Just noticed that the report is dated August 2017. But still interesting.
I have only skim read it so far but this popped out for me:
"A gender-fluid respondent described a need for therapists 'to be aware that someone being transgender doesn't necessarily mean they can only be treated [for mental health problems] by a gender specialist'. This young adult explained, 'I recently had my referral to mental health services delayed because my IAPT3 worker over-emphasised my gender dysphoria in their referral letter (I was mainly looking for treatment for social anxiety […] The therapist I was referred to tried to refer me to a gender identity clinic instead (even though I don't currently want to transition medically on the NHS)’. They wrote that ‘getting myself re-referred to the primary care psychologist’ took months and the service closed before they were offered an appointment."
I think this a very important point. Often a child presenting as transgender will have other issues that should be dealt with first. Gender identity may not be their most pressing concern but seems to be the one that grabs the most attention. Practitioners are often scared off thinking they need to be specialised in gender issues, whereas they just need to look at the child as a whole and treat the whole person.
Alex Bertie has vlogged recently about suffering from depression and how this was pushed aside with the desire to transition taking centre stage. Transition is offered as the magic transformation, the holy grail that will make you feel happier. Sometimes (many times?) this isn't the case.