Well, like most things you get through them or you dont. In my case I went on to have a succesful business career, two marriages, one daughter, 5 suicide attempts, 2 admissions to a mental ward, substantial alcohol and drug abuse (recovering now, sober and clean for some time) , self harming (burning mostly but cutting as well) and a whole host of phsychological problems at least so they tell me.
I dont say this for sympathy, Im lucky and feel blessed. But its what happens when we are not treated. Others are gone and so none of it matters. My story is not unique other than through some miracle I lived long enough to transition. My transition I take pride in, the rest is just stuff that happened. My therapist said I was a survivor like somehow it is a medal I have or something to take pride in. I dont see it that way, I just got lucky.
This is why I got a little irritable when people want to have these intellectual discussions about what is trans or what makes a real woman or assorted other worthless psychological studies. Meanwhile we die. Think TDOR consists of all those who died? Think again, lots of people were like me, they just died and no one ever knew they were trans anything In fact, I think a lot of unexplained suicides and drug problems come form untreated transsexuality. Its why I always reach out to someone who needs to talk. I dont want to see another one of us ever go through the things I had to. If I can help in some small way, just be listening, I will. I care about everyone, but I am trans and so each and every one holds a special place in my heart.
Sorry to ramble. I only told the parts I share. There are other things, worse but they are not to be spoken of and I never will.