Other children suffered liver damage and reduced bone density, and some became suicidal.



Whatever the mechanisms involved in adolescents excessive engagement with social media, greater social acceptability, or influence by those in ones social circle this epidemic-like phenomenon manifests itself in the emergence of cases or even clusters of cases in the adolescents immediate surroundings, read the Academys press release. In the fall of 2019, there was a 65% decline in the number of referrals to gender clinics in Sweden.





WebIn March, a separate judgement from the court's Family Division had ruled parents could give consent for under-16s to access puberty blockers, with other safeguarding measures It assumes that gender identity is innate and immutable, that some kids are just born trans and can know this from as young as toddlerhood. We have also witnessed a coincidence of autistic spectrum conditions and gendered/ sexed distress. These might have left children feeling alienated from themselves and internalising shame / disapproval.

Sweden does not allow gender-affirming surgeries on youth under the age of 18.

The experience in Sweden, and corresponding similarities in Canada, points to a significant gap in assessment and services for trans-identified youth to ensure that their long term physical and mental well-being is prioritized over and above a quick fix of puberty blockers and cross-sex hormones. We have wondered whether the early attempts to intervene in respect of gender dysphoric children have been problematic in themselves.

In other words, the plummeting scores in gender dysphoria that the Dutch team reported as their main finding was not necessarily due to actually resolved dysphoria, but more likely to switching the scales.

suggested that puberty blockers and cross-sex hormones in teens could actually increase the teen suicide rate, rather than decrease it as advocates claim.



A8: A strong desire for the primary and/or secondary sex characteristics that match ones experienced gender.

WebOpponents counter that the United States is out-of-step with European countries including Sweden, Finland, and the U.K., which have found that the benefits of puberty blockers and are uncontrolled observational studies, which are subject to bias and confounding and were of very low certainty using modified GRADE.

http://www.smer.se/wp-content/uploads/2020/02/3.-Louise-Frisn.pdf.

On the other hand is the belief that no one has a gender identity that is discrete and separate from the rest of their identity/personality.

The case was brought by Keira Bell, who argued the U.K.sonly youth gender identity clinic should have pushed back more when she expressed her desire to transition to male as a teen and hadsurgery to remove her breasts. Some countries initially embraced puberty blockers and cross-sex hormones for children several years ago, but are now taking a step back. Crucially, it is important to acknowledge, that girls and young women have long recruited their bodies as ways of expressing misery and self-hatred. First, the Dutch studys lead author, Annelou de Vries, has admitted that resolution of gender dysphoria was its main finding. But this finding was based on a highly questionable use of the Utrecht Gender Dysphoria Scalea measure originally developed for diagnostic purposes, not to assess treatment outcomes. Witnessed a coincidence of autistic spectrum conditions and gendered/ sexed distress age 18... 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That means SB 14 would ban puberty blockers and hormone therapies only for children who are not receiving it by early June. Perhaps if they were left alone, and actively supported to be non conforming, this would inevitably dismantle some of the basis upon which trans is superimposed onto the presentation.

Since publishing weve been made aware of an excellent article by Mikael Landn, Professor, University Hospital Chief Physician, Section of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of Gothenburg, https://lakartidningen.se/klinik-och-vetenskap-1/kommentar/2019/10/okningen-av-konsdysfori-hos-unga-tarvar-eftertanke/. In San Francisco, subtleand not-so-subtlefavoritism is determining which residents benefit from preferences in public education, home loans, and government grants.

If You agree I would like to show Your comment to my collegue psychotherapists and to others who can influence main stream thinking about gender dysphoria in the Netherlands. It is quite clear that some of the most progressive countries in Europe are choosing to reconsider their use of medicalizing childrens identities and, in Europe, puberty blockers are fast becoming the most controversial aspect of gender treatment paths for children, said StellaOMalley, a U.K.-basedpsychotherapist and author who works with young people. Nevertheless, on the basis of this review, and a study published by Finnish gender clinicians shortly thereafter finding that medical gender reassignment is not enough to improve functioning and relieve psychiatric comorbidities, the countrys Council for Choices in Health Care (COHERE) issued new recommendations in 2020.

One recent reportevensuggested that puberty blockers and cross-sex hormones in teens could actually increase the teen suicide rate, rather than decrease it as advocates claim. They realise their nascent sexual desire is going to be problematic; they struggle in puberty because it is uncomfortable, weird and unpredictable (particularly heightened if they happen to be on the autistic spectrum).

As far as minors are concerned, there are no medical treatment[s] that can be considered evidence-based, Finlands Council for Choices in Health Care said in 2020.

But they are doing so under tight restrictions and against the findings of their own systematic reviewsor, as in the case of Finland, in full recognition that this constitutes medical experimentation on minors.

Contrary to what American activists imply, the systematic reviews of evidence in Sweden, Finland, and the U.K. did not find that the Dutch study, on which the Dutch protocol is based, constitutes high-quality evidence. The original and the translated versions of the guidelines are attachedbelow.

The policy states thatcareful assessment of the patients maturity level must be conducted to determine if the patient is capable of providing meaningful informed consent.
The inverted U shape of the curve is extremely interesting.

The study concluded that"medicalgender reassignment is not enough to improve functioning and relieve psychiatric comorbidities.". WebSwedens Increase in Referrals to Gender Clinics Similar to Canada. Adults and professionals have a duty to step back from the feelings, whether their own or the young peoples, in order to consider what is fundamentally in young peoples interests. Inadvertently, the message was exactly a trans message youre not really a boy if you enjoy the things girls seemingly (and are expected to) enjoy, and vice versa.







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It could be the ultimate act of self-harm.

This should also include a review of what is known about the causes of the increase in the number of children and young people, particularly girls, seeking assessment and treatment for gender dysphoria in high-income countries.

Children under the age of 16 are unlikely to be able to give "informed consent" to take puberty blockers to begin the gender transition process, a UK court has ruled. Suicide mortality rates are higher among people with gender dysphoria compared to the general population.

Differing claims about how common it is for people, who have begun treatment for gender dysphoria as children or adolescents, to change their minds, occur in the debate.

This is particularly relevant for girls drawn to an aesthetic which is viewed as masculine (and therefore wrongly ascribed as male), but could be understood and owned as a butch lesbian identity if only these girls had access to it.



Autism spectrum disorders are more common in people with gender dysphoria [10], and it may be people who are more sensitive to such effects.



Therefore, it is not possible to ascertain to what extent gender dysphoria alone contributes to suicide, since these psychiatric diagnoses often precede suicide., Swedish news coverage of this report also reports that the authoritys survey shows that people with gender dysphoria, especially young people, have a high incidence of concomitant psychiatric diagnoses, self-harming behavior or suicide attempts compared with the rest of the population. Further, The diagnoses that stand out are depression, anxiety disorders, ADHD and autism..

The risks of hormone drugs for those under 18 outweigh the possible benefits, the agency said. countries that ban A number ofUS states have recently introducedlaws banning the use of hormonal interventions in gender-dysphoric minors. They outlined their concerns as follows: In our dialogues with stakeholders, we have encountered widely differing views on the assessment and treatment of gender dysphoria, which also characterizes the specialist literature and public debate.

These two discrete yet over-determinedly related categories of experience interact much as the factors stated above. There is also a requirement that patients and guardians are provided with adequate disclosures of the risks and uncertainties of this treatment pathway. We would consider the use of therapy to help alleviate this distress as virtually mandatory, as this is what we usually apply to distress. Surgery is not offered to those <18.

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