The role of psychiatrists in working with Trans and Gender Diverse people | RANZCP

This statement outlines the Royal Australian and New Zealand College of Psychiatrists (RANZCP) position in working with Trans and Gender Diverse (TGD) people in Australia and New Zealand and the role of psychiatrists in responding to their mental health needs.

There are methodological limitations in studies which assess the effectiveness of all models of treatment on the mental health of children and adolescents with Gender Dysphoria. Psychiatric practice will be informed by further emerging evidence.

While many TGD people do not need to seek mental health care, there is a higher prevalence of mental health conditions (including depression, suicidality, self-harm, and anxiety) in the TGD population compared to the general population.[6]

Gender expansive and non-conforming behaviour and preferences can be normal at any age and should not necessarily be a cause for concern or require attention. For some people, gender identity and/or gender expression can change over time.

The risk of intervention needs to be weighed against the risk of non-intervention, in consideration of the individual circumstances.

Professional opinions differ about some aspects of the most appropriate care for adolescents requesting treatment. A range of interventions (including psychological, social, and medical) may be considered for adolescents presenting with distress related to their gender.[21]

While a number of major professional organisations support the use of puberty suppressants and cross sex hormones for adolescents [28-30], health authorities in some European countries have recommended restrictions be placed on their use. Australian and New Zealand paediatric services continue to provide multidisciplinary gender-affirming care.[31]

The RANZCP recognises that some people having commenced gender affirming care, discontinue, pause care or seek reversal of treatment.[35-38]

The term ‘detransition’ is usually understood to refer to the experience of a person who no longer identifies as transgender, who stops or reverses a gender ‘transition’. This process can involve social and legal changes, discontinuation of endocrine medications, surgical intervention to reverse the effects of previous treatments, or varying combinations of the above.

It is not known how many individuals who detransition experience regret, and how many are satisfied with the changes they have made. While regret appears to be infrequent [11, 14, 39, 40] the true regret rate is unclear.[14]

Source: The role of psychiatrists in working with Trans and Gender Diverse people | RANZCP

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.