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The Zembla investigation reveals that the scientific evidence for the treatment of transgender youth is insufficient. Concerns also exist regarding the impact of treatment on brain development, with research on this topic being announced seventeen years ago but never conducted. Puberty blockers are used to pause puberty in children with gender dysphoria, allowing time for reflection before irreversible hormone treatments and surgeries. However, the effectiveness of these blockers is questioned, and their potential effects on brain development remain unknown. Limited research suggests that they may influence brain development, but the implications for adolescents are unclear. Further research is needed to provide clarity and inform decision-making for transgender youth.

I offer support to find gender affirming care for youth, even if they need to go out of state. If parents are unsupportive, some kids choose to get emancipated at 16 to make their own medical decisions. Dealing with transphobic parents can be tough, especially if they are very right-leaning. It's important to find a chosen family of friends who accept you. I can send you a binder discreetly if needed.

The speaker raises the question of "what if they're wrong?" but counters with "what if they're right?" They mention that detransitioners are usually fine and may even have a different appreciation for the world. The speaker personally knows a few detransitioners who are doing well and believe their transition still saved their lives. Rejecting them can contribute to harm, as shown by research on the negative effects of not accessing gender affirming care and support from parents. Whether they're right or wrong, affirming them is positive and shows belief and support. The speaker provides a link for more information.

It's important to notice that transitioners often survive and share their stories, while non-affirmed trans kids often do not. This is crucial for parents and friends to understand. Detransitioners have shared their experiences on platforms like TikTok and YouTube. Unfortunately, non-affirmed trans individuals have a high suicide rate, with up to 41% attempting or committing suicide, usually before the age of 23. This is devastating and emphasizes the importance of affirmation for trans youth.

Being transgender is not a mental illness, as approved by major medical, psychological, and psychiatric associations. The prefrontal cortex (PFC) is the part of the brain that matures in the early twenties and is responsible for decision-making. Executive function, which includes planning and inhibition, is the primary function of the PFC. However, executive function does not relate to one's identity. In fact, individuals without a mature PFC may be better equipped to express their true selves, as they are less likely to inhibit who they are. This is seen in autistic individuals and those with ADHD. The idea that the brain has not fully developed yet supports the notion that inhibiting one's identity can be detrimental if it goes against societal norms.

A lot of parents have questions about social transition at a young age. There are no exact guidelines. Again, everybody has their own gender journey and everything feels right or wrong depending on the family. However, many kids do decide to pursue a social transition. Usually that will start with changing their name or their pronouns. They might want to just try dressing a different way or using a different name at home to get used to it and for the family to get used to it. Some people might want to do it on a vacation where they don't really know anyone as a way to try it out. And then slowly over time they might move into using that more with loved ones at school or with friends. However, kids do benefit from social transition over time.

The number of gender surgeries for natal females in the US increased fourfold between 2016 and 2017, with women accounting for 70% of all surgeries. The UK reported a 4,400% rise in teenage girls seeking gender treatments over the past decade. Clinicians in Canada, Sweden, Finland, and the UK noticed a shift in the demographics of those with gender dysphoria, from mostly preschool boys to mostly adolescent girls. The transgender movement has given power to young individuals, but it may create chaos and confusion for them, as they still need guidance and parental support. This could be seen as a disservice to them.

I believe transgenderism is a mental health condition, but I support open conversation. I met two young women who had regretted their decision to have surgeries as teenagers. I think adults should have the freedom to live as they choose, but we must protect children.

I wanted to find relief from my pain and figure out what was wrong with me. I turned to the Internet for help. Recently, there has been a surge in media and social media representations of transgenderism, even in mainstream advertising. This content is being consumed by young teenagers, who can easily be influenced. When trans-identified kids go to gender clinics, they are promised comprehensive mental health assessments, but that's not always the case. These clinics now believe that trans kids know who they are, and questioning them is taboo. I was easily manipulated and nobody was there to support me. I tried to alleviate my gender dysphoria, but it only made my body image issues worse. Now, what do we do?

We must protect trans kids and ensure their human rights are respected, making them feel seen, accepted, and loved. However, there are concerns about allowing them to make adult decisions as minors without parental knowledge or consent, as well as subjecting them to medical interventions typically used for cancer patients or violent sex offenders. Some argue that these interventions are reversible, despite testimonies from detransitioners, and even advocate for removing custody rights from guardians who disagree. Long-term studies show no reduction in suicidality after the initial 5 years, while pharmaceutical companies profit from this. It's important to reflect on whether we may unintentionally be causing harm in this situation.

In gender critical circles, some people believe they can always identify transgender women because they see those who don't pass as biologically male. However, many transgender women do pass, especially if they transition at a young age. Those who pass tend to hide it due to the stigma faced by non-passing transgender women. Stigmatizing gender nonconformity and limiting childhood transition only pushes dysphoric individuals to seek early medical transition. While there are risks and regrets associated with both childhood and adult transition, the lack of acceptance and kindness towards adult transitioners makes it a more challenging path. It's important to have conversations about the risks and realities of transitioning at different stages of life.

In order for therapies for gender dysphoria to become mainstream, the definition of the condition needs to change. In the past, transgenderism was considered a mental illness and treated as such. However, in 2013, the American Psychiatric Association changed the nomenclature from transsexualism or gender identity disorder to gender dysphoria. This change removed the term "transsexual" and shifted the focus away from pharmaceuticals and surgeries. Without these interventions, the condition is essentially reduced to being a transvestite or cross dresser. This was the understanding of the condition for many years.

