Fortunately for the former David, the clinic provided follow up psychological analysis to the swapees. The report back to Larry was that the Female to Male swapee was thriving and had adapted to his changes fully but the Male to Female swapee was in denial, depressed and most likely suicidal.
It was recommended that the new Mariah attend weekly sessions with a psychologist.
This actually did prove useful for the former David. She was able to unload all her thoughts and lambasted the young professional, by name of Sandra she was assigned to.
Sandra was aware of Mariah's history having received medical reports from the clinic. To her Mariah was a fascinating case. A case she could potentially write up as a scientific paper on and gain much needed professional kudos.. Although there was a potential problem with the secrecy clauses she had signed.
Sandra's first conclusion was that she needed to urgently repair Mariah's self image. This was not a short term fix.
Sandra actually took on Mariah as pro bono client after the 5 sessions paid for by the clinic expired. Cleverly she decided these sessions should be held in fresh air, She arranged to meet Mariah at Central Park. As an added bonus it saved on overheads.