How will this mess ever be unpicked if patients come in knowing what they want and what to say to get it without thinking it all through? If theyve lied on a form is anyone likely to admit this and lose their chance of treatment?
It is insane how GI took root in the medical community without full understanding. There is still so much ignorance of gender ideology in the medical community. Most GPs have given little thought to diagnosis, treatment, long term implications etc. SEGM is trying to correct that imbalance but fully knowledgeable professionals are a small group.
Gender clinics, by default, are staffed with healthcare professionals who are supportive of gender reassignment if not out and out advocates. Many also fail to connect the dots for their clients. I know one young man who contemplated CSHs being told once that they would make him infertile, he said that was fine, despite him being just 21, there was no further conversation, no talking through etc. Two years later he desisted and now talks of being a father.
I’ve come to believe all trans identifying youth are autistic. Emotional dysregulation, rigid and hyper focused thinking are challenging when supporting gender questioning youth, but the first step is screening for co morbidity and focusing on support for those conditions before anything else.