Please or to access all these features

Feminism: Sex and gender discussions

CAHMs therapist using trans name for DD

112 replies

kinfauns · 05/09/2022 15:16

My 14 yr old DD is undergoing assessment for autism with CAHMs. We had our first appointment recently. My DD has recently told me she believes she is trans. I am aware that many children with autism identify as trans. My child has very black and white thinking - her reasoning is that she feels she doesn't fit in with the girls, therefore she must be a boy. I am GC and have been gently trying to explain that just because she doesn't conform to gender stereotypes, doesn't mean she is a boy.

The assessment consisted of a conversation (10 mins) with both of us together, then the therapist had a separate conversation with DD followed by a separate conversation with me. Following the conversation with DD, the therapist then referred to her by her trans name and pronouns in her conversation with me. I was not happy with this and said so at the time (my DD was not in the room).

We are now at the next stage of the assessment - filling in forms and a follow-up appointment - and the email I have been sent refers to DD by her new trans name and pronouns.

I really want to continue with the assessment - I believe my DD has high-functioning autism and a diagnosis would be useful to her now and later in life. However, I am very wary of the instant affirmation of her new identity. Has anyone else experienced this? Should I carry on with the assessment? We looked at going private but it is horrendously expensive.

OP posts:
Clymene · 05/09/2022 17:56

BlueWhippets · 05/09/2022 17:54

@TheClogLady that doesn't mean that the child's name is now recorded differently on the system. Where I work there's a bit for preferred name and this doesn't change the legal name and gender so wouldn't mean that they now have a boys name on the system just means that the admin staff would know that this is the name to use

Except the emails sent to the OP refer to her daughter as her son. So clearly that's what is on the system.

And I don't know if you work in CAMHS but in my extensive experience, they get 90% of things wrong 100% of the time so I'd be amazed if they were capable of maintaining two names and sexes and remembering which was which.

Littlemissprosecco · 05/09/2022 17:54

Agreeing with young people that they were born in the wrong body and organising their life around that belief is not a low risk thing to do. It’s a serious psychological intervention based on denial and avoidance. Believing their happiness is conditional on denying reality puts young people in a fragile state, dependent on the pretence of others for their psychological wellbeing. Affirmation feels like such a relief, but it’s a seductive illusion.”

This is what happened with my DD, but as we weren’t allowed in on any sessions, we had no idea. Her behaviour and mood deteriorated so significantly that we removed her. Best decision we ever made

BlueWhippets · 05/09/2022 17:54

@TheClogLady that doesn't mean that the child's name is now recorded differently on the system. Where I work there's a bit for preferred name and this doesn't change the legal name and gender so wouldn't mean that they now have a boys name on the system just means that the admin staff would know that this is the name to use

TheClogLady · 05/09/2022 17:50

they would have told the admin staff what to send/say.

Exactly. hence the boy name now being recorded in the system.

Saynotothefishtank · 05/09/2022 17:47

kinfauns · 05/09/2022 15:30

@Afterfire yes, a friend said the same thing to me - that it might be to build trust with DD. But I need to trust the therapist too!

@Thelnebriati this is what I worry about - how can I trust the therapist not to encourage DD on the path to transitioning?

Thanks all for the replies.

She already is encouraging her on a path to transition. The therapist has made this decision for you despite explicit instruction to the contrary. I would tell off the therapist very clearly both verbally and in writing, then put in a formal written complaint to whoever the therapist reports to.

I wouldn’t continue with the therapist, I’m afraid she’s actively harmful to your child. Affirmation is not a neutral act.

“Agreeing with young people that they were born in the wrong body and organising their life around that belief is not a low risk thing to do. It’s a serious psychological intervention based on denial and avoidance. Believing their happiness is conditional on denying reality puts young people in a fragile state, dependent on the pretence of others for their psychological wellbeing. Affirmation feels like such a relief, but it’s a seductive illusion.” Rest of article in link below.

www.transgendertrend.com/teenager-says-theyre-transgender/

BlueWhippets · 05/09/2022 17:47

@TheClogLady fair enough if that's the case but emails often come from the clinician doing the assessment of they would have told the admin staff what to send/say.

