Thread by @TaniaAMarshall

Attending the NAPP National Association of Practicing Psychiatrists Gender Dysphoria In Young People Webinar 2 hours now. Will live tweet #live

This is a medical condition because it involves medication and surgery

Presentations by 5 different psychiatrists all experienced and working within the area of gender Dysphoria @dianna_kenny is speaking about intake assessment which is called “gatekeeping”

Transition, self harm and suicidalality is acting out on self-hatred. Affirming clinicians collide with the clients self hatred. Peer contagion is a major factor in social contagion #rogd

Deviancy training and co-rumination are cofactors in social contagion. Identity is not hard wired. It develops in a social world where the clients attachments trauma abuse or misperception of the meaning of experiences b/c of concrete thinking

Sexual orientation and gender identity are conflated. This causes confusion about sexual orientation. Going over interesting case study now.

The majority of young GD adolescents have no romantic or sexual experiences, disdain genital sex as “gross, are indifferent to loss of sexual function and future reproductive function

Going over internalised homophobia and a great case study. Many adolescents are ashamed and feel they must transition so their attraction to boys becomes heterosexual

Imperative to keep the developmental path open into adulthood due to their frontal lobe maturation. Clinicians colluding with their clients are unethical because the brain is immature until age 25!

Why is Gender Dysphoria affirmed when no other disorder or conditions is? Going over DSM5 criteria for GD. The criteria allows full assessment to be bypassed. The patient telling us their diagnosis is not acceptable

The corollary of this is anorexia Nervosa. We do not affirm AN. We actively work to help them accept whilst keeping them alive. We do not affirm them nor would we ever affirm them. Going over ICD10 criteria

We should be using ‘natal’ not ‘assigned’. Criteria do not include ‘exclusion’ criteria, coexisting or comorbid disorders, aka neurodevelopmental disorders #autism #aspergers #adhd #autistic #asd

There are easily identifiable pre existing issues of trauma, family issues, abuse, sexual abuse, sibling abuse, incest, favouritism, family issues, divorce, parental separation

‘Affirmation’ does NOT allow for kids to have questions presented to them, for them to reflect on questions, parental information is not listened to, informed consent is substandard and future plans are not considered

Gender clinics do NOT conduct comprehensive assessments before embarking upon medications and surgeries. They say they do. They are rarely trained in Autism.

Now disclosing puberty blockers, concerns, safety, consequences.

Now discussing puberty blockers which have a neuro-modularity effect. Mid brain grey area is affected. The amygdala is greatly affected. The limbus system hippocampus and amygdala are enlarged and genes were unregulated and down regulated.

The effects of puberty blockers on the limbic system have long lasting effects. They are irreversible. Can’t work out mazes, are more dysregulated, preferred familiar to novel, makes lost interest in exploration, females had signs of despair, depression. Blocking GNRH is horrific

There are a biological and psychological consequences of PB’s Long terms effects in limbic system. Brain does not develop normally. Structural differences occur, reduced cognitive power.

Cross sex hormones have an affect on the head. The mature brain shrinks 10x faster than aging. GRNH is neuromodulatory. If you interfere with the cell, there are molecular consequences.

Now discussing Dr David Bell famous NHS whistleblower and @TaviAndPort clinic and lack of due clinical processes. The professionals had to be anonymous due to silencing harassment bullying

Now discussing the health professionals being silenced, bullied, harassed and the biased media. This has divided health professionals and it’s time to talk about the elephant in the room

The elephant in the room is the disease or disorder that arises from the ‘health professionals’ themselves. The professionals are uninformed, uneducated, and are doing harm

Now discussing Consent and Iatrogenic Harms. 3 clinical approaches to therapy in gender

How much should a child’s wishes count in making a medical decision? We must update because what is happening is poor medical practice malpractice negligence @katherine_deves

Consent and Iatrogenic harms, iatrogenic comorbidity are safeguarding issues. Cascade Iatrogenesis is a harm and safeguarding issue @katherine_deves

Historically we would call for further investigations, further research, discussions, debate. We are discussing informed consent, provided the health professional knows what they are talking about

What about transparency? How can we know if we don’t have evidence? Should we include comirbid and cascading iatrogenesis in informed consent? Yes

We don’t HAVE to follow ‘guidelines’ on new conditions or disorders, nor should we. Health professionals working in the area of gender not trained in #autism are negligent @katherine_deves

Now discussing Conversion Therapies and Practices. There are NO clear descriptions of conversion therapy regarding GI. The NAPP guide acknowledges 80% or more detransition. Assessment and comorbid should be treated BEFORE medicalisation

Psychotherapy should NOT be conflated with conversion practices.

Now talking about detransitioners who have to deal with intense rage on top of their undiagnosed disorders. We are at the tip of the iceberg for detransitioners coming through. They will need specialised treatment

Social contagion is a factor in the 4000% increase of girls. Those who have social communication problems are at greater risk. #autism #aspergers #adhd

We know transgender forums are grooming children and teenagers and giving them scripts. They are coming into the clinics ‘scripting, saying the same things as each other, similar to ‘echolalia’ in Autism

Wrapping up. Super proud of the NAPP psychiatrists for safeguarding children. intapc.org safeguards children. If you are a health professional and want to be with an ethical Org. Join intapc.org, all mental health professions, international & cancel-free

Intapc.org is International and cross-disciplinary. Presently, there is NO #australian psychology organisation @AustPsych @APsychologists that safeguards children. NAPP gave a brilliant ‘evidence based’ 2 hour webinar on #gender Dysphoria #thankyou #trans #detrans

What came out of this webinar 👉🏻 there is a great deal of work we need to be doing for detransitioners @DeTransAust This is an ever growing and increasing group and we need to set up services therapies and support for them here in Australia #Psychology

No organisations, boards, groups, healthcare or psychology organisations have made a statement on the growing number of detransitioners #detrans #TransAwarenessWeek