One of the mums in my social group has 4 children; 3 independent adults, 1 teenager. Teenager is diagnosed autistic with ADHD and has always struggled socially with finding and keeping friends; as Liz says "he's never been able to find his tribe". He's an academically gifted lad; straight As and got his first choice of university. First few months at uni were very difficult for him; he was well out of his comfort zone, was lonely and kept asking to come home. But, as if by magic, he suddenly settled down; said he'd been befriended by a group on campus who included him and didn't make him feel "different". When he came home for Christmas vacation, it was obvious that he wasn't taking his medication, something he'd always been meticulous about; his behaviour was all over the place, not able to settle to anything and it was clear that, without his ADHD medication, he wasn’t making much sense. During a particularly loud and angry outburst he revealed that he hadn't been taking his medication for weeks because, according to his new uni friends, he isn't, and never was, autistic or had ADHD. What his real problem was was that he was actually a trans woman but had never realised it until he met his friends who had pointed it out to him. They were the LGBTQ group. He insisted that his Christian name was now his "deadname" and he was now to be known as "Jenny" and if they called him anything else, he'd never come home again.
Liz knows that her son isn't trans gender; he's lonely, looking for friends who accept his quirks and oddities and stop him from always feeling like a square peg in a round hole. And the LGBTQ fitted that gap. On the advice of his friends, he refuses to see or speak with any medic because "they'll try to convince you that you're autistic and ADHD again and put you back on medication you don't need". What he has done is, with help from his friends, found an online supplier of Finasteride and testosterone blockers; no prescription, no questions asked. He's also travelled to Poland to buy them directly from a supplier. Liz is distraught with worry and fear for what damage he's doing to his health but doesn't know where to turn to. The university pastoral care is "sympathetic but, as he's 18, he's legally an adult and they can only offer support if he approaches them". He won't do that; he's just so delighted that he's finally found a circle of friends who accept him. He hasn't been home since Christmas and only phones to ask for more money for his drugs.