So don't mess them up!
As far as I'm concerned using puberty blocking meds on kids is child abuse. Of course this child was confused. He was being raised by a single mom. Were there any significant male role models in his life?
I don't blame the mother for his confusion. Single moms have a tough row to hoe. And she must have felt desperate when she feared he was going to commit suicide, but she got bad medical advice and this youngster will pay for it for the rest of his life!
Johns Hopkins stopped doing transgender surgeries for forty years because studies showed no benefit psychologically to the patients.