Gender Dysphoria / Same sex feelings

Casebank History
1

Data Gathering

  1. Build rapport
  2. Offer confidentiality
    – teenager could be worried that you may share information with parents.
    – Reassure that they are in a safe confidential environment
  3. Embarrassed
    – Reassure doctors are non-judgemental.
    – You should show in your body language.
    – Thank them for opening up

ICE
Explore worries
Since when? Fears? Discrimination Bullying? Support systems?

COPING
Study? Relationships? Mood? Work?
Drugs? Alcohol
(For gender dysphoria/transgender)

PAST
What have they done so far? Any changes they made

PERCEPTION
How they precieve themselves as a male or female

PUBERTY
How you feel about your body

PRESENT
Are you currently living in your preferred gender

EXPLORE SEXUALITY

  • Previous relationships
  • male/females?
    — Sexually active?
    — Previously attracted to opposite gender?
    — Feels comfortable with his style of dressing/appearance?

MAFSA

MANAGEMENT
Address concerns
Reassurance.
You are not the only one.
Pay attention to feelings.
Confused with sexuality
Analyze - take your time / No hurry.
Will eventually be able to identify.

SHARING WITH FRIENDS / FAMILY
No Hurry / take time
If/ when you share may be shocked
Give time to process / absorb
You are not at fault

Sexual orientation
⁃ Counselling sessions/ talking therapies
⁃ Pink therapy- online directory of therapists
⁃ Stonewall
⁃ LGBT- Foundation.

Bullying
⁃ Educational action against bullying
⁃ School has legal responsibility to prevent this seminars / workshops in order to educate pupils

GENDER DYSPHORIA

  • Refer to CAAMHS and gender identity clinic
    ⁃ Multidisciplinary team
    ⁃ Counselling

SAFETY NET

  • crisis card
  • Not to use over the counter medication
6 Likes
2

Can you post about test result of hep b and c please?

3

Definitely, if I do, I’ll update you.

4

Gender dysphoria management:

  • GP refers to ARDEN and GEM which is a National Support Service for the NHS Children and Young people. The referral has a long waiting period.
  • Everyone waiting for the first appointment will be asked to fill in the Gender Experience Summary Form (GES) just to have an update to date information about you and your current situation.
  • Finally after assessment, you are send to the Gender Dysphoria Clinic. There initially Hormonal Therapy for 12 - 13 months approx. And then the Surgical treatment ( face surgery, voice surgery, top surgery, bottom surgery)
  • To get more info about gender dysphoria, you can read from the website called Transwiki, join support groups (LGBTQ).
  • Bond more with your parents in the meantime too.
4 Likes
5

GENDER DYSPHORIA QUESTIONS

BSSST

BACKGROUND:
:arrow_forward:How long have you been feeling this way
:arrow_forward: Are you biologically male or female
:arrow_forward:Are you currently living as a male or female

SUPPORT HISTORY
:arrow_forward: Spoken to family/friends about it? Do you ever worry how they will react?
:arrow_forward: Have you visited any support group like LGBTQ for help? If yes, how did you find out? If not, we will look at this later

SEXUAL HISTORY
:arrow_forward: In a sexual relationship? Yes
:arrow_forward: Your partner male or female
:arrow_forward: Sexual orientation
:arrow_forward: No. Have you been in a relationship before? Yes. Male or female?

SOCIAL CHALLENGES
:arrow_forward: Do you face any difficulty because of how you feel?
:arrow_forward: any discrimination?

TREATMENT
:arrow_forward: Have you sought help from any doctor?
:arrow_forward:have you been referred to any services
:arrow_forward: Have you started sex change on your own? YES: where did you get them from?

CORE QUESTIONS FOR ALL GENDER DYSPHORIA

:arrow_forward:Are you comfortable when you play a role as a woman
:arrow_forward:Desire to hide male characteristics
:arrow_forward:Dislike for you male genitals