Psychotherapeutic follow-up or medical transition?

Gender dysphoria is the cause of genuine, significant distress among young people. With adequate psychotherapeutic follow-up, its causes are usually understood, and/or disappear in 60 to 90% of cases at the end of adolescence2. It can very often be linked to autism3 or homosexuality, and sometimes to schizophrenia.

Moreover, regardless of any transphobia, it is an undeniable fact that medical transition (hormones and surgery) is largely irreversible and dangerous for bone densityheart4 and fertility. Moreover it hasn’t been demonstrated to even improve mental health.

Our purpose here is not to deny the possibility of medically transition for adults who have thought at length about this issue. What we do aim is to question:

  • the permanence or desistance of gender dysphoria in children and adolescents
  • the usefulness of an irreversible medical transition, potentially dangerous and often unsuited to their suffering
  • a teenagers’ capacity to have true informed consent to lifelong medicalization of their body, while a consensus seems to affirm that the human brain reaches psychic maturity around the age of 25
  • the influence that social networks and LGBT activism can have on young people experiencing doubt and suffering, while being very much mobilized against discrimination

With these questions in mind, it is important to promote among young females the need to take the time for reflection and the possibility to have access to serious psychotherapeutic monitoring prior to any form of medical transition5. These are the demands of many movements around the world, including:

 

Source: Let’s protect our daughters! – Parents with Inconvenient Truths about Trans (PITT)