this post was submitted on 11 Aug 2023
580 points (94.6% liked)
Asklemmy
44152 readers
725 users here now
A loosely moderated place to ask open-ended questions
Search asklemmy ๐
If your post meets the following criteria, it's welcome here!
- Open-ended question
- Not offensive: at this point, we do not have the bandwidth to moderate overtly political discussions. Assume best intent and be excellent to each other.
- Not regarding using or support for Lemmy: context, see the list of support communities and tools for finding communities below
- Not ad nauseam inducing: please make sure it is a question that would be new to most members
- An actual topic of discussion
Looking for support?
Looking for a community?
- Lemmyverse: community search
- sub.rehab: maps old subreddits to fediverse options, marks official as such
- !lemmy411@lemmy.ca: a community for finding communities
~Icon~ ~by~ ~@Double_A@discuss.tchncs.de~
founded 5 years ago
MODERATORS
you are viewing a single comment's thread
view the rest of the comments
view the rest of the comments
I get the feeling you're personally offended by this, and if so, I'll apologize as it was never my intention.
The above statement is just an observation myself and colleagues I've shared my concerns with did. It might be a coincidence, but nearly all our transitioned patients had a prior diagnosis for autism, and without exception all had psychiatric comorbidities.
This also seems to be in line with the (scarce) literature on the subject. (I.e. 1 2)
I hope I'm wrong and my patients are just exceptions, and that we won't look back at these years with regret.
I'm not personally offended, don't worry. I'm not part of the LGBT community myself, back when I was studying I looked into the literature around transition and the perceived hot controversy on the issue. You've touched on an important issue, which is that a large percentage of people who will end up transitioning have a lot of stressors which will end up severely impacting their mental health, not just the innate stress from gender dysphoria, but the lack of support from friends and family, ostracization, etc.
This helps explain the psychiatric comorbidities, like depressive and anxiety disorders.
It seems to me that the current medical pathway for trans patients is robust, and should weed out the odd patient with transient dysphoria or patients which have serious psychiatric issues that mistakenly led them down this path.
For those that go down the path, regret rates seem to always be between 1 and 2 per cent. At this point, we can accept these rates as statistically accurate, when we have data from thousands of individuals.
https://www.nature.com/articles/s41562-023-01605-w#Abs1
https://journals.lww.com/prsgo/fulltext/2021/03000/regret_after_gender_affirmation_surgery__a.22.aspx