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The Complexities of Treatment Planning for Transgender Youth with Co-Occurring Severe Mental Illness: A Literature Review and Case Study

  • Aron Janssen
  • Samantha Busa
  • Jeremy Wernick
Special Section: Transgender Identities Emerging During Adolescence
  • 90 Downloads

Abstract

Gender variance and dysphoria are present across all classes, ethnicities, and experiences, including among those with severe and chronic mental illness. In these, our most vulnerable populations, adequate assessment and treatment of gender dysphoria often is overlooked despite evidence that appropriate treatment of gender dysphoria leads to improvement in psychological functioning (Smith, van Goozen, Kuiper, & Cohen-Kettenis, 2005). The World Professional Association for Transgender Health recommend in their Standards of Care that somatic and surgical treatments for gender dysphoria should be made available to those with medical or mental illness with the caveat that “[the illness] must be reasonably well-controlled (2011).” In this article, we will utilize case-based material to elucidate the challenges of treating gender dysphoria in the context of complex mental illness such as bipolar disorder, schizophrenia, and sexual trauma, and the pitfalls of defining “well-controlled” for the sake of treatment.

Keywords

Transgender youth Consent Gender dysphoria Mental health 

Notes

References

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Child Study Center, Department of Child and Adolescent PsychiatryNYU Langone Medical CenterNew YorkUSA

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