Transgender Children — a Risk Management and Ethical Perspective

First, Do No Harm: Youth Gender Professionals

The author is an ex-Risk Manager for a U.K. Mental Health Trust , not a doctor or psychologist.  Views here reflect the author’s understanding of this issue from a Risk Management and Allied Health perspective.

I am concerned at the perceived lack of clarity, ethics and judgement regarding assessment, diagnosis and treatment protocols for transgender people, especially children.

Terminology & assessment criteria: There is no agreed, organic, definitive test for Gender Dysphoria – the feeling that your sex assigned at birth and gender identity do not match. DSM V says that a patient can have a diagnosis of GD if the distress caused by the feeling that they are in the wrong sexed body for their I.D. is ‘consistent, insistent and persistent’ in children and if it carries on over 6 months for adults. Gender is defined as the social norms accepted for sex – male/female according to culture. Yet…

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