The Journal for Infant, Child, and Adolescent Psychotherapy has published a paper by Dr. David Schwartz. Dr. Schwartz, a psychologist, argues that psychotherapy, rather than hormones and surgery, should be first-line treatment for gender dysphoric youth./1 segm.org/Psychotherapy_…
Drawing on his extensive experience with gender dysphoric youth and their parents, Dr. Schwartz observes that “gender dysphoria in pre-adolescent children is a condition that ameliorates by itself in most cases if you are just patient" and many grow up to be gay or lesbian. /2
Dr. Schwartz advises clinicians to question the etiology of the rapid rise of gender dysphoria in youth; to be weary of the risks of medical transition; and to help youth overcome preoccupation with the idea that their lives depend on obtaining surgery and hormones. /3
The paper presents a thoughtful, cogent, well-researched case for making psychotherapy the first-line treatment for children and adolescents with gender dysphoria and helping children navigate the challenges associated with puberty. /4
tandfonline.com/doi/full/10.10…
Dr. Schwartz offers therapists and clinicians practical advice about how to approach and establish effective therapeutic relationships with gender dysphoric youth. Parents of children and adolescents with GD will find valuable guidance in his sensible, compassionate approach. /5

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More from @SEGMtweets

8 Nov
The Royal Australian and New Zealand College of Psychiatrists (RANZCP) released a position statement in which it no longer presents "gender-affirming" hormonal and surgical interventions as the preferred treatment for gender dysphoria in youth. /1
segm.org/first_mental_h…
The position cites “polarised views and mixed evidence regarding treatment options for people presenting with gender identity concerns, especially children and young people,” stating that “professional opinion is divided" whether affirmation vs other treatments are appropriate./2
The statement recognizes that gender dysphoria can arise from multiple causes, and highlights the important role psychiatrists have in performing a comprehensive assessment. Psychotherapy is presented as a valid alternative to gender-affirmation with hormones and surgery./3
Read 4 tweets
5 Nov
Have hormones been proven safe & effective for gender dysphoric (GD) youth? Is transition regret so rare that it is negligible? When a recent editorial by @TheLancet made these claims, scientific debate ensued, revealing that the science is not settled./1
segm.org/unknown_gender…
While the debate covered several topics, the final round centered on transition regret. This is not surprising. Both the supporters & critics of transitioning minors agree that transition carries medical risks, and the evidence of benefit is graded as "low/very low quality."/2
Thus, the argument of “low future regret” becomes essential to the advocates of medicalizing gender-dysphoric minors. If future regret rates aren't low, then administering poorly-evidenced interventions with known risks to minors is even more ethically fraught. /3
Read 25 tweets
20 Oct
A new study of individuals who medically/surgically transitioned and subsequently detransitioned has been published. It suggests that detransitioners have complex problems not solved by transition & that the prevalence of detransition is underestimated./1
segm.org/new_detransiti…
The key take-aways are that complex mental health needs of gender dysphoric patients were frequently overlooked prior to medical transition; social influence played a key role in developing a trans identity/seeking transition; and inappropriate transition often led to regret. /2
The female study participants were on average 20 years old when they sought care to transition and 24 when they decided to detransition. Males were considerably older: the average ages to seek medical transition and to subsequently detransition were 26 and 33, respectively. /3
Read 17 tweets
12 Dec 20
SEGM was glad to have been interviewed by @TheEconomist for this vital article on the controversial issue of medical transition of young people suffering from #GenderDysphoria. The full article is reproduced, with permission, in the link below. /1
segm.org/Keira_Bell_rul…
The article highlights the poorly-understood rise in cases of gender dysphoria among adolescents (especially females), and asks if the Western world has gotten the balance wrong by prematurely intervening with medical procedures with irreversible life-long consequences./2 Image
The ethical dilemma of how to best care for young dysphoric patients in the absence of evidence was highlighted by the UK High Court, which concluded that puberty blockers are experimental, and that patients <16 (and some as old as 17) are not able to give informed consent. /3 Image
Read 4 tweets
10 Sep 20
We've written a blog about an important study by @EsteemLabYale & @karolinskainst in the American Journal of Psychiatry. It made an unfounded claim that gender-affirming surgeries conveyed mental health benefits, which the journal later corrected. /1

segm.org/ajp_correction…
@karolinska & @YaleSPH have revised their original announcements about the study, which now lead on the corrected finding: that transgender people have a high risk of mental health problems compared to the general population /2

news.ki.se/transgender-in…

publichealth.yale.edu/news-article/2…
However, the many news sources that reported the original study have not addressed this vital change, and their stories continue to misinform the general public. /3
@kashmiragander
@Vishwadha
@Reuters_Health

news.trust.org/item/201911111…

newsweek.com/transgender-af…
Read 6 tweets
4 Aug 20
Gender dysphoria sufferers need sound evidence to guide life-changing decisions. So a study that "lends support to the decision to provide gender-affirming surgeries" could have big clinical implications. But now, a review of it has "demonstrated no advantage of surgery”.

>>
The episode highlights the need for researchers in gender identity healthcare to adhere to rigorous scientific process. Studies seeking to do good may appeal to headline writers & grant-makers, but can mislead patients & clinicians, and ultimately put public trust at risk.

>>
The study by Bränström & Pachankis analysed population-level data & found that mental health needs fell after surgery. "No longer can we say that we lack high-quality evidence of the benefits of providing gender-affirming surgeries" said Pachankis.

medicine.yale.edu/lab/pachankis/…

>>
Read 18 tweets

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