Dr Carmichael appeared in I am Leo, didn't she?
Saying that "puberty blockers" are reversible.
www.transgendertrend.com/uk-cbbc-childrens-tv-i-am-leo/
www.mirror.co.uk/news/real-life-stories/boy-starts-hormone-treatment-twelve-1981022
"In a busy waiting room, parents listen for their children’s names to be called as a boy of four emerges from the scrum at the toybox triumphantly clutching... a Barbie doll.
This is the home of the UK’s only Gender Identity Service for under-18s.
Here children as young as three are treated for Gender Dysphoria – defined by the NHS as “a condition in which a person feels there is a mismatch between their biological sex and their gender identity”.
As well as seeing very young children, the service at the NHS Tavistock and Portman clinic in Belsize Park, London, prescribes 12-year-olds like Leo with hormone treatment to deal with the condition.
Dr Carmichael says: “People think just because children are young they don’t have an awareness of their own gender identity but we find some children have strong feelings about it from very early on. One four-year old girl kept asking her mum when she was going to grow a willy.
“Another parent told me about a young son who would wrap a towel around his head and pretend he had long hair like a girl. These things don’t always mean a child has gender dysphoria but when the behaviour is persistent it can be a worry for parents. That is where we step in to help.”
The team encourages families to come to the clinic for counselling but they also go into local communities to help them find ways of fitting in.
“We meet teachers, social workers and other adults involved in the child’s day-to-day care,” says Dr Carmichael. “We discuss things like which toilet the child is to use and concessions about school uniforms.”
In the last year alone, 314 new patients have been seen by the service but the total caseload is closer to 500. Of 733 children referred since 2009, 130 have been aged just 10 or under.
Dr Carmichael and her team are currently helping 14 five-year- olds, eight four-year- olds and one patient who is just three.
Like Leo some patients go on to have hormone treatment when they turn 12 to stop them developing into their assigned sex so they don’t have to deal with the distress of becoming even more obviously the “wrong” gender.
“Imagine a child who is biologically female but identifies as a male.
"To grow breasts and start to menstruate could be very distressing for them,” says Dr Carmichael.
“The hormone blockers stop that from happening.”