Most young people attending gender clinics have already made up their minds that transition is for them. It's the job of the psychiatrist to challenge this in order to make sure transition is actually for them. When all they do is affirm, more detransitioners are the result.
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What do you think would help? When I was being treated for an ED as a teen/YA very little that anyone said, got through to me. I often wonder now what would have made a difference to me then. If you could talk to yourself before you transitioned, what would you say?
I'd be blunt. "You know x, y and z had a massive impact on you. You developed dysphoria after these things happened. So, clearly x y and z had a role in your dysphoria. Rather than transition, address x y and z. If dysohoria is still there, then transition."
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There needs to be gatekeeping. That’s all there is to it. And kids or off the table as far as medical interventions. But they do need good Therapy support to actually address their dysphoria. Or else it’s just going to stick around.
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I wonder how much more therapy we could offer on current resources, if we shifted insurance budgets from drugs and the knife ...
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