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:
ArabellaScott · 05/09/2022 16:01

www.bayswatersupport.org.uk/about_us/

'Social transition – this may not be thought of as an intervention or treatment, because it is not something that happens within health services. However, it is important to view it as an active intervention because it may have significant effects on the child or young person in terms of their psychological functioning.64,65 There are different views on the benefits versus the harms of early social transition. Whatever position one takes, it is important to acknowledge that it is not a neutral act, and better information is needed about outcomes.'

cass.independent-review.uk/publications/interim-report/

DameMaud · 05/09/2022 15:59

The Gender from a Wider Lens podcast on YouTube has some great episodes for parents around maintaining relationship/gender identity and autism/therapy for gender questioning teens etc.
You might find some helpful and relevent insights in there?
Their interview with the detransitioner - Helena- and what she thinks teens need from their parents during potential transition is very insightful.

Lilithslove · 05/09/2022 15:57

You want your dd to feel comfortable with the therapist. Otherwise she won’t properly engage or relax with the assessments

I agree with this. If your child's time with the therapist ends up being a battle about names or pronouns it will be a waste of time.

And this a million times!
There's nothing like telling a teenager they can't do something to strengthen their determination.

Try to remember being a teenager and how you reacted to your parents laying down the law.

User0ne · 05/09/2022 15:45

Lots of people think they're bi, gay, straight, trans, non-binary at 14. What people decide as adults is often different.

There's nothing like telling a teenager they can't do something to strengthen their determination.

The therapist has to build a relationship with your daughter that your daughter wants to continue. A pretty fundamental part of that will be respecting what your daughter wants to be called, regardless of what that is.

I'd also bear in mind that your child has to have a relationship with you now. You are currently laying the ground for any potential relationship at 18 when your child will be able to choose whether it's one they want to maintain.

My own mother made the mistake of believing my sibling would continue a relationship with her regardless of her attitude to their gender identity - they didn't.

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.

OP posts:
TheClogLady · 05/09/2022 15:26

Littlemissprosecco · 05/09/2022 15:19

Run!!
CAHMS made our situation a whole lot worse

Or alternatively do this ^

if you can afford a private diagnosis you will likely find they are a lot more willing to write the correct name on the bill, seeing as they need you to write their name on a cheque.

(I realise that’s a big financial stretch for most of us, so feel free to ignore if unrealistic)

Afterfire · 05/09/2022 15:25

TheClogLady · 05/09/2022 15:21

I would cross it out and write her actual name if possible.

and then tell the staff that you want her name on the CAMHS paperwork to match her school paperwork and for both to match her NHS paperwork because your daughter is potentially going to need any diagnostic paperwork to in future scenarios (eg applying for PIP as an adult) and even if your daughter were to legally change her name at 16 it makes no sense for half her 2022 paperwork to be in one name and half in another.

hit them with admin arguments and if they push back point out that a nickname isn’t a legal name and they can use the nickname verbally if they must.

This.

But…

You want your dd to feel comfortable with the therapist. Otherwise she won’t properly engage or relax with the assessments. It was interesting that the therapist began to use the new name after speaking with your dd alone - so your dd has obviously made it clear that the new name is how they want to be referred to.

I do understand the difficulties of autism - my son has autism and attends an autism specific specialist school, but at the end of the day you want your dd to feel happy and comfortable at these assessments etc so I would be careful not to make a huge deal out of it - also just incase it isn’t a temporary thing or anything related to autism and actually maybe your dd IS wanting to change / be called that name.

Thelnebriati · 05/09/2022 15:25

TheClogLady beat me to it. Its a safeguarding failure as well.

kinfauns · 05/09/2022 15:25

Thanks for the replies.

@Littlemissprosecco would you mind telling me your experience of CAHMs?

@TheClogLady thanks, those are good ideas.

I'm so torn between wanting her to be assessed and not wanting affirmation from a medical professional on the whole trans thing.

OP posts:
TheClogLady · 05/09/2022 15:23

It’s your parental responsibility to name your child and no one has the right to change that name but you (until 16 when the child can legally call themselves dumb shit like Axel RoseMotherf**ker and you can’t stop it 😬)

www.gov.uk/parental-rights-responsibilities

TheClogLady · 05/09/2022 15:21

I would cross it out and write her actual name if possible.

and then tell the staff that you want her name on the CAMHS paperwork to match her school paperwork and for both to match her NHS paperwork because your daughter is potentially going to need any diagnostic paperwork to in future scenarios (eg applying for PIP as an adult) and even if your daughter were to legally change her name at 16 it makes no sense for half her 2022 paperwork to be in one name and half in another.

hit them with admin arguments and if they push back point out that a nickname isn’t a legal name and they can use the nickname verbally if they must.

Littlemissprosecco · 05/09/2022 15:19

Run!!
CAHMS made our situation a whole lot worse