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They often find that their only recourse is to change their gender role and undergo sex reassignment therapy. This may include taking hormones to modify free their secondary sex characteristics or having sex reassignment free surgery to change their primary sex characteristics. [edit] Psychological treatment Mental health approaches that attempt to change gender free identity to one considered appropriate for the person's assigned sex have almost universally been shown to be ineffective. Therefore, it is generally accepted that the only effective course of treatment for transsexuals is gender reassignment therapy. The need for physical treatment is emphasized by the high rate of mental health problems, including depression, anxiety, and various addictions, as well as a much higher suicide rate among untreated transsexual people than in the general population.
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