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The Care of Transgender and Gender Diverse Adolescents with Eating Disorders

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Abstract

Purpose of Review

Transgender and gender diverse (TGD) adolescents are at increased risk of disordered eating behaviors and the development of eating disorders. Here, we review our current understanding of eating disorders in this population including risk factors, screening, medical management, and treatment.

Recent Findings

Growing literature indicates that TGD adolescents are at increased risk of eating disorders (EDs) due to a variety of factors, including chronic stress related to being part of a marginalized community. ED screening and psychoeducation provide an opportunity for early intervention in this population. Gender-affirming care needs to be incorporated within ED treatment. Given the ongoing political climate regarding TGD care and significant barriers they face to receiving care, clinicians have an important role in advocacy and support of our adolescent patients.

Summary

TGD adolescents benefit from early screening and treatment of eating disorders.

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Data Availability

No author generated data was used for this manuscript.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Eating Recovery Center and Pathlight Mood and Anxiety Center, Bellevue, WA, USA

    Megan Riddle

  2. Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA

    Megan Riddle

  3. Equip Health, Carlsbad, CA, 92008, USA

    Scout Silverstein

  4. Eating Recovery Center and Pathlight Mood and Anxiety Center, Denver, CO, USA

    Elizabeth Wassenaar

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MCR researched and wrote the article. SS and EW provided substantive editing, feedback, and expertise. All authors approved of the current draft being submitted.

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Correspondence to Megan Riddle.

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MCR and EW reported no competing interests. SS reported involvement on two TGD advisory boards—Uniting Interprofessional Learning to Service the Queer Community Through Education (UNIQUE) Advisory Board for Lewis Katz School of Medicine at Temple University and Interactive Media and Gender-Related Stressors and Strengths (IMAGES) Advisory Board for Boston University School of Public Health.

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Riddle, M., Silverstein, S. & Wassenaar, E. The Care of Transgender and Gender Diverse Adolescents with Eating Disorders. Curr Pediatr Rep 11, 148–156 (2023). https://doi.org/10.1007/s40124-023-00300-8

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