Thread by @_oatc_

@ShapiroTattoo @christapeterso 1/ They're conflating gender dysphoria with suicidal ideation, trying to erase that GD is frustrated #GenderIncongruence. In the Bell case, they used GIDS' lousy study of their patients which found SI wasn't reduced on PBs (negating the 🇳🇱 finding it was) to say PBs didn't…

@ShapiroTattoo @christapeterso 2/…work, even though they are 100% effective at preventing further pubertal change. The 🇳🇱 did the main session on endocrine care in adolescence at @TheEndoSociety conference last week (no doubt to avoid heat on US providers) & were pushing the "reduces SI" line. I don't see…

@ShapiroTattoo @christapeterso @TheEndoSociety 3/…why PBs would do that directly. Perhaps the 🇳🇱 imagine its pubertal hormones directly induce depression rather than the changes they bring? I'd suggest they're in denial that their now long-outdated, prolonged PB period protocol they initiated in the '90s isn't what…

@ShapiroTattoo @christapeterso @TheEndoSociety 4/…patients really need but that at least the solid (& free of charge) pathway from PBs, to hormones at 15/16, to SRs at 18 is reassuring enough to relieve SI, whereas when the prolonged PB period is used at a much worse clinic like GIDS, where PBs are delayed, so more…

@ShapiroTattoo @christapeterso @TheEndoSociety 5/… pubertal harm has already occurred, & that plus the huge waitlists & prevailing societal transphobia have already firmly established SI in many, & there's zero assurance of hormones or SRS following promptly, and the clinic is basically about disbelief, then SI will rarely…

@ShapiroTattoo @christapeterso @TheEndoSociety 6/…be reduced until the bodily changes caused by hormones & surgery that GI demands are experienced, & PBs will rarely seem to have that mental effect.

If one wants to reduce SI then provide GI adolescents with the body changes they need as soon as possible

#PubertyWithPeers

@ShapiroTattoo @christapeterso @TheEndoSociety cc @threadreaderapp unroll SVP