This is a legitimately tricky and vital question and there is an EXCELLENT paper on it https://www.apa.org/pubs/journals/features/sgd-sgd0000167.pdf …https://twitter.com/4th_WaveNow/status/916468346232688640 …
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Replying to @jessesingal
That IS more nuanced but doesn't address several things, including: 1. Could social transition/blockers create persistence (iatrogenic)?
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Replying to @4th_WaveNow @jessesingal
2. Do young teens who go on cross-sex hormones really have wherewithal to make irreversible decisions (as authors suggest)?
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Replying to @4th_WaveNow @jessesingal
3. Authors do mention many kids desist & become LGB adults, but no acknowledgement internalized homophobia could be factor in trans ID.
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Replying to @4th_WaveNow @jessesingal
4. Research has shown young lesbians in particular don't integrate sexuality until 19-20+, well after authors recommend cross hormones.pic.twitter.com/Cfqx346bKy
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Replying to @4th_WaveNow @jessesingal
5.
@LisaMarchiano piece is important in detailing some social influences Leeper-Edwards touches on but doesn't explore in as much depth.1 reply 0 retweets 0 likes -
6. Marchiano piece also acknowledges parents' insight into kids' history/psychology, which should be taken seriously as part of assessment.
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7. Most parents want therapists to grapple w/ all of the above. In the US at least, the "affirm-only" clinicians seem to be on ascendant.
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