Podcasts about transgender health wpath

Today's disagreement is about transgender health care for young people and the future of the trans rights movement.Gender Affirming Care is a method of treating gender dysphoria by affirming a child's gender identity and tailoring medical and social interventions around this identity. This might begin with a social transition and often leads to a medical protocol that involves puberty blockers and then cross sex hormones.Almost a year ago, we had a conversation with leading national clinicians, Dr. Jack Drescher and Dr. Erica Anderson about the state of gender affirming care for young people in the United States. If you haven't listened to that episode, I highly recommend it as a helpful primer for this conversation. Since then, a lot has changed in the conversation about trans care for young people.In April 2024, the Cass report came out in the UK. It is one of the most thorough reviews of the evidence base for gender-affirming care. It also called into question the limits of what we know and don't know about care for minors. Right now, 27 states have enacted laws to ban or restrict the practice and the supreme court will be ruling on it later this year. And the United States has a new presidential administration who recently issued the executive order: “Protecting Children from Chemical and Surgical Mutilation," which attempts to put forth a national ban on gender affirming care.We ask some important questions around gender affirming care and the trans rights movement. Have trans advocates and medical practitioners overstated the quality of the evidence base for gender-affirming interventions for minors?Brianna Wu is a political commentator and trans rights activist. She is executive director of the progressive Rebellion PAC.Dr. Marci Bowers is a pelvic and gynecological surgeon with more than three decades of experience in healthcare. Dr. Bowers was most recently the president of the World Professional Association for Transgender Health (WPATH). She was the organization's first transgender president.Thank you to Brianna and Marci for coming together to have this critical conversation. It's a difficult topic and as you'll hear, a difficult conversation. But we need more of this. We need more people willing to come together and have hard conversations out in the open, and we really appreciate you both.This conversation is pretty “in the weeds” when it comes to youth gender medicine and the state of the research. If you have the context, that's great – you can skip ahead. If you don't, here is a highly efficient glossary:WPATH is the leading trans health organization in the world. Its “Standards of Care” or SOC - have served as the national guidelines for youth gender medicine in most gender clinics.The Standards of Care have evolved a great deal over time: SOC 6, published in 2001, required multiple psychological assessments and a period of Real Life Experience (RLE), living as the preferred gender, before any medical interventions. The most recent SOC, SOC 8, was published in 2022. It removed many of these requirements which activists have described as “gatekeeping.”The Dutch Protocol, also known as “watchful waiting”, is a more conservative alternative to gender-affirming care. It focuses on providing large amounts of psychological support and monitoring during childhood. If the dysphoria continues to persist, then putting young people on puberty blockers and cross sex hormones in late adolescence.Language around gender identity is constantly evolving. Brianna uses the term FTM (or Female to Male) to describe females who transition. For the same demographic, Marci uses “transmasculine.”We also talk about Hormone Replacement Therapy (HRT) and Facial Feminization Surgery (FFS).Okay, that will hopefully create a solid foundation. Take a deep breath. Open your mind as far as it's willing to go. And prepare for a different kind of conversation on gender affirming care and the future of the trans rights movement.Recommended Reading and ListeningWPATH Standards of Care Version 8Last year's episode of The Disagreement about gender-affirming care: https://podcasts.apple.com/si/podcast/12-gender-affirming-care-for-children-and-adolescents/id1735027795?i=1000658885782

Grace O'Connor is a Licensed Marriage and Family Therapist and the Vice-President of Gender Wellness of Los Angeles. Grace specializes in working with the Transgender and Non-binary populations. She obtained her Master's Degree in Clinical Psychology from Antioch University with a specialization in LGBTQ+ identity, and completed her training at the Antioch University Counseling Center and Colors LGBTQ Youth Counseling Center.  Prior to working at Gender Wellness of LA, Grace led the LGBTQ+ program at Westwind Recovery, a dual diagnosis treatment program in West Hollywood California, focusing on LGBTQ+ patients struggling with mental health and addiction-related disorders. Grace, along with her colleague at Gender Wellness of Los Angeles, President and Founder of GWLA  Casey Weitzman LMFT, travel throughout the Southern California area conducting talks, trainings and workshops on issues specific to Transgender and Non-binary identity.  Grace has been interviewed for various publications including Healthline.com, The Fight Magazine and verywellhealth.com and is an active member of the World Professional Association for Transgender Health [WPATH] and California Association of Marriage and Family Therapists [CAMFT]. We discuss topics including: Grace's story Body image in the non-binary community When a person begins the process that they are trans/non-binary what they see is not always what they feel in their body Representation matters Trans women come in different shapes and sizes as do cis women “passing “ as a man or “passing” as a woman Steps to work on to achieve body neutrality   SHOW NOTES: www.genwell.org instagram.com/lagirlgrace instagram.com/genderwellnessla ____________________________________________ If you have any questions regarding the topics discussed on this podcast, please reach out to Robyn directly via email: rlgrd@askaboutfood.com You can also connect with Robyn on social media by following her on Facebook, Instagram, Twitter, and LinkedIn. If you enjoyed this podcast, please leave a review on iTunes and subscribe. Visit Robyn's private practice website where you can subscribe to her free monthly insight newsletter, and receive your FREE GUIDE “Maximizing Your Time with Those Struggling with an Eating Disorder”. Your Recovery Resource, Robyn's new online course for navigating your loved one's eating disorder, is available now! For more information on Robyn's book “The Eating Disorder Trap”, please visit the Official "The Eating Disorder Trap" Website. “The Eating Disorder Trap” is also available for purchase on Amazon.   Visit Robyn's private practice website where you can subscribe to her free monthly insight newsletter, and receive your FREE GUIDE “Maximizing Your Time with Those Struggling with an Eating Disorder”. Your Recovery Resource, Robyn's new online course for navigating your loved one's eating disorder, is available now! For more information on Robyn's book “The Eating Disorder Trap”, please visit the Official "The Eating Disorder Trap" Website. “The Eating Disorder Trap” is also available for purchase on Amazon.

Mia Hughes is an expert on the World Professional Association for Transgender Health (WPATH). Watch this interview and find out just how our children are being sacrificed on the altar of woke politics and pseudo-science and how this will be Trudeau's legacy.  Mia Hughes: "We are caught up in a mad cultural moment in history.  Caught up in the latest social contagion and we as a nation have failed to protect them from a medical world gone completely mad....I would want [Justin Trudeau] to know that's his legacy. He is going down in history as the Prime Minister who did nothing to protect these vulnerable youth from this very powerful cultural force..."Find Mia Hughes' (@_CryMiaRiverwork)  on WPATH files here -Full research project: The WPATH Files — Environmental Progress https://environmentalprogress.org/big-news/wpath-filesWPATH files article:-Expose of leading trans health group WPATH reveals surgeries, drugs are undertaken despite risks of cancer, regret, life-altering complicationshttps://www.public.news/p/the-wpath-files?utm_source=publication-search...SUPPORT INDEPENDENT JOURNALISM JOIN THE KRAYDEN'S RIGHT RESISTANCE:-Stand on Guard Store Merch with a Message: https://standonguard.store/-Substack FREE or Paid Subscription: https://davidkrayden.substack.com/-Buy Me a Coffee (1 time support): https://www.buymeacoffee.com/kraydensright-Join YouTube Membership: https://www.youtube.com/channel/UC1ED4fuuXo07MoobImXavaQ/joinLocals / Rumble Subscriber Option: https://kraydensright.locals.com/Pay Direct on Paypal: https://www.paypal.com/paypalme/standonguard...SUBSCRIBE & HIT THE BELL TO KEEP SEEING THIS CHANNEL-Please SUBSCRIBE & HIT the bell. This is FREE and it will help you BEAT Trudeau's censorship so you get notifications on my YouTube Channel even when the censorship laws come into FULL effect so Trudeau and YT cannot hide this content: https://www.youtube.com/@KraydensRightwithDavidKrayden -And/or subscribe and hit the notifications on my Rumble channel to also keep informed of the latest Canadian news you won't hear on the msm https://rumble.com/user/KraydensRight...MORE ways you can find and support my work:   -Krayden's Right Substack: https://davidkrayden.substack.com/-Rumble: https://rumble.com/user/KraydensRight-Twitter: https://twitter.com/DavidKrayden-Facebook: https://www.facebook.com/KraydensRight-YouTube: https://www.youtube.com/@KraydensRightwithDavidKrayden-Apple Podcast: https://podcasts.apple.com/us/podcast/stand-on-guard-with-david-krayden/id1684148154-Spotify Podcast: https://open.spotify.com/show/1YfyNi7gqJpRYS7iuGcWhw...✨FAIR USE NOTICE: This video may contain copyrighted material. Such material is made available for educational purposes only. This constitutes a 'fair use' of any such copyrighted material as provided for in Title 17 U.S.C. section 106A-117 of the US Copyright Law.#davidkrayden #kraydensright #standonguard #cdnpoli #uspoli #ukpoli #news #independentjournalistsNEW!! You can now find Stand on Guard with David Krayden on most podcasts: Apple, Spotify, Google, Amazon, Youtube music, Substack.

