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Anxiety and Gender Dysphoria

  • Laura Edwards-Leeper
Chapter

Abstract

Transgender adolescents often experience co-occurring mental health symptoms, with anxiety being one of the most common. Often, these symptoms are not severe enough to lead affirming mental health providers to recommend slowing down the physical transition process for the youth. However, in some cases, when the anxiety symptoms are severe and occur with other complex factors, it may be in the adolescent’s best interest to take a slower, more cautious path toward irreversible interventions. This chapter describes the case of “Alex,” a gender diverse adolescent with severe anxiety. A description of the case and an explanation of how it was approached from an affirming and developmentally informed lens, balancing the complicated mental health picture, the parents’ reservations, and Alex’s desire to pursue testosterone treatment, are provided.

Keywords

Gender diverse youth Transgender Adolescence Affirmative approach Developmental lens 

References

  1. 1.
    Spack NP, Edwards-Leeper L, Feldman HA, Leibowitz S, Mandel F, Diamond DA, et al. Children and adolescents with gender identity disorder referred to a pediatric medical center. Pediatrics. 2012;129(3):418–25.CrossRefPubMedGoogle Scholar
  2. 2.
    Reisner SL, Vetters RV, Leclerc M, Zaslow S, Wolfrum S, Shumer D, et al. Mental health of transgender youth in care at an adolescent urban community health center: a matched retrospective cohort study. J Adolesc Health. 2016;56:274–9.CrossRefGoogle Scholar
  3. 3.
    Edwards-Leeper L, Feldman A, Henry R, Lash B, Shumer D, Tishelman A. Psychological profile of the first sample of transgender youth presenting for medical intervention in a U.S. Pediatric Gender Center. Psychol Sex Orientat Gend Divers. 2017;4(3):374–82.CrossRefGoogle Scholar
  4. 4.
    de Vries ALC, McGuire JK, Steensma TD, Wagenaar ECF, Doreleijers AH, Cohen-Kettenis PT. Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics. 2014;134:2013–958.  https://doi.org/10.1542/peds.2013-2958.CrossRefGoogle Scholar
  5. 5.
    Edwards-Leeper L, Spack NP. Psychological evaluation and medical treatment of transgender youth in an interdisciplinary “Gender Management Service” (GeMS) in a major pediatric center. J Homosex. 2012;59(3):321–36.CrossRefPubMedGoogle Scholar
  6. 6.
    Edwards-Leeper L, Leibowitz S, Sangganjanavanich VF. Affirmative practice with transgender and gender non-conforming youth: expanding the model. Psychol Sex Orientat Gend Divers. 2016;3(2):165–72.CrossRefGoogle Scholar
  7. 7.
    Ryan C, Russell ST, Huebner D, Diaz R, Sanchez J. Family acceptance in adolescence and the health of LGBT young adults. J Child Adolesc Psychiatr Nurs. 2010;23(4):205–13.CrossRefPubMedGoogle Scholar
  8. 8.
    Olson KR, Durwood L, DeMeules M, McLaughlin KA. Mental health of transgender children who are supported in their identities. Pediatrics. 2015;137(3):2015–3223.  https://doi.org/10.1542/peds.2015-3223.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.School of Graduate PsychologyPacific UniversityHillsboroUSA

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