Gender Affirming Care in Exile: The Lawsuits
The Carlat Psychiatry Podcast
Pocket Psychiatry: A Carlat Podcast
4.7 β’ 524 Ratings
ποΈ 27 April 2026
β±οΈ 12 minutes
ποΈ Recording | iTunes | RSS
π§ΎοΈ Download transcript
Summary
Two malpractice cases β one worth $2 million β are reshaping the standards of gender-affirming care. This episode traces what went wrong, what held up in court, and what every clinician needs to know when referring patients for gender affirming procedures.
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Published On: 04/20/2026
Duration: 12 minutes, 18 seconds
Chris Aiken, MD, and Kellie Newsome, PMHNP, have disclosed no relevant financial or other interests in any commercial companies pertaining to this
Transcript
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| 0:00.0 | A series of lawsuits are threatening to upend gender-affirming care as patients who regret their |
| 0:05.8 | transitions take aim at the therapists and surgeons who brought them there. |
| 0:13.9 | Welcome to the Carlet Psychiatry Podcast, keeping psychiatry honest since 2003. |
| 0:19.9 | I'm Chris Hagan, the editor-in-chief of the Carlat Psychiatry Report. |
| 0:23.6 | And I'm Kelly Newsom, a psychiatric MP and a dedicated reader of every issue. |
| 0:31.5 | 2006 has been a year of change for gender-affirming care, |
| 0:35.2 | and in this podcast series, we're going to bring you up to speed on the |
| 0:38.4 | controversy. You'll hear from patients who found new life after transition, and from rare cases where |
| 0:45.2 | people felt deceived and later detransitioned. You'll learn how lawsuits and legislation are |
| 0:51.2 | threatening to shut down gender affirming care, forcing the president of the U.S. |
| 0:55.8 | Association into exile. |
| 0:59.0 | We're not going to take sides. |
| 1:01.1 | We'll cover problems in the science of gender-affirming care that the movement tried to conceal, |
| 1:06.4 | but both sides have worked to suppress information, and we're going to apply equal scrutiny to the |
| 1:11.7 | politicians who've distorted these treatments, rebranding them as forced sterilization and |
| 1:18.0 | surgical mutilation, and even attempting to censor this podcast. Come along as we walk the line |
| 1:25.5 | between transition and mutilation, optimism and therapeutic overreach, |
| 1:31.8 | identity and diagnosis. And at the end of the episode, a research update on GLP1 agonists in depression. |
| 1:41.5 | But first, let's clarify some terms. Non-binary refers to people who don't identify within the |
| 1:48.4 | exclusive male-female binary. They may identify with elements of both genders, or neither, |
| 1:54.8 | carving out their own path. That identity can shift over time, and when it does, it's called |
| 1:59.7 | gender fluid. |
... |
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