Leaked emails from the World Professional Association for Transgender Health (WPATH) reveal internal debates and disagreements among members regarding the best practices and guidelines for transgender healthcare. These leaks have sparked discussions about transparency and also revealed that the Biden Administration pushed for no age restrictions for medical transition of minors.

What you're about to hear is a powerful and sustained disagreement with the current discourse on youth gender medicine and the more extreme voices who tend to dominate the public conversation. Gender-affirming care, as defined by the World Health Organization, includes social, psychological, behavioral, and medical interventions “designed to support and affirm an individual's gender identity” when it conflicts with their gender assigned at birth.How long should physicians and clinicians observe a child before they decide to treat them for gender dysphoria?When (if ever) should a child socially transition, begin hormones, and/or undergo surgery for their gender?Dr. Erica Anderson is an internationally recognized clinical psychologist and academic, specializing in Gender, Sexuality, and Identity. She served on the medical staff of the Youth Gender Clinic at the UCSF Benioff Children's Hospital and on the board of the World Professional Association for Transgender Health (WPATH).Dr. Jack Drescher is a Clinical Professor of Psychiatry at Columbia University and a Distinguished Life Fellow of the American Psychiatric Association (APA). In 2022, Dr. Drescher was a member of the APA's DSM-5 Workgroup on Sexual and Gender Identity Disorders – responsible for revising the definition of what is now referred to as “gender dysphoria.” An openly gay psychiatrist, Dr. Drescher has also served on the World Health Organization's workgroup revising sexual and gender diagnoses. Show NotesDefining gender [04:16]Shift in patients at pediatric gender clinics [11:20]The Canadian approach [16:33]Treatment options [20:11]Determining if a child will benefit from transition [27:04]Increase in cases [29:19]Risks and benefits of treatment [35:01]Level of caution for when to use medicines [42:46]Canadian vs Dutch approach [46:58]Question of rapid medicalization [49:14]Difficulty of the conversation [54:44]Comparison with gay marriage [57:24] Do you have questions or comments about this episode? Email us at podcast@thedisagreement.com or find us on X and Instagram @thedisagreementhq.

Sponsor special: Up to $2,500 of FREE silver AND a FREE safe on qualifying orders - Call 855-862-3377 or text “AMERICAN” to 6-5-5-3-2“They have young teenage patients showing up at the hospital with vaginal atrophy, uterine atrophy, bleeding pain,” says Canadian journalist Mia Hughes, the author of a 70-page report that scrutinizes a series of leaked internal files from the World Professional Association for Transgender Health (WPATH).“This is brand new territory. We've never done this to teenage girls before. They're just making it up as they go along. They're layering other drugs on top of the testosterone to try to cope with the very side effects that the testosterone has caused, never at any point questioning: is it a good idea to give these girls testosterone?” Ms. Hughes says.In this episode, she breaks down what was revealed in these leaked files.“Health care is supposed to improve health, not destroy it,” Ms. Hughes says.Views expressed in this video are opinions of the host and the guest, and do not necessarily reflect the views of The Epoch Times.

Mia Hughes, a journalist for the think tank Environmental Progress, discusses the controversy surrounding pediatric medical transition and the collision of trans rights with the rights of women and the LGB community. She authored the recently released WPATH files, which expose the World Professional Association for Transgender Health (WPATH) as an activist group with questionable medical practices. The conversation delves into the history of WPATH, its influence on healthcare for trans-identified people, and the lack of evidence supporting its treatment protocols. Mia highlights the ethical dilemmas and potential harm caused by the medicalization of gender identity and the irreversible interventions performed on minors. The conversation delves into the harmful effects of gender-affirming medical treatments, particularly on adolescents. Mia discusses the leaked internal discussions from the World Professional Association for Transgender Health (WPATH) and highlights the lack of scientific evidence and the political activism within the organization. They emphasize the importance of informed consent and the need to protect vulnerable individuals, especially minors, from irreversible medical interventions. The conversation also touches on the potential for future lawsuits and the contrasting approaches to gender-affirming care in North America and Europe. Support Theology in the Raw through Patreon: https://www.patreon.com/theologyintheraw

Dr. Marci Bowers is a pelvic and gynecologic surgeon with more than 32 years' experience. She is the president of WPATH – the World Professional Association for Transgender Health. Her gender diverse work has been highlighted through appearances on Oprah, CBS Sunday Morning, Discovery Health and the TLC reality series, “I am Jazz." She was interviewed in 2021 by Leslie Stahl for “60 Minutes.” Dr. Bowers is recognized as one of the 100 most influential LGBT people on the Guardian's World Pride Power List. She has performed more than 2250 primary Male-to-Female Vaginoplasties and 3900 Gender Affirming Surgeries overall. This episode is part of a series on trans rights. The impulse for these interviews is three bills currently moving through the Alaska State House: HB 183 which bans trans girls from playing girls sports; HB 105 which requires kids to get signed permission slips approving their preferred name and pronouns; and HB 338 which allows doctors to be sued up to 20 years after performing gender affirming procedures on trans youth.Alaska has many big problems. The pressing need to increase the funding of our public school system and finding a solution for an imminent energy crisis, for example. But instead of working on these very real, very substantial problems, we are spending the last weeks of session debating whether trans youth exist and have rights. They do exist; they do have rights.

Dr. Joshua Safer  is the executive director of the Mount Sinai Center for Transgender Medicine and Surgery in New York. He is the founding medical director of the Center for Transgender Medicine and Surgery at Boston University School of Medicine, and he was the inaugural president of the United States Professional Association for Transgender Health (USPATH).  He serves on the Global Education Initiative for the World Professional Association for Transgender Health (WPATH). Dr. Safer was a co-author of the Endocrine Society Guidelines for the medical care of transgender patients. This episode is part of a series on trans rights. The inspiration for these interviews is three bills currently moving through the Alaska State House: HB 183 which bans trans girls from playing girls sports; HB 105 which requires kids to get signed permission slips approving their preferred name and pronouns; and HB 338 which allows doctors to be sued up to 20 years after performing gender affirming procedures on trans youth.Alaska has many big problems. The pressing need to increase the funding of our public school system and finding a solution for an imminent energy crisis, for example. But instead of working on these very real, very substantial problems, we are spending the last weeks of session debating whether trans youth exist and have rights. They do exist; they do have rights.

Hi everyone, I'm excited to share another episode with you! This time the tone is somewhat more serious since this topic is of the utmost importance. Recently, hundreds of messages from an internal forum inside the World Professional Association for Transgender Health (WPATH) was leaked to the think tank “Environmental Progress”. I sit down with the author of this report, journalist Mia Hughes. She exposes its political and ideological agenda, shedding light on its influence in shaping transgender healthcare standards. Hughes delves into the social contagion aspect of the transgender issue and its parallels with psychiatric epidemics throughout history. This is the most important issue of our time, since the affected individuals are mostly teenagers and young poeple and the damage inflicted devestating and life-long. Thank you for your support and thank you for sharing!Psychobabble is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Psychobabble at hannahspier.substack.com/subscribe

Beth and Andrew speak with researcher Mia Hughes, author of the WPATH report that exposed the insanity of transgender medicine worldwide. Hughes gives us an overview of the organization, World Professional Association for Transgender Health (WPATH) and explains why they became so influential globally on transgender issues. She discusses some of the key findings of […]

Beth and Andrew speak with researcher Mia Hughes, author of the WPATH report that exposed the insanity of transgender medicine worldwide. Hughes gives us an overview of the organization, World Professional Association for Transgender Health (WPATH) and explains why they became so influential globally on transgender issues. She discusses some of the key findings of her report including the lack of informed consent, and the immense damage caused to children by cross-sex hormones and body mutilating surgeries.Mia Hughes is an Ottawa-based British journalist and researcher for Michael Shellenberger's nonprofit Environmental Progress. Hughes has three children and before becoming a journalist she was a stay-at-home mother.

