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1/ THREAD: New BIG paper in Nature:

Transgender and gender-diverse individuals were 3.03-6.36 times more likely to be autistic and had elevated rates of multiple other neurodevelopmental and psychiatric conditions than did cis-gender individuals.…
2/ This study has huge clinical implications. Clinicians largely treat gender dysphoria (GD) as an independent condition when in reality it is likely a symptom of many underlying comorbidities that go unaddressed.
3/ Treating GD with the single broad brush of social and (frequently) hormonal as well as surgical transition does not address what may be *causing* GD in the first place.

However, due to "conversion therapy" laws being extended to include GD, physicians are often not allowed...
4/ to explore these underlying and co-occurring psychiatric conditions. Instead, law often requires doctors to "affirm" the patient's self-reported gender identity, which only solidifies GD and places individuals on a path to irreversible surgeries and permanent infertility.
5/ These people deserve proper care and treatment, which *may* ultimately require transitioning, but also requires exploring myriad potential underlying causes that may be treated to help ameliorate GD without invasive treatment.
6/ The politicization of trans issues is preventing this vulnerable group from receiving proper evidence-based treatment.

I hope this study helps shine a giant spotlight on this problem.
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