I'm so relieved someone else posted this! Feeling a bit cowed by the 'things I hate about MN' thread which has got lots of 'I hate the transphobia' comments. But then I read this and I thought, well, no, this is so important, this really is happening right now to children, and like so many people I know a vulnerable teenager who has made a few moves towards transition and I am just hoping desperately that they DON'T get a referral to a specialist healthcare service, because I believe the professional ethics and attitude to duty of care in some specialist services have become utterly distorted by the pressure they are under, by the nature of the caseload, and by the isolation of one perspective from a more generalist approach without apparently any external cue to reflect on practice.
And breathe.