Beth and Andrew speak with researcher Mia Hughes, author of the WPATH report that exposed the insanity of transgender medicine worldwide. Hughes gives us an overview of the organization, World Professional Association for Transgender Health (WPATH) and explains why they became so influential globally on transgender issues. She discusses some of the key findings of her report including the lack of... Source

Episode Summary.  What some say is the biggest medical scandal of our times was exposed last month when whistle blowers released internal files from the self-appointed, “experts” on transgender health, the World Professional Association for Transgender Health (WPATH) proving that WPATH's “transgender medicine guidelines” had no basis in actual science and violated the most basic medical guidelines for patient care. This episode explains what happened so that we can be better equipped to discredit the gender affirming care medical policy, which is destroying the lives of preteen and teens today, being recommended by this dishonest, ideologically-driven group.For Further Prayerful Thought:As you think back over just six of the ways credibility of WPATH has been destroyed, which stand out the most to you?What do you think is the strongest evidence that WPATH's recommended transgender treatment policies are based on radical gender ideology at the cost of universally agreed upon standards for patient care?When could you find time in your schedule to get better equipped by repeating this podcast or listening to the YouTube videos mentioned?In what sphere of your life might you have the opportunity to raise questions about the legitimacy of gender affirming medical care?Resources About Affirming Care and Transgenderism Anchoring Your Child to God's Truth in a Gender-Confused Culture Our Daughters and the Transgender Craze FREE Videos:  A Biblical  Response to Gender Confusion and  TransgenderismFor the printed version of this message click here.For a summary of topics addressed by podcast series, click here.For FREE downloadable studies on men's issues click here.To make an online contribution to enable others to hear about the podcast: (Click link and scroll down to bottom left)

The Alberta Government recently announced their intention to ban gender-affirming care for trans youth under the age of 18, despite contemporary research and internationally recognized best practices, as set out by the World Professional Association for Transgender Health (WPATH), agreeing that this could end up hurting many of those vulnerable youth. Additionally proposed measures for transgender minors also includes a ban on puberty blockers and parental consent for pronoun changes. Teachers and health professionals were largely not consulted, but more importantly, trans youth have had their voices completely ignored. If legislated into law, these measures could have serious consequences and make Alberta similar to most U.S. states controlled by Republican politicians. The speaker will contend this is blatant government overreach and legislated bias. Speaker: Katie DeLucia-Burk Katie DeLucia-Burk (she/her), is a registered social worker with a BSW from the University of Calgary. She is the sole consultant and educator for Queer Consulting YQL, through which she works with an array of service providers and institutions to foster belonging, transform systems and spaces, and address the systemic oppression of 2SLGBTQ+ folks. A self-identified queer, trans woman, Katie's work centers around community-based advocacy, trans feminist theory and research, and developing resources and policies to support marginalized communities. She has spoken at several national conferences on topics related to gender and sexuality, including the 2023 Moving Trans History Forward Conference at the University of Victoria where she presented on a teaching resource manual, of which she is a co-author, entitled Teaching Beyond the Gender Binary: A Resource Manual.

Dr. Roy Eappen is an endocrinologist and senior fellow for Do No Harm. The World Professional Association for Transgender Health (WPATH) Exposed For Pushing Experimental Surgeries For Minors

Last week, leaked files from the World Professional Association for Transgender Health (WPATH), considered the “leading global transgender healthcare body,” revealed that the clinicians who shape how so-called “gender medicine” is regulated and practiced around the world have been blatantly and knowingly ignoring medical ethics and informed consent all along. In this episode, Meghan Murphy speaks with Mia Hughes, author of the WPATH Files report, published by Environmental Progress. The Same Drugs is a fully independent, listener-supported podcast. Please consider ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠supporting us with a donation⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, beco⁠ming⁠ a ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patron⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠subscribing on Substack⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. You can watch select clips and episodes of The Same Drugs on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Full videos are available on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Substack⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Patreon,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and to YouTube channel members. You can support The Same Drugs on Spotify by ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠clicking the "support" button⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or you can ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠donate directly via Stripe⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. The Same Drugs is on X ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@thesamedrugs_⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Meghan Murphy is on X ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@meghanemurphy⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@meghanemilymurphy⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Purchase your very own ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Don't Drink the Kool Aid t-shirt at: meghanmurphy.ca⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. --- Support this podcast: https://podcasters.spotify.com/pod/show/the-same-drugs/support

In this week's episode, I am interviewing Andrea Phillips, ARNP, CNM, NMCP, a Nurse Practitioner and Certified Nurse-Midwife who specializes in reproductive and women's health and gender affirming care with a focus in sexual health and dysfunction. Andrea is the CEO and Founder of Spectrum Reproductive Health and Gender Affirming Care which she founded on Maternity Leave in November 2022. Spectrum is located in Bellingham, WA and provides in person care and telehealth services for WA residents. She prides herself on providing sex and body affirming care through a feminist, trauma informed lens and has sought additional education through the International Society for the Study of Women's Sexual Health (ISSWSH), North American Menopause Society (NAMS) and is a Menopause Certified Provider , World Professional Association for Transgender Health (WPATH) and the The Fenway Institute and she is proud to be a Health at Every Size (HAES) provider. She credits entrepreneurship for establishing her freedom and sanity, and is always happy to tell other providers- they can do it! In this episode, tune in to learn.. Why a traditional role didn't fit how she wanted to provide care How she built her private practice while on maternity leave The best advice she has for other NPs who want to start a practice Contact Information for Andrea: Website: https://www.spectrumreproductivehealth.com/ Instagram: @spectrumreproductivehealth Ready to build a successful private practice? Get the FREE training and Private Practice Startup Checklist here. More at www.nurseslivingthegoodlife.com

Our guest this time is Dr. Pebble Kranz from the Rochester Center for Sexual Wellness. She is a Family Medicine doctor with a background in theater who now specializes in sexual medicine. Mentored by a beloved sex therapist, the late Gina Ogden, she has been trained in sexual medicine through the European Society of Sexual Medicine and became a Fellow of the European Committee on Sexual Medicine (FECSM) in 2018. Because one training program is never enough, she also has trained with the International Society for the Study of Women's Sexual Health (ISSWSH), the American Association of Sexuality Counselors Educators and Therapists (AASECT), and the World Professional Association on Transgender Health (WPATH) where she is pursuing certification in gender-affirming medical care. Dr. Kranz founded the Rochester Center for Sexual Wellness with her husband Dan Rosen, a sex therapist and supervisor in 2017. They see patients and clients of all genders and also do training for therapists interested in becoming sex therapists and sexuality counselors. Since 2021, she has been honored to serve on the board of the Scientific Network on Female Sexual Health and Cancer. Pebble talks with Sabitha and Jane about seeing her patients as whole people, exploring their life stories, asking what sex means to them in their own bodies, and enjoys teaching about so many areas of sexual health and wellness. If you're interested in more information about Pebble Kranz, please check out her page on the Rochester Center for Sexual Wellness website. If you want to catch up on other shows, just visit our website and please subscribe! We love our listeners and welcome your feedback, so if you love Our Better Half, please give us a 5-star rating and follow us on Facebook and Instagram. It really helps support our show! As always, thanks for listening!  

In this week's episode, we speak with Dr David Azul (they/them) and Dr Sterling Quinn (he/they). They discuss ways that 'minority stress' can be experienced by trans and gender diverse individuals, and how speech pathologists and institutions can support the inclusion and wellbeing of service users, colleagues, research participants, and others. Resources: World Professional Association for Transgender Health (WPATH): https://www.wpath.org/ WPATH Standards of Care: https://www.wpath.org/soc8 Australian Professional Association for Trans Health (AusPATH): https://auspath.org.au/ AusPATH Standards of Care: https://auspath.org.au/standards-of-care/ The Walkern Katatdjin (Rainbow Knowledge) project from Telethon Kids – this project aims to understand and promote the mental health and wellbeing of Aboriginal and Torres Strait Islander LGBTQA+ young people: https://www.telethonkids.org.au/projects/walkern-katatdjin-rainbow-knowledge/ Shakara Liddelow-Hunt (they/she) and the community advisory team behind the Walkern Katatdjin project – during the podcast Dr Quinn referenced discussion from this research team's recent presentation at the 2023 AusPATH conference regarding how trans and gender diverse First Nations individuals often feel they need to leave one aspect of their identity ‘at the door' when accessing health services: https://www.telethonkids.org.au/contact-us/our-people/l/shakara-liddelow-hunt/ LaTrobe University Short Course – Speech pathology with trans and gender diverse people: https://www.latrobe.edu.au/courses/short-courses/speech-pathology-with-trans-and-gender-diverse-people Dr David Azul profile and publications: https://scholars.latrobe.edu.au/dazul and https://scholar.google.com/citations?user=XPZaESEAAAAJ&hl=en Dr Sterling Quinn profile and publications: https://scholars.latrobe.edu.au/qquinn/publications and https://scholar.google.com/citations?hl=en&user=D21TX2AAAAAJ&view_op=list_works&sortby=pubdate Transcripts for this and other Season 5 (2023) episodes are available at no cost on SPA's Learning Hub. Go to: https://www.speechpathologyaustralia.org.au/Public/Shared_Content/Events/On-Demand-Learning.aspx?hkey=940859e8-0efc-4ba2-83be-11f49e616542. Filter – Format – Podcast – Search Select the podcast of your choice Enrol (you will need to sign in or create an account) Add to cart – Proceed to checkout – Submit You will receive an email Order Confirmation with a link back to the Learning Hub The Podcast and transcript will be available in your Learning Centre Search for If you would like a free transcript from a previous season, please email learninghub@speechpathologyaustralia.org.au.

