Gender Affirming Care in Children and Adolescents: A Primer

The Carlat Psychiatry Podcast

Pocket Psychiatry: A Carlat Podcast

Health & Fitness, Mental Health, Medicine, Alternative Health

4.8 • 440 Ratings

🗓️ 18 September 2023

⏱️ 14 minutes

🔗️ Recording | iTunes | RSS

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Summary

Child and adolescent psychiatrists are seeing increasing numbers of transgender and gender-diverse children and teens. This podcast will help clinicians understand the basics of gender-affirming care (GAC) as they work with families around issues of gender dysphoria.CME: Take the CME Post-Test for this Episode (https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/4495-gender-affirming-care-in-children-and-adolescents-a-primer)Published On: 09/18/2023Duration: 16 minutes, 04 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcript

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0:00.0	Gender-affirming care refers to medical, psychological, and social support provided to individuals
0:07.0	whose gender identity differs from the sex they were assigned at birth.
0:11.0	The core objective of gender-affirming care is to aid these individuals in mitigating the distress
0:19.0	and discomfort caused by gender dysphoria, which is a disparity
0:23.4	between their gender identity and their assigned sex at birth.
0:27.8	This care framework also strives to enhance their holistic well-being and mental health.
0:34.9	In this podcast, we will focus on helping clinicians understand the basics
0:39.2	of gender-affirming care as they work with families around issues of gender dysphoria.
0:50.4	This is another episode from the child psychiatry team. I'm Dr. Josh Fader, the editor-in-chief of the Carlet Child Psychiatry Report and co-author of the second edition of the Child
1:01.0	Medication Fact Book for Psychiatric Practice now available in 2023.
1:07.0	And I'm Mary Government, a licensed clinical social worker in Southern California with a private practice and an avid reader of the Carlet Psychiatry Reports.
1:19.0	As Dr. Fader mentioned earlier, gender affirming care, often referred to as GAC, is a multifaceted approach that clinicians can extend to patients seeking a gender
1:32.8	expression that diverges from their assigned sex. However, it's essential to understand that gender
1:39.9	affirming care isn't confined to a singular procedure or methodology, it encompasses a spectrum of
1:48.3	interventions that span from social transitions like changes in attire and grooming to hormone
1:55.8	treatments that can either postpone the development of secondary sex traits or facilitate the emergence
2:02.6	of traits associated with a different gender.
2:05.6	Additionally, there are surgical options that can significantly alter gender expression.
2:12.6	These procedures encompass diverse possibilities such as electrolysis, facial and
2:19.3	tracheal cosmetic surgeries, mastectomy, phelectomy, vaginaloplasty, and phalloplasty.
2:27.3	But it's important to avoid viewing these treatments as strictly binary outcomes.
2:33.3	Patients often harbor preferences for specific interventions
	...

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