Thread by @SEGMtweets

What happens when a young person's desire to medically transition is granted, with minimal attention paid to the factors contributing to the development of gender dysphoria? A new publication explores this through a case study of a young detransitioner./1
segm.org/detransition_c…

The patient identified as transgender at age 14 and was immediately "affirmed" by the school psychologist.
Medical transition was initiated at age 18 after a 30-minute visit with a physician’s assistant. The transition produced initial euphoria that quickly subsided. /2

The patient subsequently developed anxiety, anger and intensely self-destructive moods and behaviors, leading to hospitalizations for suicidal ideation. She suspected that testosterone contributed to her deteriorating mental health, detransitioned, and re-identified as female. /3

The case study highlights the lack of proper psychological evaluations of youth, which were previously required prior to initiating medical transition. Per WPATH draft v8 guidelines, the concept of a youth's wish appears to have supplanted the concept of medical necessity. /4

Given the novelty of the practice to provide hormones and surgeries to any young person who wishes it, and the average "honeymoon" period lasting between 5-10 years, the full extent of regret and medical harm of "gender-affirming" care will not be known for several years./5

Marchiano cautions clinicians against “colluding with an avoidance of reality” and opines that the affirmative care model “concretizes psychic pain, locates it in the body, and seeks biomedical treatments for it.”

The full paper is available below. /6
onlinelibrary.wiley.com/doi/10.1111/14…

@LisaMarchiano