Drs Sandhya Srinivas and Aria F. Olumi discuss barriers to prostate cancer screening, diagnosis and treatment for transgender patients, and ways to provide gender-affirming, wraparound care. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/988738). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals. Resources Prostate Cancer https://emedicine.medscape.com/article/1967731-overview Prostate Cancer in Transgender Women: What Does a Urologist Need to Know? https://pubmed.ncbi.nlm.nih.gov/34157213/ How Many Adults and Youth Identify as Transgender in the United States? https://williamsinstitute.law.ucla.edu/publications/trans-adults-united-states/ Gender-Affirming Hormone Therapy: An Updated Literature Review With an Eye on the Future https://pubmed.ncbi.nlm.nih.gov/34982475/ Gender Affirming Surgery: A Comprehensive, Systematic Review of All Peer-Reviewed Literature and Methods of Assessing Patient-Centered Outcomes (Part 1: Breast/Chest, Face, and Voice) https://pubmed.ncbi.nlm.nih.gov/33443903/ Gender Affirming Surgery: A Comprehensive, Systematic Review of All Peer-Reviewed Literature and Methods of Assessing Patient-Centered Outcomes (Part 2: Genital Reconstruction) https://pubmed.ncbi.nlm.nih.gov/34914663/ Prostate-Specific Antigen Testing https://emedicine.medscape.com/article/457394-overview Prostate Cancer Incidence Under Androgen Deprivation: Nationwide Cohort Study in Trans Women Receiving Hormone Treatment https://pubmed.ncbi.nlm.nih.gov/32594155/ Consensus on the Treatment and Follow-up for Metastatic Castration-Resistant Prostate Cancer: A Report From the First Global Prostate Cancer Consensus Conference for Developing Countries (PCCCDC) https://pubmed.ncbi.nlm.nih.gov/33856891/ Prostate-specific Antigen Screening in Transgender Patients https://pubmed.ncbi.nlm.nih.gov/36344317/ Multiparametric MRI for the Evaluation of Prostate Cancer https://pubmed.ncbi.nlm.nih.gov/35704822/ BRCA2 Gene Mutation and Prostate Cancer Risk. Comprehensive Review and Update https://pubmed.ncbi.nlm.nih.gov/31915789/ PSMA PET-CT in the Diagnosis and Staging of Prostate Cancer https://pubmed.ncbi.nlm.nih.gov/36359439/ World Professional Association for Transgender Health (WPATH) https://www.wpath.org/

In this episode, we sit down with Dr. Laura Edwards-Leeper, a pioneer in our understanding of youth gender transition. Dr. Edwards-Leeper is a licensed clinical psychologist specializing in gender and Professor Emerita of the School of Graduate Psychology at Pacific University in Oregon. She works with gender diverse and transgender children, adolescents and adults. Dr. Edwards-Leeper was a member of the American Psychological Association Task Force that developed practice guidelines for working with trans individuals. She was the past Chair of the Child and Adolescent Committee for the World Professional Association for Transgender Health (WPATH) and was involved in the WPATH Standards of Care (SOC) 8 revision. Dr. Edwards-Leeper is credited as a pioneer in the field of youth gender medicine in the United States, having served as the founding psychologist at the first pediatric gender clinic in the country, at Boston Children's Hospital, which helped bring medical transition options for minors starting in the mid 2000s. We are especially grateful to Laura for her patience with us during a recording mishap. Dr. Laura Edwards-Leeper's webpage  Her piece in the Washington Post and interview for News Nation Our prior conversation with Dr. Erica Anderson is mentioned in this episode.  Should psych eval be necessary for trans healthcare?  https://www.medicalaccidentgroup.co.uk/news/do-you-regret-having-cosmetic-surgery/  https://www.icij.org/investigations/implant-files/breast-implant-injuries-kept-hidden-as-new-health-threats-surface/ https://www.oregon.gov/obo/Documents/minor-rights.pdf https://www.independent.co.uk/news/uk/support-national-centre-for-social-research-ehrc-bsa-great-britain-b2415501.html  Detransition needs further understanding, not controversy Gallup Polling on LGBTQ identity

Join Chloe Corcoran as she interviews experts Drs. Kimberly Balsam and Clark Ausloos on their career paths in LGBTQ Psychology & the Evolving Field of Counseling. "Career Paths in LGBTQ Psychology & the Evolving Field of Counseling" explores the intricate and fascinating journeys of our esteemed guests, Dr. Balsam and Dr. Ausloos. Both have taken unique paths in their careers, focusing on the significant issues within LGBTQ psychology. In this episode, we'll delve into their research, the critical importance of diversity in the field, and the alarming effects of anti-LGBTQ legislation. We will uncover the vital role of intersectionality, understanding relationships between minoritized identities, and the challenges faced by LGBTQ and trans communities. Furthermore, we'll explore the immediate need for counseling in support of LGBTQ populations. Join us as we navigate through these essential topics, revealing insights and wisdom from the forefront of counseling and LGBTQ mental health. Check out our Host: Chloe Corcoran (She/Her) serves as the inaugural Director of Alumni Relations for Palo Alto University. Recently, she was cast in the first of its kind audio reality show, “BEING: Trans” which explores the lives of a group of transgender people living in Los Angeles. Articles about this project have appeared in the New York Times, among other media outlets, and she has appeared on a billboard in Times Square along with being honored by the LA Dodgers for her activism. Check out our Guests: Dr. Clark D. Ausloos earned a Bachelors of Fine Arts in Musical Theatre and Dance from the University of Wisconsin Stevens-Point (2008). He traveled across the US, performing, teaching, and educating. It was then he realized his passion for working with people in a deeper way, through counseling. Dr. Ausloos received his MA in Counseling, with both school and clinical counseling foci (2017), and later his PhD in Counselor Education from the University of Toledo (2020). Dr. Ausloos is a licensed school and clinical counselor, as well as a national certified counselor. Dr. Ausloos has worked in elementary, intermediate, and junior high school settings, as well as private practice, and in higher education. Kimberly F. Balsam, Ph.D., is a Professor in the Psychology Department at Palo Alto University, where she is the Director of the Center for LGBTQ Evidence-Based Applied Research (CLEAR) and of the LGBTQ Area of Emphasis in the Clinical Psychology PhD program.  She received her M.S. in Counseling Psychology from the University of Oregon in 1994 and her Ph.D. in Clinical Psychology from the University of Vermont in 2003.  She has a 20-year history of clinical practice in a range of settings including community mental health and private practice and has worked extensively with LGBTQ+ clients across the lifespan.  She has been conducting and publishing innovative research on LGBTQ+ psychology since the 1990s, on topics including trauma, minority stress, mental health, and LGBTQ+ families and intimate relationships.  She has led and collaborated on numerous projects to develop and test culturally relevant assessment tools for LGBTQ+ specific constructs.   Episode Resources:  Society for Sexual, Affectional, Intersex, and Gender Expansive Identities (SAIGE): https://saigecounseling.org/ Gay, Lesbian, Straight Education Network (GLSEN): https://www.glsen.org/ Human Rights Campaign (HRC): https://www.hrc.org/ National Center for Transgender Equality: https://transequality.org/ World Professional Association for Transgender Health (WPATH): https://www.wpath.org/

One recent study shows that only 4% of trans youth with supportive parents attempted suicide, while 57% with unsupportive parents committed suicide… In the current political landscape, transgender healthcare and rights have been used to stoke political divisiveness, creating confusion and perpetuating misinformation. As healthcare providers, it is important to focus on the facts and how to provide inclusive care and support the health and well-being of the transgender community, especially during these tumultuous times. In this episode, Dr. Tony Urbina, Professor of Medicine from Mt. Sinai Health System and Medical Director of the New York State CEI HIV Primary Care and Prevention Center of Excellence, speaks with Carolyn Wolf-Gould, MD, founder of the Gender Wellness Center in Susquehanna, New York. Dr. Wolf-Gould began practicing transgender medicine in 2007, when her first trans patient begged her to get educated on transgender care so she could provide treatment. She is a member of the World Professional Association for Transgender Health (WPATH), and trains healthcare professionals on how to include transgender health services within a primary care setting. Dr. Wolf-Gould and The Gender Wellness Center clinicians provide a broad range of patient care services- from medical and mental health care to research and legal advocacy. They provide care for all who consider themselves “under the transgender umbrella,” including individuals who identify as transgender, gender-expansive, or non-binary. Related Content: The Gender Wellness Center Article about Dr. Wolf-Gould and the Gender Wellness Center Dr. Antonio Urbina LinkedIn  CEI toll free line for NYS providers: 866-637-2342 https://ceitraining.org/

In this episode of BackTable Urology, Dr. Esther Han (USMD Hospital) and Dr. Richard Santucci (Crane Center) discuss genital gender affirming surgery techniques and postoperative management. --- SHOW NOTES First, Dr. Santucci discusses his career pivot from academic trauma reconstruction to private practice gender affirming reconstruction. After 17 years at Detroit Medical Center as director of trauma reconstruction fellowship, he left his position to learn gender-affirming surgery at the Crane Center in Austin, Texas. He was drawn to gender affirming surgery because of the dynamic techniques and novel research in the field. Next, the doctors review of vocabulary for transgender patients. Dr. Crane notes that vocabulary is always changing and advises doctors to not assume a patient's gender or surgical preferences based on appearance. Additionally, Dr. Han explains why using the word “normal” over medically correct terms can confuse and cause discomfort in patients. Next, Dr. Santucci summarizes the gender affirming surgeries he performs. He explains trans women surgeries, such as full vaginoplasty and vulvoplasty. In trans men, he performs metoidioplasty and phalloplasty. However, Dr. Santucci emphasizes that patients are given the freedom to customize their own surgeries by picking which anatomical parts they would like to keep, change, or remove. Complications, such as urethral strictures and infections may occur in all these surgeries. Additionally, he emphasizes the need for addressing fertility with trans men, as some of them would like to keep their ovaries for egg harvesting. Then, the doctors discuss the recent change in World Professional Association for Transgender Health (WPATH guidelines), which now only require one letter from a therapist instead of two in order to receive genital surgery; however, insurance companies may require more letters. The doctors also contemplate the presence of post-operative regret, since gender affirming surgery is difficult to reverse. Dr. Santucci explains that regret is often tied to postoperative complications. Then, he delves deeper into the management of phalloplasty complications, such as postoperative incontinence, postoperative infections, and erosions. He also emphasizes the importance of prostate cancer screening for trans women. Although it is rare, the prostate cancer they develop is testosterone independent, making it more difficult to treat and more aggressive. Finally, Dr. Santucci shares what a typical week in his life looks like and reflects on how multidisciplinary collaboration in the OR has made his operations more efficient and effective.

