The misinformation about #trans youth and #mentalhealth in this piece from @TheEconomist is astounding. Thread (1/9) Image
They cite that most adolescents who start pubertal suppression (PS) go on to take gender-affirming hormones. This isn't evidence PS made them trans. It's evidence they were trans to begin with & the clinic wasn't giving PS to kids who would later identify as cisgender (2/9) Image
Courts are not experts on informed consent for minors. Psychiatrists and pediatricians are. Policy statements from The American Academy of Pediatrics and The American Academy of Child & Adolescent Psychiatry make it clear that they disagree with the court's decision (3/9) Image
Major medical organizations have already outlined clear guidelines for the treatment of transgender youth (e.g., The Endocrine Society Guidelines). (4/9) Image
This statistic refers to prepubertal transgender children. Under current medical guidelines (again e.g. Endocrine Society Guidelines) prepubertal children are ineligible for gender-affirming medical interventions, including pubertal suppression (5/9) Image
There is 0 data that autism "causes" gender dysphoria or transgender identity. See Turban & VanSchalkwyk JAACAP 2019 (6/9) Image
The article claims gender identity conversion efforts are appropriate. Every relevant major medical organization has labelled these practices ineffective and dangerous. Turban et al. JAMA Psychiatry 2019 showed that these practices are strongly linked to suicide attempts (7/9) Image
The article also fails to cite any of the papers that show pubertal suppression is linked with superior mental health outcomes (e.g., deVries et al 2014, Costa et al 2015, Turban et al 2020, van der Miesen et al 2020, Achille et al 2020) (8/9)
Given this blatant disregard for scientific evidence, it is impossible to see recent coverage by the @TheEconomist as anything other than agenda-driven propaganda (9/9)

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More from @jack_turban

25 Oct
I'm a gay physician-scientist with Harvard and Yale training, and I research #LGBTQ health. Amy Coney Barrett's confirmation next week likely means more LGBTQ people like me will die early. Here's why (a thread) 🧵(1/8) #medtwitter #SCOTUS
Difference-in-differences analyses show that marriage equality results in fewer suicide attempts among sexual minority youth. (2/8)
jamanetwork.com/journals/jamap…
Barett's writings indicate she would jump at an opportunity to overturn Obergefell v Hodges (SCOTUS marriage equality decision). Other conservative justices have already been hinting at their intent to do so. (3/8)
nbcnews.com/feature/nbc-ou…
Read 8 tweets
17 Aug
I just read the authors note, introduction, and chapter 1 of @AbigailShrier's new book about #trans youth. I'll continue to update as I make progress, but here are the inaccuracies I've found so far. Image
First, according to the "author's note," Shrier did not interview any of the trans adolescents themselves for the book, only their parents. She changes story details so that the adolescents themselves will not be able to recognize themselves and point out any flaws in the stories Image
Shrier claims "in most cases-nearly 70%-gender dysphoria resolves." This is not true. The studies referenced used the old diagnosis of "gender identity disorder (GID)," not gender dysphoria. One can meet GID criteria and be cisgender; DSM-5 gender dysphoria diagnosis changed this
Read 5 tweets
14 Apr
Some reasons having a psychiatry resident as your doctor on a #COVID19 unit may not be so bad: a #medtwitter thread.

1. A psychiatry resident already completed a medicine internship. They’ve done this before, and they’re supervised by an internal medicine attending. Image
We are expecting a surge in PTSD from people being in the ICU and from invasive procedures. Psychiatry residents are more likely to work to prevent this, recognize it, and treat it.
Many coronavirus patients will experience delirium: a reversible syndrome in which you forget where you are and may even hallucinate. Psychiatry residents know how to recognize and treat this (it’s often missed).
Read 7 tweets

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