Evidence of Methods of Treating Gender Dysphoria in Children

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Observer (editorial):

"An independent review has highlighted that the quality of care for children with gender dysphoria in England has been unconscionably compromised in recent years, partly as a result of adult affinities to an unevidenced worldview.

The review, led by the distinguished paediatrician and former president of the Royal College of Paediatrics and Child Health Dr Hilary Cass, has published its interim report. Its findings echo concerns already flagged by the courts, the Care Quality Commission, and, as the Observer has reported over the years, several NHS whistleblowers.

The report highlights a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. Yet the NHS’s specialist Gender Identity Development Service (GIDS) takes a child’s expressed gender identity as the starting point for treatment. This “affirmative approach” leaves little space for exploration of the potential relationship between their dysphoria and neurodiversity or psychosocial needs, including those arising from childhood trauma or internalised hostility to same-sex attraction. GIDS has compounded this lack of evidence with its own failure to track patient outcomes."