Take into account my attempts to sound "neutral" and evade banning by tranny mods. Of course there are enormous problems with homosexuality but they obviously could not be directly addressed on the homo board.

"So onto "treatment."
For the OCD trannies, psychiatric medications, psychotherapy dismantling rather than encouraging their pathological thought patterns, and if neither of those work, then cingulotomy (small safe brain surgery which cures OCD).
For the homosexual trannies, nothing. They're fine how they are. I actually don't see much of a problem with hormonal transitioning for this group. It's the reassignment surgeries which are harmful.
The latter and largest group of paraphiles are really a lost cause. Cluster B disorders don't really respond to therapy - they just use what they learn to manipulate better. They don't change. If their sexual behaviors are severe and troubling enough they would probably be better off with chemical castration. But seeing as they are not really "trans" there is no utility in hormonally transitioning them - it will merely feed into their fetish and reinforce the problem."