That’s mostly a very good article, but it seems to ignore the situation where the parents are unsupportive of their own trans children, or subscribe to those ideologies that the author acknowledges does exist.
‘Shared decision making’ is all very well when the child knows what they need, the doctor claims they’re ‘not an expert on trans people’ so they can’t offer a bridging prescription, the parents think it’s against their religion to acknowledge the existence of trans people in anywhere way besides a mental disorder that should not be given any credence. And even if they can find a decent doctor, there’s a 5 year waiting list - 5 years where they are given no treatment and continue to experience the wrong puberty, dysphoria, etc.
Hateful families are the elephant in the room for queer youth. The defensive approach taken in the States that is all but “let the parents and only the parents decide about their kids’ care” sacrifices those of us with hateful and unsupportive families. Trans youth will never thrive as long as minors keep being considered their parents’ property.