This episode is being rereleased as part of our Top 5 Episodes of 2022 Countdown! Bio: Steensma Thomas D. Steensma, Ph.D., is a health psychologist, principal investigator and part of the outpatient management team at the Center of Expertise on Gender Dysphoria at Amsterdam UMC, The Netherlands. Trained as a child and adolescent psychologist, his clinical work is focused on the counseling and treatment of people of all ages with gender incongruence and Differences in Sex Development (DSD). As principal investigator, his research lines are focused on psychosexual development, gender identity development and treatment evaluation of youth with gender incongruence. Over the years, he has published over 50 peer reviewed articles in international journals and several book chapters in close collaboration with prominent scientists in the field of gender and sexology. He has co-supervised several Ph.D. and master students. His recent scientific work is focused on understanding the developments in our field focusing on the change in observed sex ratios and the influence of media attention on gender referrals and understanding the processes and factors involved in non-binary gender identity formation. He is currently part of the working group for the text revision of the DSM-5 chapter on Gender Dysphoria. In the development of the 8th version of the Standards of Care of the World Professional Association of Transgender Health (WPATH), he is part of two working groups: Assessment and Therapeutic Approaches of Non-Binary People and Assessment, Support and Therapeutic Approaches of Children. Bio: de Vries Annelou de Vries is a child and adolescent psychiatrist and full staff member in the dept of child and adolescent psychiatry working at the Amsterdam UMC. Annelou de Vries is leading the Child Psychiatry Department of the Center of Expertise on Gender Dysphoria of the Amsterdam UMC. She is president elect of the European Professional Association of Transgender Health (EPATH) . She is co-chair of the adolescent chapter of the Standards of Care revision of the World Professional Association of Transgender Health (WPATH). At present, her lines of research focus on 1) the co-occurrence of autism and gender dysphoria, 2) capacity for informed consent of transgender adolescents, 3) long term follow up of transgender adolescence into middle adulthood, 4) sexual development of transgender adolescents, 5) shared decision making in transgender care, and 6) pathways in gender identity exploration and affirmation. The reason this interview is so important is bc the concept of puberty blockers originated with these two researchers (along w/ cohen kettenis.) We talk about patient zero and the 22 year follow up w/ this person. We get into the nitty gritty details about the 2 studies on which all puberty blocker treatment is based: we ask why they selected certain methods, talked about eligibility criteria, and the 15 participants who didn't make it into the final study. We even touch on Jazz Jennings, social media, ROGD and detransition. This conversation felt, to us at least, like we barely scratched the surface: we were frankly left with more questions than answers, which we are so eager to talk about in our post series analysis. You'll probably notice the vast differences between the perspectives of these researchers and of myself and Stella, but...

Medical school is hard. Minority identities and the subsequent micro-aggressions add further complexity and difficulty. In this episode, join Molly & Rachel as they chat with Malia Schram (Class of 2023) about their experience as a gender-minority medical student, how they have discovered allies, maneuvered difficult situations throughout training, and found their voice in advocacy and teaching roles.Resources:Connect with Malia at schramma@mail.uc.edu!UCSF Center of Excellence for Transgender HealthEquitas Health in CincinnatiJoin the World Professional Association for Transgender Health (WPATH)!WPATH Standards of Care 8

This week on A Special Place in Hell, the girls/women spend way too much time on names. Are you a racist for mispronouncing Nimrata Nikki Randhawa? (Yes). Is the aforementioned a white supremacist for changing her name to Nikki Haley? (Yes). Should Meghan become Meghan X Daum? (Definitely). Why did George W. Bush call his wife “Bushie”? (Unclear). The girls/women then move on to a lighter topic: the new guidelines announced at the recent World Professional Association for Transgender Health (WPATH) annual meeting, which contain protocols for gender-affirming surgeries on minors and, at long last, recognize a new protected identity, “eunuch.” Fully aware that they have not covered the topic of g*nder nearly enough on the podcast, they make up for lost time by going down a number of fetid rabbit holes exploring a number of avenues, including Rapid Onset Gender Dysphoria, the televised gender journey of Jazz Jennings, and mothers with Munchausen by proxy syndrome. The last item leads them to their second favorite activity after talking about g****r—blaming women for societal ills. On the BONUS segment, for paying subscribers only, the ladies/lassies go through an OKCupid blog picked by Sarah, and determine whether their podcast marriage is meant to last. Subscribe now to hear the BONUS content, and unlock the comment section where you can complain about it to your heart's desire! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit aspecialplace.substack.com/subscribe

Hour 2 of The Dawn Stensland Show: On Saturday, Democrat candidate for U.S. Senate John Fetterman spoke to a crowd in Scranton, Pennsylvania. During the campaign rally, Fetterman accused his political opponent Dr. Mehmet Oz of being from New Jersey—calling him a “joke” and a “clown.” While speaking with Fox News Digital, Maureen Faulkner—the widow of murdered Philadelphia police officer Daniel Faulkner—criticized PA Lt. Governor John Fetterman for appointing a friend of her husband's killer to Secretary of Pennsylvania's Board of Pardons. Faulkner warns that Fetterman's policies make crime in big cities even worse. Is Democrat gubernatorial candidate Josh Shapiro suddenly advocating in favor of school choice? According to his campaign website, Shapiro is calling for “adding choices for parents and educational opportunity for students and funding lifeline scholarships.” Corey DeAngelis notes in his Wall Street Journal opinion editorial that the school choice language “was absent” from his website “as of September 7.” Assistant Secretary of the U.S. Department of Health and Human Services Dr. Rachel Levine spoke at the World Professional Association for Transgender Health (WPATH). The organization advocates for free access to trans-affirmative care.

In this episode feminist writer and researcher Genevieve Gluck returns to the podcast to expose the origins and drivers behind the World Professional Association for Transgender Health (WPATH), the world authority on medical protocols for treating youth with so-called "gender dysphoria." Many parents of trans-identified youth consider WPATH the place to get answers as WPATH sets the guidelines for gender clinics across the world. Genevieve unpacks the trans-eunuch connection, how pornography lays the groundwork for pedophilia and the striking parallels between the Russian Skoptsy cult and modern-day techno-infused transgenderism. Genevieve encourages listeners to shift energy to developing an understanding of history and how it repeats itself, instead of acting from a place of defense. Genevieve is the Co-Founder of Reduxx, and the outlet's Chief Investigative Journalist with a focused interest in pornography, sexual predators, and fetish subcultures. A global nomad, she is currently living in Japan, and is the creator of the podcast Women's Voices. Top Trans Medical Association Collaborated With Castration, Child Abuse Fetishists: https://reduxx.info/top-trans-medical-association-collaborated-with-castration-child-abuse-fetishists/ Top Academic Behind Fetish Site Hosting Child Sexual Abuse Fantasy, Push To Revise WPATH Guidelines: https://reduxx.info/top-academic-behind-fetish-site-hosting-child-sexual-abuse-fantasy-push-to-revise-wpath-guidelines/ Reduxx: https://reduxx.info/ ➢➢➢ SUPPORT THE PODCAST | https://www.paypal.com/paypalme/whosebodyisit?locale.x=en_US 1:1 COACHING SOVEREIGN WOMEN | https://www.whosebodyisit.com/coaching-for-sovereign-women HYPNOSIS FOR HEALING & RADICAL CHANGE | https://www.whosebodyisit.com/hypnosis SHOP ACTIVIST STICKERS | https://www.whosebodyisit.com/shop INSTAGRAM | https://www.instagram.com/whosebodyisit/

The World Professional Transgender Health Association is releasing new standards of care for the first time in a decade. Emily Bazelon, staff writer for The New York Times Magazine, co-host of Slate's "Political Gabfest" podcast, Truman Capote fellow for creative writing and law at Yale Law School and author of Charged: The New Movement to Transform American Prosecution and End Mass Incarceration (Random House, 2019), and Scott Leibowitz, child and adolescent psychiatrist and co-lead on the adolescent chapter for the Standards of Care from the World Professional Association for Transgender Health (WPATH), discuss how the medical community is split on the best treatment for transgender teenagers, and how politics has complicated the situation for doctors, families and transgender Americans.