TheClogLady · 05/09/2022 17:42

@BlueWhippets it’s an email from CAHMS with all the forms attached. CAHMS have dedicated admin staff so it’s hugely unlikely that the person OPs daughter spoke to and the person who sent the email are the same person.

BlueWhippets · 05/09/2022 17:38

@ArabellaScott Yeah it isn't clear. I suppose not using the preferred name on the email even if it is only to the parents would seem a bit disingenuous plus if the young person saw it that would be a bit betrayal of trust. And using the same preferred name throughout gives some continuity I guess

@TheClogLady I'd assumed it was just a normal email sent by the therapist, no templates or anything etc so wouldn't have to override anything

Choconut · 05/09/2022 17:34

Why does everyone keep referring to this person as a therapist? They are not a therapist.

I do think you should contact them OP and insist that her correct legal name is used on all emails/documents to you - with dd I'd let them call her what they like for the few sessions they see her. DS was diagnosed in 45 minutes straight so I can't see it going on long if they have any idea what they're doing which to be fair CAHMS often don't seem to (in a bit of postcode lottery luck we didn't have to go through them).

TheClogLady · 05/09/2022 17:32

suggestionsplease1 · 05/09/2022 17:30

If you believe that you clearly have no idea what you are talking about and it would probably be better you don't comment on areas you are not familiar with.

LOL.

TheClogLady · 05/09/2022 17:32

orbitalcrisis · 05/09/2022 17:28

Your child cannot legally change their name but can go by another name if they wish, the therapist is respecting that. Using a different name when alone with you could get very confusing. They are also a lot less inclined to do anything like gender reassignment surgery on autistic individuals as feeling like they don't fit into gender stereotypes is a common symptom of autism so that may alleviate some of your fears.

Give it a go for a bit longer, see if they actually help your child before assuming they won't.

it’s not a gender appointment, it’s an ASD diagnostic appointment.

the child is 14 and CAMHS are allowed to cut anything off anyone.

the upcoming appointment is a bunch of puzzles, it’s not therapy.

suggestionsplease1 · 05/09/2022 17:30

TheClogLady · 05/09/2022 17:28

This is hogwash.

no it isn’t.

If you believe that you clearly have no idea what you are talking about and it would probably be better you don't comment on areas you are not familiar with.

ArabellaScott · 05/09/2022 17:30

They are also a lot less inclined to do anything like gender reassignment surgery on autistic individuals

Cripes, that escalated quickly. Plus I've seen absolutely no evidence to suggest this is the case.

TheClogLady · 05/09/2022 17:28

This is hogwash.

no it isn’t.

orbitalcrisis · 05/09/2022 17:28

Your child cannot legally change their name but can go by another name if they wish, the therapist is respecting that. Using a different name when alone with you could get very confusing. They are also a lot less inclined to do anything like gender reassignment surgery on autistic individuals as feeling like they don't fit into gender stereotypes is a common symptom of autism so that may alleviate some of your fears.

Give it a go for a bit longer, see if they actually help your child before assuming they won't.

Clymene · 05/09/2022 17:28

Is there any indication that the OP's daughter won't engage with the assessment process unless the therapist uses her new name and pronouns?

A lot of assumptions being made

ArabellaScott · 05/09/2022 17:27

Sorry for extra full stop; cat is helping me type.

TheClogLady · 05/09/2022 17:27

BlueWhippets · 05/09/2022 17:18

@ArabellaScott it doesn't sound like the legal name and gender have been changed on the system though, just referred to them by the name they had been asked to be referred by in an email to parents

If it’s written on an email it’s clearly part of the admin system - whether it’s overridden the main name of just being used as if it has, we can only speculate.

hence reassuring OP to use legal name on all paperwork and ask why OPs daughter has been unexpectedly (and without express parental permission) transed in the comms.

