My friend" daughter's girlfriend's youth (sorry for that mouthful) was born female and is identifying as male. Family is supportive and they are just starting counselling-with a view to medical procedures. They are 18 done high school and looking for work. Not much success. Part of the issue may be that they have quite large breasts but trying to present as male. and so they are spending too much time in their room and feeling depressed. Breast reduction surgery should make a difference.
I had a bunch or relatives like that ...