Amid discourse about whether gender affirming care should be available to kids who identify as trans, we wanted to hear what trans health advocacy organizations are actually advocating for. On Today's Show:The World Professional Transgender Health Association is releasing new standards of care for the first time in a decade. Emily Bazelon, staff writer for The New York Times Magazine, co-host of Slate's "Political Gabfest" podcast, Truman Capote fellow for creative writing and law at Yale Law School and author of Charged: The New Movement to Transform American Prosecution and End Mass Incarceration (Random House, 2019), and Scott Leibowitz, child and adolescent psychiatrist and co-lead on the adolescent chapter for the Standards of Care from the World Professional Association for Transgender Health (WPATH), discuss how the medical community is split on the best treatment for transgender teenagers, and how politics has complicated the situation for doctors, families and transgender Americans.

This week's episode aims to normalize the idea of the loss of your kid not being who you imagined who they would be. This is a universal experience for parents as most kids, once they start developing their own identities, start to have interests and hobbies that may not align with what you'd imagined for them. Dr. Laura Anderson brings on Lisette Lahana, LCSW to share her expertise in how grief affects families who raise a gender expansive child. Lisette Lahana is a licensed clinical social worker with Bachelor degrees in Critical Gender Studies and Psychology and a Masters of Social Work from Smith College. Her extensive experience providing gender affirming care to transgender, non binary, intersex, those questioning and people who are re-transitioning spans over 23 years. She is a certified member and mentor with World Professional Association for Transgender Health (WPATH) since 2002. Lisette has a full-time psychotherapy practice where she works individually with clients of all ages with a primary focus on gender. What You Will Learn: How grief can be affirming of a gender expansive child and how it can get in the wayYou can grieve aspects of a child's gender journey without grieving who they are It's okay to let your child know you're struggling ( including do's and don'ts for how to share that) The two types of ambiguous lossWhen you find ways to grieve the loss of your own expectations, you make room to celebrate your child Resources:https://www.lisettelahana.com/

The reason this interview is so important is bc the concept of puberty blockers originated with these two researchers (along w/ cohen kettenis.) We talk about patient zero and the 22 year follow up w/ this person. We get into the nitty gritty details about the 2 studies on which all puberty blocker treatment is based: we ask why they selected certain methods, talked about eligibility criteria, and the 15 participants who didn't make it into the final study. We even touch on Jazz Jennings, social media, ROGD and detransition. This conversation felt, to us at least, like we barely scratched the surface: we were frankly left with more questions than answers, which we are so eager to talk about in our post series analysis. You'll probably notice the vast differences between the perspectives of these researchers and of myself and Stella, but nonetheless it was a productive and fascinating conversation.  Bio: Steensma  Thomas D. Steensma, Ph.D., is a health psychologist, principal investigator and part of the outpatient management team at the Center of Expertise on Gender Dysphoria at Amsterdam UMC, The Netherlands.  Trained as a child and adolescent psychologist, his clinical work is focused on the counseling and treatment of people of all ages with gender incongruence and Differences in Sex Development (DSD).  As principal investigator, his research lines are focused on psychosexual development, gender identity development and treatment evaluation of youth with gender incongruence. Over the years, he has published over 50 peer reviewed articles in international journals and several book chapters in close collaboration with prominent scientists in the field of gender and sexology. He has co-supervised several Ph.D. and master students.  His recent scientific work is focused on understanding the developments in our field focusing on the change in observed sex ratios and the influence of media attention on gender referrals and understanding the processes and factors involved in non-binary gender identity formation.  He is currently part of the working group for the text revision of the DSM-5 chapter on Gender Dysphoria. In the development of the 8th version of the Standards of Care of the World Professional Association of Transgender Health (WPATH), he is part of two working groups: Assessment and Therapeutic Approaches of Non-Binary People and Assessment, Support and Therapeutic Approaches of Children.     Bio: de Vries  Annelou de Vries is a child and adolescent psychiatrist and full staff member in the dept of child and adolescent psychiatry working at the Amsterdam UMC.  Annelou de Vries is leading the Child Psychiatry Department of the Center of Expertise on Gender Dysphoria of the Amsterdam UMC. She is president elect of the European Professional Association of Transgender Health (EPATH) . She is co-chair of the adolescent chapter of the Standards of Care revision of the World Professional Association of Transgender Health (WPATH).   At present, her lines of research focus on 1) the co-occurrence of autism and gender dysphoria, 2) capacity for informed consent of transgender adolescents, 3) long term follow up of transgender adolescence into middle adulthood, 4) sexual development of transgender adolescents,  5) shared decision making in transgender care, and 6) pathways in gender identity exploration and affirmation.  Links: Young adult psychological outcome after puberty suppression and gender reassignment  https://pubmed.ncbi.nlm.nih.gov/25201798/ (https://pubmed.ncbi.nlm.nih.gov/25201798/)     Puberty suppression in adolescents with gender identity disorder: a prospective follow-up study  https://pubmed.ncbi.nlm.nih.gov/20646177/ (https://pubmed.ncbi.nlm.nih.gov/20646177/)       Extended Notes When did Thomas and Annelou first hear about the concept of puberty blockers? Thomas

CW: Discussion of trans issues and experiences, including transphobia. Associated Links: Blog link: https://harrisees.wordpress.com/2021/12/01/harper-existing/ Youtube (where this content is replicated): https://www.youtube.com/channel/UCoS6H2R1Or4MtabrkofdOMw Twitter: https://twitter.com/TracieHarris Pinterest: https://www.pinterest.com/tharris1773/ Paypal: http://paypal.me/athomeinmyhead Helpful Resources: The World Professional Association for Transgender Health (WPATH): https://wpath.org/ PFLAG Hotlines (for LGBTQ+, friends, and family members): https://pflag.org/hotlines National Center for Transgender Equality (Educational Resources): https://transequality.org/issues/resources/understanding-transgender-people-the-basics Human Rights Campaign (Educational Resources for understanding Transgender Community): https://www.hrc.org/resources/understanding-the-transgender-community Kaiser Permanente's Transgender Care page: https://thrive.kaiserpermanente.org/care-near-you/northern-california/eastbay/departments/transgender-care/?fbclid=IwAR2EKntg_Rtoh0KAzbojVwaf3LKf1UWge5A_EeYGKSlh7dTyja9MNzRfldg Music Credits: “Wishful Thinking” - Dan Lebowitz [https://www.youtube.com/channel/UCOg3zLw7St5V4N7O8HSoQRA] “Laugh and Cry” - The Mini Vandals [https://www.youtube.com/channel/UCTdSDPjB1kle7puRKAuHP_g] --- Support this podcast: https://anchor.fm/tracie-harris/support

We are back!  And we are very happy to bring this very interesting season 3 episode with Dr. Laura Edwards-Leeper.   Dr. Edwards-Leeper was the founding psychologist in the first youth transgender clinic in the United States — the first one to prescribe puberty blockers to transgender youth. Dr. Edwards-Leeper is Professor Emerita at Pacific University and is currently the chair of the Child and Adolescent Committee for the World Professional Association for Transgender Health (WPATH). She is heavily involved in the revision of the WPATH Standards of Care and served on the American Psychological Association subcommittee that developed guidelines for working with transgender individuals and on a Substance Abuse and Mental Health Services Administration (SAMHSA) committee that created a consensus statement about the harm in using conversion therapy for LGBT youth. She has a private practice outside of Portland, OR where she works with transgender and gender diverse children, adolescents, and adults for therapy and assessment. She also provides consultation and training to providers and clinics around the country and internationally. She has multiple publications is often a go-to source for media outlets, including The New York Times, The Atlantic, the Washington Post, the BBC, and most recently, 60 Minutes.   OTHER ARTICLES MENTIONED IN SHOW Individuals Treated for Gender Dysphoria with Medical and/or Surgical Transition Who Subsequently Detransitioned: A Survey of 100 Detransitioners. Littman L. (2021). Archives of Sexual Behavior. [link to paper]. The Use of Methodologies in Littman (2018) Is Consistent with the Use of Methodologies in Other Studies Contributing to the Field of Gender Dysphoria Research: Response to Restar (2019). Littman L. (2020). Archives of Sexual Behavior. [link to paper] Restar A. J. (2020). Methodological Critique of Littman's (2018) Parental-Respondents Accounts of "Rapid-Onset Gender Dysphoria". Archives of sexual behavior, 49(1), 61–66. https://doi.org/10.1007/s10508-019-1453-2 [link to paper] Correction: Parent reports of adolescents and young adults perceived to show signs of a rapid onset of gender dysphoria. Littman L. (2019). PLOS ONE. [link to paper] Parent reports of adolescents and young adults perceived to show signs of a rapid onset of gender dysphoria. Littman L. (2018). PLOS ONE. [link to paper]

