Friday's Progress Notes
Mental Health Information
May 2017 - Vol. 21 Issue 5
Published by athealth.com
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- Demand Surges for Clinicians Serving Transgender Youth
- Report of the APA Task Force on Gender Identity and Gender Variance
- Should Mental Health Screening and Psychotherapy Be Required Prior to Body Modification for Gender Expression?
- The Psychology of Transgender
- Transgender Rights as Human Rights
- Care of a Transgender Adolescent
- Banning Therapy to Change Sexual Orientation or Gender Identity in Patients Under 18
- Psychological and Medical Care of Gender Nonconforming Youth
- Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment
- Layperson’s Guide to DSM-5 Describes Sexual Disorders, Gender Dysphoria
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1. Demand Surges for Clinicians Serving Transgender Youth
Pediatrician Dr. Johanna Olson-Kennedy uses a stethoscope, of course. But running a clinic for transgender youth means her pediatric medical supplies also include a selection of silicone penises and chest-flattening binders.
2. Report of the APA Task Force on Gender Identity and Gender Variance
Transgender and gender-variant people have a variety of concerns for which they may seek the assistance of psychologists. In addition to the usual problems that may bring any individual to therapy, they often seek professional help in understanding their gender identities and patterns of gender expression and in addressing the complex social and relational issues that are
affected by these.
AMERICAN PSYCHOLOGICAL ASSOCIATION (APA)
3. Should Mental Health Screening and Psychotherapy Be Required Prior to Body Modification for Gender Expression?
Some people want to modify their bodies through hormonal and surgical treatments in order to resolve gender dysphoria, the distress they experience when their bodies do not align with their gender identity. The World Professional Association for Transgender Health (WPATH) offers guidelines to clinicians regarding treatment of people wanting to modify their bodies for this reason. Prior to these modifications, WPATH advises that mental health screening is needed and that psychotherapy is recommended though not a requirement.
AMA JOURNAL OF ETHICS
4. The Psychology of Transgender
What is the psychological meaning of the term "transgender"? How is it different from — and related to — the term "sexual orientation"?
AMERICAN PSYCHOLOGICAL ASSOCIATION (APA)
5. Transgender Rights as Human Rights
Arguments to support transgender rights often rely on “born that way” arguments, which assert that gender identity is innate, immutable, and unassociated with choice.
AMA JOURNAL OF ETHICS
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6. Care of a Transgender Adolescent
A 19-year-old patient presented to my clinic with a request for cross-sex hormone therapy. Assigned at birth as female, my patient began a masculinizing gender transition during early adolescence. His parents were reportedly supportive, but bullying in high school led to depression, substance use, and, ultimately, bouts of homelessness.
AMERICAN FAMILY PHYSICIAN
7. Banning Therapy to Change Sexual Orientation or Gender Identity in Patients Under 18
Five U.S. states, the District of Columbia, and one Canadian province have enacted laws forbidding the practice by mental health professionals of what is commonly termed “conversion therapy” or “reparative therapy.” In a person younger than 18, such therapy is meant to change sexual orientation, gender identity, or gender behaviors.
JOURNAL OF THE AMERICAN ACADEMY OF PSYCHIATRY AND THE LAW
8. Psychological and Medical Care of Gender Nonconforming Youth
The objective of this review is to provide an overview of existing clinical practice guidelines for gender nonconforming (GN) youth. Such guidelines emphasize a multidisciplinary approach with collaboration of medical, mental health, and social services/advocacy providers. Appropriate training needs to be provided to promote comprehensive, culturally competent care to GN youth, a population that has traditionally been under-served and at risk for negative psychosocial outcomes.
9. Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment
After gender reassignment, in young adulthood, the gender dysphoria was alleviated and psychological functioning had steadily improved. Well-being was
similar to or better than same-age young adults from the general population. Improvements in psychological functioning were positively correlated with post-surgical subjective well-being.
10. Layperson’s Guide to DSM-5 Describes Sexual Disorders, Gender Dysphoria
Criteria for the new category emphasize the phenomenon of “gender incongruence” rather than cross-gender identification. By separating it from sexual dysfunctions and paraphilias, the DSM-5 Task Force hoped to diminish stigma attached to a unique diagnosis that is used by mental health professionals but whose treatment often involves endocrinologists, surgeons, and other professionals.
AMERICAN JOURNAL OF PSYCHIATRY
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