My kid's best friend is now a they. After knowing a 'her' for three years, it's been hard to switch. I have a hard enough time some days stringing the right adjectives into sentences without also worrying about pronouns too. It's easier for me to do when typing, but I can't speak for everyone.
Since their first name is a single syllable, I've found myself avoiding pronouns entirely when talking about them. Because accidentally saying 'she' more than once in a while causes stress for everyone. It's a big deal, their father is not okay with this, and we are frequently the safest house for this group of kids to hang out at.
Our kid has always gone by a nickname. When she got older she decided she wanted a change. I was the first one in the house to use her new first name reliably. I'm not sure why I'm the one having trouble with pronouns.