CW: Discussion of trans issues and experiences, including transphobia. Associated Links: Blog link: https://harrisees.wordpress.com/2021/10/23/devon-existing/ Youtube (where this content is replicated): https://www.youtube.com/channel/UCoS6H2R1Or4MtabrkofdOMw Twitter: https://twitter.com/TracieHarris Pinterest: https://www.pinterest.com/tharris1773/ Paypal: http://paypal.me/athomeinmyhead Helpful Resources: The World Professional Association for Transgender Health (WPATH): https://wpath.org/ PFLAG Hotlines (for LGBTQ+, friends, and family members): https://pflag.org/hotlines National Center for Transgender Equality (Educational Resources): https://transequality.org/issues/resources/understanding-transgender-people-the-basics Human Rights Campaign (Educational Resources for understanding Transgender Community): https://www.hrc.org/resources/understanding-the-transgender-community Music Credits: “Wishful Thinking” - Dan Lebowitz [https://www.youtube.com/channel/UCOg3zLw7St5V4N7O8HSoQRA] “Islabonia” - An Jone [https://www.youtube.com/channel/UC62kkm-YDckzDJn2Njo72gA] --- Support this podcast: https://anchor.fm/tracie-harris/support

Part two of Gender Nuance, a three-part series for the week of October 4, 2021 In part two of this week's three-part “Gender Nuance” series, Dr. Laura Edwards-Leeper returns to answer questions from “Jolene and Marie,” two pseudonymous moms of gender-dysphoric kids who were originally interviewed on The Unspeakable last July. Dr. Edwards-Leeper, who talked alone with Meghan in part one of this series, speaks about what is involved in a comprehensive assessment of a young person seeking medicalized treatment for gender dysphoria, how such dysphoria can exist independently of being transgender, and how and why an ideological rift has emerged within her field and, in her view, shut down crucial and lifesaving dialogue within the medical establishment. She also explains how the cohort of patients who are over eighteen but younger than mid-twenties can be especially vulnerable to the inadequacies of a system that often does not coordinate psychological care with medical intervention. Guest Bio: Dr. Edwards-Leeper is an Associate Professor in the School of Graduate Psychology at Pacific University in Hillsboro, Oregon. She also works with clients through her private practice in Beaverton, Oregon. Dr. Edwards-Leeper was a member of the American Psychological Association Task Force that developed practice guidelines for working with transgender individuals. She is currently the Chair of the Child and Adolescent Committee for the World Professional Association for Transgender Health (WPATH) and is involved in the WPATH Standards of Care (SOC) 8 revision. She is an ally to the LGBTQ community and is considered an international expert in this field.

Part one of Gender Nuance, a three-part series for the week of October 4, 2021 Clinical psychologist Dr. Laura Edwards-Leeper has worked with transgender and gender questioning youth since 2007 and has helped facilitate many successful medical transitions in young people. She has also, in the last year or so, begun to publicly voice concerns that some clinicians in her field have adopted a philosophy that overlooks, even eschews, the importance of proper patient assessment. In this conversation, the first of a three-part series this week, Dr. Leeper talks with Meghan about the concept of “gender affirming care” and how lack of access to specialized care can lead young patients to providers who follow protocols for adult patients, which may or may not be appropriate. She describes how she works with her own patients and talks about why something as fundamental as proper assessment has become so controversial in her field. Guest Bio: Dr. Edwards-Leeper is an Associate Professor in the School of Graduate Psychology at Pacific University in Hillsboro, Oregon. She also works with clients through her private practice in Beaverton, Oregon. Dr. Edwards-Leeper was a member of the American Psychological Association Task Force that developed practice guidelines for working with transgender individuals. She is currently the Chair of the Child and Adolescent Committee for the World Professional Association for Transgender Health (WPATH) and is involved in the WPATH Standards of Care (SOC) 8 revision. She is an ally to the LGBTQ community and is considered an international expert in this field.

Join Queer RelationTips host, Isaac Archuleta, as he sits down with Dr. Lin Fraser, a past president of the World Professional Association for Transgender Health (WPATH). Dr. Fraser speaks about her experiences as a professional counselor working with the LGBTQ+ population and specifically the progression of trans mental health. 

With the Tokyo Olympics coming in July, some are looking at August 2 with a weather eye. That will be the day of the women's 87+ kg weightlifting competition. It will also be the day that New Zealand's Laurel Hubbard will step into Olympic history as possibly the first transgender athlete to participate in an individual event at the games. It is a moment she has been working for since 2015. It is also a moment that some don't want to see happen. Amid the growing "debate" over transgender rights is the often forgotten human variable. Transgender athletes are often casted in a light that dehumanizing. Dr. Jaimie Veale, a senior lecturer in psychology at Waikato University has studied such issues at length as a board member of the World Professional Association for Transgender Health (WPATH), and a founding president of the Professional Association for Transgender Health  Aotearoa (PATHA). Most recently Veale has organized an effort to quantify the state of transgender New Zealand toward building better human rights and health care policy. Veale has been outspoken on the press coverage toward Hubbard and also notes the high level of positive support she is getting in the small Pacific nation that loves their sports and came in to sit down with TSR's Karleigh Webb to look at the deeper story beyond the headlines. Learn more about your ad choices. Visit podcastchoices.com/adchoices

  There are lots of different opinions on the best way to support trans youth.   Even among the community of affirming providers, there are lots of opinions of what should or should not happen for youth.   According to standards of care written by the World Professional Association for Transgender Health (WPATH), once a person is 18, they should have access to care through the informed consent model.   Meaning, they walk into a clinic, they say they're trans, they receive education about hormones and what they'll do to their body, they sign some forms and they're good to go.   There are many individuals who feel that this should also be the path for youth. But according to WPATH, youth are required to undergo a comprehensive mental health assessment before they can proceed with hormone replacement therapy (HRT).   Some professionals in the field, as well as within the trans community, feel like this is gatekeeping and creates unnecessary barriers to getting life-saving care.   Others feel that this is a necessary step to assure that trans youth are clear on what they're experiencing and are ready for the changes that will come with HRT.   Why? Shouldn't a person be able to say what they need and we believe them?   Today, we're going to hear from Dr. Laura Edwards-Leeper. Laura is a pioneer and had the courage to step up for trans kids years before any of the other gender clinics started doing this work. She was the founding psychologist in the first youth transgender clinic in the United States and is currently the chair of the Child and Adolescent Committee for WPATH and is heavily involved in the revision of the standards of care.   She has a private practice outside of Portland, Oregon, where she works with transgender and gender-diverse children and adolescents and adults for therapy and assessment. She also provides consultation and training to providers and clinics around the country. Internationally she's often a go-to resource for media outlets, including the New York Times, the Atlantic, the Washington Post the BBC and most recently 60 Minutes.   Check out the full episode to hear about: Why the standards of care for children and adolescents are different than those for adults and why that includes a comprehensive mental health assessment What parents can do to be part of the assessment process to maintain or strengthen their relationships with their kiddos Advice for how to find a clinician skilled in working with adolescents and their families for assessment and therapy Why an assessment is not a final yes or no, but a source of information   Find out more about Laura Edwards-Leeper, PhD: DrLauraEdwardsLeeper.com   Find out more about Mackenzie Dunham: wildheartsociety.org Wild Heart Society on Facebook Wild Heart Society on Instagram   Additional resources: World Professional Association for Transgender Health (WPATH)  

Chris is a highly experienced BACP Counsellor and Psychotherapist based in Scotland. On a mission to improve trans healthcare in the UK and beyond, Chris opened their private practice, The Queer Therapist, in 2018 to provide queer and gender affirming counseling and psychotherapy to trans, gender non-conforming and non-binary people. Chris also works as a Psychotherapist for an Adult Clinical Psychology Department and Occupational Therapy Department in NHS. Prior to their current roles, Chris worked as the Lead Self Management Specialist in Dumfries and Galloway LGBT Plus in 2016 where they developed and led an award-winning LGBTQIA start-up charity offering advocacy, counseling, group therapy, CBT and befriending to LGBTQIA adults in Scotland. In 2017, Chris became a member of the Scottish Parliament Cross-Party Group on LGBTI Issues and continues voluntary governance work with non-profit organizations with a focus on health inequality. Chris is a member of The World Professional Association for Transgender Health (WPATH), the European Professional Association for Transgender Health (EPATH) and the Gendered Intelligence Network for Therapists and Counsellors.In this episode, we explore the topics of gender vs. sexuality, performing gender, how the church and religion often reinstate gender roles, non-binary representation, gender affirming healthcare, how to support a loved one who is exploring their gender identity, and more.FOLLOW CHRIS:INSTA: @theqtherapistWEBSITE: thequeertherapist.comSTAY CONNECTED:INSTA: @trustandthriveFACEBOOK: bit.ly/FBtaramontWEBSITE: www.tara-mont.comEMAIL: tara@tara-mont.com

Dr. Eva Smid works with transgender, non-binary and gender non-conforming people as they navigate self-discovery and their way forward with family, friends, careers, and transitions. Eva also discusses the prejudice and violence these communities experience and how allies can support them. Dr. Smid has a PhD in both Clinical Psychology and Family Therapy and is a Licensed Marriage and Family Therapist in Florida, Transgender Care Certified Therapist, Board Certified Hypnotherapist, Florida Department of Children and Family approved Parenting Care Provider, and American Association for Marriage and Family Therapy and Florida Board approved supervisor for marriage and family therapy and mental health counseling. From Dr. Smid: I am an expert on couples, marriage, intimacy, family systems, communication strategies and conflict resolutions, life guidance, gender and sexual issues. I am a professional member of several national and international family therapy associations, also organizations supporting and caring for the LGBTQ population – PFLAG, GLSEN, World Professional Association for Transgender Health (WPATH), and a professional member of American Association of Sexual Educators, Counselors, and Therapists (AASECT). I also regularly present and publish about topics related to the field of family therapy and transgender care nationally and internationally. I provide comprehensive psychotherapeutic counseling. I apply mind and body – holistic approach. I believe in diversity, non-binary, gender equal, and affirmative approach to therapy. http://www.psychotherapyswflorida.com Trailer for DISCLOSURE documentary mentioned in our talk. https://www.youtube.com/watch?v=ysbX6JUlaEc Lady Eleonor, your curious curator, is a screenwriter dedicating this space to stories, life and lifestories.

