Just adding this as about the treatments that have been said to be to improve the mental health of people with transgender identities, since apparently speaking bluntly about that care, and the issues with puberty blockers that Helen Joyce bluntly pointed out, is to be demonised by some posters on this thread.
https://onlinelibrary.wiley.com/doi/10.1111/apa.70533
Psychiatric Morbidity Among Adolescents and Young Adults Who Contacted Specialised Gender Identity Services in Finland in 1996–2019: A Register Study
Sami-Matti Ruuska, Katinka Tuisku, Timo Holttinen, Riittakerttu Kaltiala
First published: 04 April 2026
ABSTRACT
Aim
To examine the prevalence of severe psychiatric morbidity among gender-referred adolescents, focusing on gender differences and outcomes related to medical gender reassignment.
Methods
Finnish nationwide cohort of all under-23-year-old gender-referred individuals between 1996 and 2019 (n = 2 083) and 16 643 matched controls. Cross-tabulations with X2 statistics and Cox regression were used to analyse the data.
Results
Gender-referred adolescents showed significantly higher psychiatric morbidity than controls both before (45.7% vs. 15.0%) and ≥ 2 years after referral (61.7% vs. 14.6%). Those referred after 2010 had greater psychiatric needs than earlier cohorts, both before (47.9% vs. 15.3%) and ≥ 2 years after (61.3% vs. 14.2%) referral. Among adolescents who underwent medical gender reassignment, psychiatric morbidity increased markedly during follow-up—rising from 9.8% to 60.7% in feminising gender reassignment and from 21.6% to 54.5% in masculinising gender reassignment. After adjusting for prior psychiatric treatment, all gender-referred adolescents had similarly elevated risks of psychiatric morbidity, with hazard ratios approximately three times higher than female controls and five times higher than male controls.
Conclusion
Severe psychiatric morbidity is common among gender-referred adolescents and appears to be more prevalent in those referred after the recent surge in referrals. Psychiatric needs do not subside after medical gender reassignment.
Summary
-Gender-referred adolescents show high psychiatric morbidity, yet gender differences and mental health trajectories after medical gender reassignment remain poorly understood.
-These adolescents had markedly higher psychiatric morbidity than controls before and after referral, with treatment needs often persisting and even intensifying after medical interventions—on some, they might even have a negative impact.
-Findings emphasise the need for thorough psychiatric assessment and ongoing treatment throughout medical gender reassignment.
This very situation has been highlighted for years now and the whistleblower clinicians were dismissed as being hateful. There have been a few reviews done that have shown this dynamic though, including one from Yale and Sweden that made conclusions of improvement that had to be corrected as the review showed no such thing.
Maybe those posters who wish to quibble over the language Helen Joyce used could post the long term evidence that contradicts this study. Maybe those posters could also answer why they think the IOC has made an error in interpreting the current and consistent evidence that informed their decision to exclude male people from female Olympic events too? Since Helen Joyce also mentioned this.
Engage with the substance of her arguments if you want to prove Helen Joyce wrong.