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Complex Psychiatric Histories and Transgender and Gender Diverse Youth
Amy Curtis1, Shanna Swaringen2, Aron Janssen3
1Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine. Seattle Children's Hospital, 4800 Sand Point Way NE, Seattle, WA 98105, USA.
Abstract:
Transgender and gender diverse (TGD) individuals face higher rates of stressors driving disproportionate health risks. Although psychiatric conditions are important to consider in the context of greater health-promoting efforts for TGD youth, any mental health concerns may or may not be related to gender identity or associated dysphoria. Nevertheless, it is essential to consider the impact of complex mental health factors on decisional capacity and gender care discussions. Psychiatric care of TGD youth includes stratifying risk factors through a minority stress lens, balancing acute needs with patient and caregiver priorities, and bolstering resilience using affirming care principles.
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