Fig. 1

Mean scores over time: a CESD-R. b PHQ-9. c QLES-Q-SF. Abbreviations: GnRH: Gonadotropin releasing hormone; CESD-R: Center for Epidemiologic Studies Depression Scale; PHQ-9: Patient Health Questionnaire Modifed for Teens; QLES-Q-SF: Quality of Life Enjoyment and Satisfaction Questionnaire; WPATH; World Professional Association for Transgender Health; MTF: male to female; FTM: Female to male