told to lie to the parents.
I was not happy to do this, and quit. And now I'm in the middle of the Australian desert having new adventures.