Or maybe Canada is.
Or maybe Canada has become so woke that it doesn't want to recognise such things as being a mental illness because that would be un-PC.
According to the NHS:
Treatment for gender dysphoria aims to help people with the condition live the way they want to, in their preferred gender identity.
What this means will vary from person to person, and is different for children, young people and adults. Your specialist care team will work with you on a treatment plan that's tailored to your needs.
Treatment for children and young people
If your child is under 18 and thought to have gender dysphoria, they'll usually be referred to a specialist child and adolescent Gender Identity Clinic (GIC).
Read about how to find an NHS gender identity clinic.
Staff at these clinics can carry out a detailed assessment of your child, to help them determine what support they need.
Depending on the results of this assessment, the options for children and young people with suspected gender dysphoria can include:
family therapy
individual child psychotherapy
parental support or counselling
group work for young people and their parents
regular reviews to monitor gender identity development
hormone therapy (see below)
Your child’s treatment should be arranged with a multi-disciplinary team (MDT). This is a group of different healthcare professionals working together, which may include specialists such as mental health professionals and paediatric endocrinologists (specialists in hormone conditions in children).
Most treatments offered at this stage are psychological, rather than medical or surgical. This is because the majority of children with suspected gender dysphoria don't have the condition once they reach puberty. Psychological support offers young people and their families a chance to discuss their thoughts and receive support to help them cope with the emotional distress of the condition, without rushing into more drastic treatments.
Hormone therapy
If your child has gender dysphoria and they've reached puberty, they could be treated with gonadotrophin-releasing hormone (GnRH) analogues. These are synthetic (man-made) hormones that suppress the hormones naturally produced by the body.
Some of the changes that take place during puberty are driven by hormones. For example, the hormone testosterone, which is produced by the testes in boys, helps stimulate penis growth.
GnRH analogues suppress the hormones produced by your child’s body. They also suppress puberty and can help delay potentially distressing physical changes caused by their body becoming even more like that of their biological sex, until they're old enough for the treatment options discussed below.
GnRH analogues will only be considered for your child if assessments have found they're experiencing clear distress and have a strong desire to live as their gender identity.
The effects of treatment with GnRH analogues are considered to be fully reversible, so treatment can usually be stopped at any time after a discussion between you, your child and your MDT.
Transition to adult services
Teenagers who are 17 years of age or older may be seen in an adult gender clinic. They are entitled to consent to their own treatment and follow the standard adult protocols.
By this age, doctors can be much more confident in making a diagnosis of gender dysphoria and, if desired, steps can be taken towards more permanent hormone or surgical treatments to alter your child’s body further, to fit with their gender identity.
Treatment for adults
Adults with gender dysphoria should be referred to a specialist adult GIC. As with specialist children and young people GICs, these clinics can offer ongoing assessments, treatments, support and advice, including:
mental health support, such as counselling
cross-sex hormone treatment (see below)
speech and language therapy – to help alter your voice, to sound more typical of your gender identity
hair removal treatments, particularly facial hair
peer support groups, to meet other people with gender dysphoria
relatives' support groups, for your family
For some people, support and advice from a clinic are all they need to feel comfortable in their gender identity. Others will need more extensive treatment, such as a full transition to the opposite sex. The amount of treatment you have is completely up to you.
https://www.nhs.uk/conditions/gender-dysphoria/