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The Carlat Psychiatry Podcast

Gender Affirming Care in Exile: The Trials

The Carlat Psychiatry Podcast

Pocket Psychiatry: A Carlat Podcast

Alternative Health, Medicine, Health & Fitness, Mental Health

4.7524 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

Click on a timestamp to play from that location

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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