Transitioning carries risks, including potential sterility, loss of breastfeeding ability, and changes in sexual function. It may also impact bone health and height. Despite these risks, the most crucial aspect is to accept and love your child for who they are, regardless of their gender identity.

Admiral Rachel Levine, a pediatrician and the assistant secretary for the Department of Health and Human Services, addresses concerns about children transitioning before 18. She emphasizes the challenges of adolescence, particularly for those experiencing gender dysphoria. If a child feels female but is undergoing male puberty, it can be distressing. Critics argue that children are too young to make such decisions. Levine clarifies that for prepubertal children, no medical procedures are performed; instead, they are supported through therapy to explore their feelings.

An endocrinologist questions the use of powerful hormones and surgeries in gender affirmative therapy without concrete evidence of gender identity. They highlight the high rates of desistance in children with gender dysphoria and the lack of objective markers to determine if a child will persist in their gender identity. The Endocrine Society acknowledges the low quality of evidence and the difficulty in identifying which children require treatment. The American Academy of Pediatrics suggests asking the children themselves. The spread of the affirmative model of care has outpaced the evidence supporting it, as shown by systematic reviews indicating poor quality and uncertain benefits. A study on mastectomy in youth is criticized for drawing conclusions based on a small sample size and short follow-up period. The quality of research in this field is questioned.

Michigan Medicine strives to be a safe, welcoming place for transgender individuals and to provide excellent health care regardless of gender. The goal of this video is to improve the comfort and competency of frontline staff in caring for transgender individuals. We will start by talking about gender identity, challenges the transgender community has faced in the health care system, and Michigan's policies regarding gender non-discrimination. The second half of this training is job specific. To discuss gender identity, it is important to understand the difference between sex and gender. Sex refers to one's reproductive organs, native hormones, and chromosomes, while gender identity refers to one's internal sense of gender, a person's basic sense of being a man or boy, a woman or girl, or another gender. Gender identity can be expressed by how individuals present themselves socially, including clothing, physical characteristics, speech, and mannerisms. All people, whether they are transgender or cisgender, meaning not transgender, have a gender identity and expression. Transgender is a term for individuals whose gender identity differs from the gender identity typically associated with their sex assigned at birth. There are many identities that fall under the umbrella of transgender. Transgender men, trans men, or trans masculine refer to people who are assigned female sex at birth but identify as men or masculine. Transgender women, trans women, or trans feminine refer to people who were assigned male sex at birth but identify as women or feminine. Other individuals may identify as genderqueer, agender, genderfluid, two spirited, bigender, or another identity that does not fit neatly into the categories of men or women. All major American medical societies, including the American Medical Association and American Psychological Association, endorse gender affirming care as the standard of care for transgender individuals. This means caring for people in a way that supports their gender transition and gender identity. Transgender people may undergo any one of a number of gender affirming medical interventions, including hormonal therapies like estrogen, testosterone, or hormone blockers, and surgical treatment to change body contours or genitalia. However, it is important to note that one does not have to undergo any medical or surgical treatment to be transgender. Some people are easily read as the gender they affirm while others are visibly gender non conforming or androgynous appearing.

"Sometimes it may be just a phase of development where they're exploring their gender identity and they're kind of getting a sense of who they are, but a lot of children do end up identifying as that gender into young adulthood and adulthood." "The only real way we know for sure that they're going to continue in that gender identity is just to allow them to develop over time." "And so that's what we recommend to parents is to give them the space." "Even if parents are concerned that it's a phase, we never want to tell the child that they shouldn't be expressing their gender identity or that they should be, ashamed for the way that they're expressing their identity because that can be quite harmful." "We just want to give the child a chance to develop and explore on their own."

There is a default setting for humans regarding male and female, but it's important to recognize that not everyone fits into this binary. While we should compassionately support those who don't conform, we also need to acknowledge biological realities. Children often lack the understanding to navigate these complex issues, and no parent desires to face such difficult choices. The perception of being transgender may seem trendy today, but it's not a choice made lightly. The prevalence of gender identity issues can vary by location, potentially influenced by societal acceptance or suppression. This phenomenon can be likened to the historical suppression of left-handedness, which increased once society accepted it as normal.

Affirmation of gender identity is not a binary concept, similar to health, safety, and welfare. Family courts and judges consider the overall situation, and if both parents accept their child's gender identity, it won't heavily influence the decision. Gender affirmation varies for each person, but family acceptance and social support are crucial. It's important to recognize that people, regardless of age, are constantly evolving and changing. What affirmation means at one stage of growth may differ significantly from another stage.

Most people detransition due to lack of social support and societal stigma, not because they're not trans. Transphobia and the difficulties of living as a trans person lead them to detransition in search of a more peaceful life. This highlights the impact of anti-trans rhetoric, as detransitioning is mostly not a result of someone not being trans. It's crucial to acknowledge this.

In 2021, a study found no significant changes in mental health or gender dysphoria among children on puberty blockers. A recent reanalysis showed that after 12 months, 34% had worsened, 29% improved, and 37% stayed the same. The original study lacked a control group, so causation couldn't be determined. Blocking puberty may ease future gender transition, but this wasn't the focus of the study. The key lesson is to adapt practice when new evidence emerges.