It was three years ago that @LisaLittman1 published her seminal work on adolescent onset gender dysphoria, a new phenomena not previously described in the scientific literature. In honor of her work, @genspect has declared August 16 to be #RogdAwarenessDay Rapid onset gender dysphoria refers to the sudden developmen
#RogdAwarenessDay

This one is key, folks: the paper was not "retracted."

The findings of the paper were not refuted, they just changed some of the wording to make it triply clear that these are parental descriptions of what they saw happening with their children. The reaction to Littman's study:  There was an immediate out

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More from @JuliaMasonMD1

9 Mar
I recently had a conversation with a pediatric psychiatrist about a troubled 12 yr old who has been self harming via cutting for more than a year. As we were discussing the case, the psychiatrist tells me that the girl has expressed discomfort with her gender. (1/4)
I responded “Of course - she's a stressed out 12 yr old girl in Portland in 2021, it's not surprising she would want a get out of girl card, but that makes me wonder if there's a history of sexual abuse."  (2/4)
Instead of turning me in to the woke police, the psychiatrist seemed very relieved to hear me say that, and she agreed that medical transition can be seen as a new form of self-harm for stressed kids. (3/4)
Read 4 tweets
31 Aug 20
An "all inclusive feminist" shared an article with me, to educate me about detransitioners. I read it when it came out last December, but let's take a look, shall we?

nbcnews.com/feature/nbc-ou…
It starts by suggesting that major media outlets are exaggerating the number and significance of detransitioners, "fueling misconceptions about the gender transition process."

"“The media are conjuring up a panic about trans lives." says Lui Asquith, who works for Mermaids:
More: "The information that does exist appears to corroborate Asquith’s claim. In a 2015 survey of nearly 28,000 people . . . "

Ooh, ooh! I know this survey! Hold on, I've got a whole thread about it:

Read 11 tweets
11 Apr 20
I recently re-read a super useful article about how adults can respond to children who express gender dysphoria. It's from 2012, by David Schwartz Ph.D. and it's called "Listening to Children Imagining Gender: Observing the Inflation of an Idea."

tandfonline.com/doi/full/10.10…
I'm not the first person to admire this article, but I've just got to share a few lines because they really spoke to me as a pediatrician.

I spend my days advising parents on the sometimes confusing behavior of their children. A line I use a lot is "kids do what works."
By this I mean that young children are pre-logical - they don't figure things out like adults (hopefully)do. What they have are AMAZING memories. Your 3 yr old remembers what happened three days ago far better than you do.

(Your brain is full! You've got a lot on your mind.)
Read 14 tweets
8 Mar 20
Why am I speaking up? Partly because I can, and as @amandapalmer says "If you can, you must."

Most pediatricians see gender as a difficult and fraught topic, and it just feels safe to just refer any kids with gender dysphoria to the gender clinic. They're the experts, right?
But over at the gender clinic, they aren't exploring the patient's history, looking for ACE's. They aren't getting into comorbid conditions, like ADHD and ASD. They are starting with affirmation and moving briskly into transition.

And the medical risks are real, for that path
Alternative models for dealing with gender dysphoria are not offered - they are not even considered. It's called "conversion therapy" and outlawed.

Many detransitioners still have gender dysphoria, they've just come up with less hazardous ways to deal with it.
Read 5 tweets
19 Feb 20
11 days ago I submitted a Letter to the Editor of the New York Times, in response to an opinion piece by that prolific psychiatric resident who can not be @'d because he has blocked me.

It was titled "What South Dakota Doesn't Get About Transgender Children."

(thread: 1/8)
(2/8) It's safe to say at this point that I'm not getting my concerns aired on the august pages of the gray lady. I was told I'd hear back in a week; I've waited that plus 4.

So, I will share my letter with all of you!

To the Editor:

I've been around long enough to see . . .
(3/8)...medical fashions come and go: antipsychotics for "oppositional" children, opioids for chronic pain - both seemed like good ideas at the time. I'm skeptical that almost 2% of teens are transgender, even if they say so in a survey.
Read 8 tweets
30 Dec 19
Advice from an experienced pediatrician about interacting with your ROGD teen:
-remain calm! It's hard when things get scary, but you need to be the adult in the situation.
-don't try to change your teen's mind. When has anyone ever changed someone's mind with facts? Not often.
That said, you don't need to just go along to get along. If you have deeply held doubts that hormones and surgery are going to make your teen happy in the long run, it's perfectly reasonable to say so.
It's OK to say that the idea of surgery is scary to you.
You can say that while some doctors and therapists advise rapid diagnosis and treatment, there are other doctors who advise a slower approach.
You can say that the existence of detransitioners makes you worried that even people who feel strongly about being trans sometimes change
Read 8 tweets

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