Gender Affirming Care in Exile: The Trials
The Carlat Psychiatry Podcast
Pocket Psychiatry: A Carlat Podcast
4.7 • 524 Ratings
🗓️ 4 May 2026
⏱️ 13 minutes
🧾️ Download transcript
Summary
Medical societies are reversing decades of support for gender-affirming care in youth — but is it the science driving the shift, or the politics? This episode walks through the evidence, from randomized trials to regret rates, and finds a more complicated picture than either side presents.
CME: Take the CME Post-Test for this Episode
Published On: 05/04/2026
Duration: 13 minutes, 09 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 | As medical societies join the backlash against gender-affirming medical therapies for youth, |
| 0:05.9 | we look at the evidence. |
| 0:11.8 | Welcome to the Carlyte Psychiatry Podcast, keeping psychiatry honest since 2003. |
| 0:17.8 | I'm Chris Sagan, the editor-in-chief of the Carlyte Psychiatry Report. |
| 0:21.5 | And I'm Kelly Newsom, a psychiatric MP, and a dedicated reader of every issue. |
| 0:28.6 | I don't go to bed every night, dreading waking up the next morning or thinking that it would |
| 0:33.8 | probably get better if I just didn't. I feel safe in my body and I feel safe in myself. |
| 0:40.1 | Last week, we ended with the first malpractice judgment |
| 0:43.0 | against clinicians who recommended gender-affirming surgery. |
| 0:46.7 | Today, we're going to examine what that means for practice. |
| 0:50.0 | But first, a preview of the CME quiz. |
| 0:52.7 | Earned CME through the link in the show notes and find the answer in the research update at the end. |
| 1:07.3 | True or false. |
| 1:09.0 | With long-term use of stimulants, patients with ADHD develop tolerance to their |
| 1:13.6 | cognitive benefits, but not to their effects on hyperactive impulsive symptoms. |
| 1:34.9 | On February 3, 2006, the American Society of Plastic Surgeons released a position statement recommending against gender transition surgery before age 19. |
| 1:40.0 | The move came in response to pressure from the Trump administration, and, more immediately, |
| 1:45.1 | the first successful malpractice lawsuit involving transition surgery. Since most of these |
| 1:50.8 | procedures are performed by plastic surgeons, it practically closes the door on surgical transition |
| 1:56.6 | for minors. That door shut further when the American Medical Association weighed in with the same |
| 2:02.4 | position a week later, reversing the AMA's years of support for gender affirming care in transgender |
| 2:08.4 | youth. Medical societies typically reverse course when compelling new evidence arises, |
... |
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