Psychological assessment and counseling remain important features of quality care: A descriptive study of individuals who did not start gender-affirming medical treatment in a gender identity unit in Spain Pablo Expósito-Campos; Marcelino Gómez Balaguer; Felipe Hurtado Murillo; Alberto Pena Dubra; Luis Francisco de Miguel Rodríguez; Pablo Fernández Collazo; Elisa Tadeo Morant; Inés Modrego Pardo; Carlos Morillas Ariño;