WE BEAT THE NEWS MEGA
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Nooooo Orange Book did not go hard enough
Maria does mention that at 20 she figured out that she was messed up cause being trans is traumatic in our society, so I think she took a long time actually. I've seen users here who speedran everything right up to bottom surgery in under two years though 
spoiler
In fairness I was more running from having to confront changes in my life as a result of being trans, not from transness itself
Once I moved out and also reached an ultimatum in my relationship I stopped repressing because it was do or die.
Anyway I'm much better now, being trans is pretty goddamn rad and I wish (in a healthy way now) I started earlier.