ArabellaScott · 05/09/2022 17:27

BlueWhippets · 05/09/2022 17:18

@ArabellaScott it doesn't sound like the legal name and gender have been changed on the system though, just referred to them by the name they had been asked to be referred by in an email to parents

Well, perhaps! It's a bit unclear. In any case, I don't see why the therapist wouldn'
.t use correct name/sex when emailing parents.

suggestionsplease1 · 05/09/2022 17:25

drspouse · 05/09/2022 17:11

How is a therapist supposed to build trust with your daughter if they don’t respect her enough to use her preferred name?
@Countingdowntodecember
This isn't therapy though, and they never offer this for ASD. It's an assessment like, say, a dyslexia assessment. The doctor/psychologist needs to get your DD to answer questions but a diagnosis can be made from a nonverbal child so it isn't essential.
We were at CAMHS for my DS ADHD review today and the paediatrician couldn't get his name right after seeing it, presumably, on the clinic letter 2 minutes previously though. So maybe act dumb and say "this is wrong, I think you're a bit confused". DS has a long slightly unusual name and we've had both the shortened form (which we never use, think Maximilian and they use Maxie) and the name that sounds similar but is more common and isn't his name (think Benedict and they use Frederick - the similar name doesn't start with the same sound even).

"This isn't therapy though, and they never offer this for ASD. It's an assessment like, say, a dyslexia assessment. The doctor/psychologist needs to get your DD to answer questions but a diagnosis can be made from a nonverbal child so it isn't essential."

This is hogwash. A diagnosis might be made when it is clear from history that the likely cause of an individual being nonverbal is related to the condition, but if the individual has a clear ability to speak in other contexts and chose not to engage in the diagnostic process then a diagnosis would not be made and the practitioner would have no choice but to stop the process.

OP please don't jeopardise your child's opportunity to get a diagnosis and the subsequent support they could benefit from as soon as possible.

BlueWhippets · 05/09/2022 17:18

@ArabellaScott it doesn't sound like the legal name and gender have been changed on the system though, just referred to them by the name they had been asked to be referred by in an email to parents

drspouse · 05/09/2022 17:11

How is a therapist supposed to build trust with your daughter if they don’t respect her enough to use her preferred name?
@Countingdowntodecember
This isn't therapy though, and they never offer this for ASD. It's an assessment like, say, a dyslexia assessment. The doctor/psychologist needs to get your DD to answer questions but a diagnosis can be made from a nonverbal child so it isn't essential.
We were at CAMHS for my DS ADHD review today and the paediatrician couldn't get his name right after seeing it, presumably, on the clinic letter 2 minutes previously though. So maybe act dumb and say "this is wrong, I think you're a bit confused". DS has a long slightly unusual name and we've had both the shortened form (which we never use, think Maximilian and they use Maxie) and the name that sounds similar but is more common and isn't his name (think Benedict and they use Frederick - the similar name doesn't start with the same sound even).

ArabellaScott · 05/09/2022 17:02

True. So OP could email therapist and clarify that they are aware of her DD's correct name and sex, and clarify why they are using a different set of info.

BlueWhippets · 05/09/2022 16:58

Not trusting the person doing the assessment is a big reason to not consent. Also depends where the name and gender have been changed. Most of the time it's clear that this is the young persons preferred name and pronouns but their legal name and legal gender are still on the document

ArabellaScott · 05/09/2022 16:54

BlueWhippets · 05/09/2022 16:53

An ASD assessment still involves the young person and if they don't trust the therapist then they might just not consent to the assessment being completed at all

Well, they might. But if we're talking in random hypotheticals, the young person could decide not to consent for just about any reason. Doesn't seem to be a sensible argument for changing their name and sex on documentation. At all.

Swipe left for the next trending thread