![]() states, conservative lawmakers have taken the radical step of banning or severely restricting all transitional treatment for minors. Health organizations in the United States approved “gender-affirming” treatments, even as their European counterparts became increasingly cautious. In several European countries, medical authorities have limited – but not banned – transitional medical treatment for minors, and strengthened mental health care until more data becomes available. There are few studies of how patients change over time, making it difficult for doctors to determine when transitioning will be beneficial. The management of transidentity in pediatrics is an emerging specialty. Several clinics around the world have reported the same type of difficulties. Many subsequently stopped identifying as transgender. Doctors prescribed hormones to those who were given the green light, even though some had a medical history justifying an unfavorable opinion. ![]() With its psychologists’ appointment books overflowing, the clinic called on external workers, some of whom had little experience in gender issues, to determine whether the young candidates were suitable to begin the transition process. The caregivers had to search for the best way to help them, which highlighted a crucial question: was gender dysphoria the primary cause of their psychological problems or was it a temporary consequence? A fledgling specialty According to testimonies from patients and parents, the care provided at the Saint-Louis clinic was indispensable: it helped adolescents feel good in their bodies for the first time in their lives, and allowed some to escape from the Depression.īut demand increased, and more and more patients with complex psychological profiles presented themselves. Inspired by ideas born in Europe, several specialized clinics have opened in the last ten years in the United States to accommodate the growing number of minors wanting to begin a gender transition. The turmoil in Saint-Louis brings to the fore one of the most thorny questions about the care of transgender minors: how far should we push the psychological evaluation before initiating medical treatment? LGBTQI rights advocates, for their part, have cited accounts from parents who dispute Jamie Reed’s allegations, as well as a Washington University study concluding that his claims “could not be corroborated”. Missouri’s attorney general, a Republican, opened an investigation, and lawmakers in Missouri and other states used his accusations to ban gender transition care for minors. His statements put the Saint-Louis clinic at the center of a war opposing two camps. How far should we push the psychological evaluation? In February, she publicly accused doctors at the clinic of prescribing hormones with long-lasting effects to minors suffering from serious psychological difficulties. Jamie Reed worked there as a case manager. ![]() It was the only place for hundreds of miles where distressed teenagers could consult experts for help with their gender transition.īut the demand was such that the establishment was quickly overwhelmed and found itself at the heart of a political storm. Louis, the clinic has been welcomed by many families as a blessing. Opened in 2017 at Washington University Children’s Hospital in St. They took hormones, but had no psychological follow-up. At the same time, emergency room doctors were seeing transgender teenagers arriving every day in crisis. The requests for appointments were so numerous that his two psychologists struggled to keep up. Louis was overwhelmed last year by an influx of new patients.
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