Main description:

Transgender people face alarmingly high rates of verbal harassment and physical violence, including at home and at school. Transgender youths face significant mental health issues as a consequence, including depression and suicidality, anxiety, body image distortion, substance abuse, and post-traumatic stress disorder. Part 3 of this first-of-its-kind 3-part series helps show how pediatric primary care providers (PPCPs) are uniquely situated to screen, identify, and care for transgender and gender-diverse youths. As children and adolescents become increasingly aware of gender diversity, PPCPs should be attentive to physical and emotional cues that point to gender-related distress. Early identification of distress in transgender patients, supported exploration of identity, and affirmation helps foster healthy growth and development in a particularly vulnerable population. It also leads to positive long-term health outcomes, including decreased morbidity and mortality.

Contents:

PART 3: CARING FOR TRANSGENDER CHILDREN
Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents
The World Was Not Built for Us: Improving Access to Care for Transgender Youth
Primary Care Considerations for Transgender and Gender-Diverse Youth
Ethical Issues in Gender-Affirming Care for Youth
Ethical Issues Considered When Establishing a Pediatrics Gender Surgery Center
Affirming, Balanced, and Comprehensive Care for Transgender Teenagers
Trends in Referrals to a Pediatric Transgender Clinic
Transgender Youth Experiences and Perspectives Related to HIV Preventative Services
Hormonal Treatment and Cardiovascular Risk Profile in Transgender Adolescents
Mental Health and Timing of Gender-Affirming Care
Challenges in Timing Puberty Suppression for Gender-Nonconforming Adolescents
Timing of Puberty Suppression and Surgical Options for Transgender Youth
Transformations: What I Learned Along My Patient's Gender Journey
Trans Teen Shares Her Story