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However, in modern western medicine, reparative therapy generally is not considered to be good medical/psychological care. However, for certain transsexual persons, therapies aimed at cartoon images resolving gender conflicts, other than somatic treatments to reassign physical sex, may be effective and useful. Some people may have milder conflicts between gender identity and their physical sexual characteristics. These individuals may cartoon images not actually wish to pursue gender reassignment therapy, but may seek cartoon images care to help deal with the conflicts they face. If individuals express this desire for psychological care without SRS, supportive and psychoeducational counseling may be helpful. Additionally some transsexuals, who may have a significant lifelong conflict between gender identity and their sexed-body may present for care without requesting SRS. Their reasons for forgoing transition may include family or professional concerns, perceptions of difficulty of transition, fear of loss of social standing or role, firmly held religious beliefs, real or perceived inability to finance transition, and advanced age or chronic medical problems, which may, in some cases, be considered medical contraindications to hormone therapy or sex reassignment surgery.
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