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The Carlat Psychiatry Podcast

Gender Affirming Care in Children and Adolescents: A Primer

The Carlat Psychiatry Podcast

The Carlat Psychiatry Podcast

Alternative Health, Mental Health, Medicine, Health & Fitness

4.7524 Ratings

🗓️ 18 September 2023

⏱️ 14 minutes

🧾️ Download transcript

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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