Mario Cesar Vilhena e Vivian Avelino-Silva conversam sobre "Identidade de Gênero e Orientação Afetiva", com Saulo Vito Ciasca, médico psiquiatra pela Faculdade de Medicina da Universidade de São Paulo (FMUSP), coordenador da Área da Saúde da Aliança Nacional LGBTI+ e da Pós-Graduação em Psiquiatria pela SANAR, professor da disciplina de Saúde LGBTQIA+ na graduação em Medicina pela UNINOVE e de cursos de pós-graduação na área de sexualidade no Instituto de Psiquiatria do Hospital das Clínicas da FMUSP (IPq-HCFMUSP), Hospital Pérola Byington, FMABC, UNISAL e IBCMED. Pesquisador e colaborador voluntário do Ambulatório Transdisciplinar de Identidade de Gênero e Orientação Sexual (AMTIGOS) do IPq-HCFMUSP, especializado no cuidado de crianças e adolescentes com vivências de variabilidade de gênero. Membro da Comissão de Diversidade Sexual e Gênero da OAB. Membro voluntário da ONG Mães pela Diversidade. Membro da World Professional Association for Transgender Health (WPATH). Indicações Cultura Transviada: "Bixa Travesty", documentário de Claudia Priscilla e Kiko Goifman; "Mitos e Verdades sobre Saúde da População LGBTIA+", cartilha produzida por Grupo de Trabalho de Gênero, Sexualidade, Diversidade e Direitos (GT-GSDD) da Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC); "Hogwarts Legacy", videogame RPG da Avalanche Software.

El uso del lenguaje influye en nuestra psicología. Las palabras pueden ser utilizadas como herramientas, tanto para construir, como para destruir, para elevar o violentar, o simplemente, para desestabilizar. En el contexto de la violencia, el racismo, la homofobia, la transfobia y la xenofobia, el lenguaje es un arma poderosa que, a través del los tiempos, se ha utilizado con estrategia para controlarnos. Discutamos qué es la violencia lingüística, cómo nos afecta y qué podemos hacer. La doctora Eunice Avilés posee un doctorado en Psicología Clínica, es Consejera Licenciada en Salud Mental, Consejera Profesional Licenciada, Especialista en Género y Terapeuta sexual Certificada por la American Association of Sexuality Educators, Counselors and Therapists (AASECT). Además, es miembro de la World Professional Association for Transgender Health (WPATH). Ella comenzó su carrera en Puerto Rico haciendo trabajo clínico e investigación con niños víctimas de abuso físico, psicológico y sexual. En 2005 se mudó a Massachusetts donde completó su internado en Psicología Clínica, comenzó su adiestramiento en terapia de género y sirvió como presidente del Comité de Derechos Humanos para un programa dirigido hacia personas con problemas severos de salud mental. En adición, fue nombrada miembro de la junta de directores del Aids Foundation of Western Massachusetts. La práctica de la Dra. Avilés se enfoca en el tratamiento de depresión, ansiedad, trauma y las consecuencias emocionales causadas por el discrimen y el acoso (para niños y adultos). En su práctica privada el foco de su trabajo con la comunidad transgénero y género no-binario incluye la evaluación y tratamiento de niños/as, jóvenes y adultos/as que experimentan disforia de género. La Dra. Avilés es especialista en el diagnóstico y tratamiento de disfunciones sexuales y en asuntos de orientación sexual. La Dra. Avilés ha participado como invitada en muchos programas de televisión y radio, así como en varios medios en línea discutiendo asuntos de identidad de género y los resultados de su investigación acerca de las necesidades de la comunidad transgénero en Puerto Rico. Entre sus entrevistas y presentaciones, se incluye una entrevista con el LGBTQ Policy Journal en la Harvard Kennedy School of Government sobre su investigación, trabajo con la comunidad transgénero, trabajo en conjunto con Amnistía Internacional y la creación de políticas con soluciones innovadoras para la comunidad transgénero. Participó como panelista en una discusión organizada por la Kennedy School's LGBTQ Policy Journal acerca de Políticas Inclusivas para la Comunidad Trans. Fue también oradora invitada durante la presentación que hizo Amnistía Internacional de Puerto Rico sobre el Reporte Anual 2015/2016 sobre el estado de los derechos humanos internacionales. En Cuba, durante la 7ma Convención Intercontinental en Psicología auspiciada por la Sociedad Americana de Psicología, presentó su investigación sobre las “Necesidades, Obstáculos y Plan de Acción para Satisfacer las Necesidades de la Comunidad Transgénero en Puerto Rico”. La Dra. Avilés provee sus servicios tanto en inglés como en español y pone su mayor esfuerzo y empeño en ser sensitiva a las diferencias culturales. Esta fue una de las fundadoras y organizadoras del pasado First Event Professional Training, una conferencia que se llevaba a cabo en Massachusetts en donde se proveía entrenamiento especializado para los/as profesionales que trabajan con la mencionada comunidad.

With Debi Jackson, a former conservative Southern Baptist turned trans rights advocate, we take a peek into the mentality of the Christian Right to learn why this powerful voting block is anti-trans. Then we explore changes coming to global trans healthcare standards with Dr. Asa Radix, who’s helping develop them through the World Professional Association for Transgender Health (WPATH). Imara also takes a moment to honor the life and legacy of Monica Roberts, a pioneering trans journalist, who passed earlier this month. You can connect with us on social media!Follow TransLash Media @translashmedia on Instagram, Twitter and Facebook.Follow Imara Jones on Twitter (@imarajones) and Instagram (@imara_jones_)Follow our guests on social media!Debi Jackson: @the.debi.jackson (Instagram) @the_debijackson (Twitter)The TransLash Podcast with Imara Jones is produced by TransLash Media by Futuro Studios.TransLash team: Imara Jones, Ruby Fludzinski, Oliver-Ash Kleine, Montana Thomas, and Yannick Eike Mirko.Futuro Studios team: Nicole Rothwell, Jess Alvarenga, Stephanie Lebow, and Leah Shaw.Digital strategy by Daniela Capistrano, with support from Agency of Joy.Music: Ben Draghi and also courtesy of ZZK records. See acast.com/privacy for privacy and opt-out information.

Welcome to episode 145 of the Sexology Podcast! Today I’m pleased to welcome Elizabeth “Liz” Newsom, LCSW to the podcast. In this episode she speaks to me about using BDSM as a form of self-care and finding your healthier self, and provides recommendations on where to get started.     Elizabeth “Liz” Newsom, LCSW, is a sexuality/intimacy therapist/educator specializing in working with individuals who identify as kinky and/or consensually non-monogamous (poly, swingers, etc.); those who identify as gender non-conforming and/or have questions about sexuality; as well as those who need assistance with issues such as depression, anxiety, mood disorders, trauma, communication/anger/intimacy issues and much more. In addition to standard individual, family and relationship counseling, Liz is currently expanding her practice to include supervising and training new therapists with her sex positive inclusive therapeutic approach.     For the last few years she has been providing community/professional education regarding working with kinky clients, specifically with the intent of normalizing kink for professionals that work with kinky individuals and educating on the difference between domestic violence/assault and kink. Additionally, she has been providing support and education around parenting, relationship transitions, and co-parenting in the context of consensual non-monogamy.  She is a member of several organizations including American Association of Sexuality Educators, Clinicians and Therapists (AASECT), World Professional Association of Transgender Health (WPATH), Texas Association Against Sexual Assault (TAASA) and a board member with National Coalition of Sexual Freedom (NCSF).    Questions Asked:   How can you use BDSM as a form of self-care?  What falls under the umbrella of BDSM?  What are ways in which people will find their healthier selves through BDSM?  Is it possible to find pleasure outside of your erotic template?   How did Liz’s clients find body acceptance through BDSM?  What are the first steps Liz would recommend doing?       Find Liz here:   www.realisticexpectations.net    Resources  https://www.amazon.com/Screw-Roses-Send-Thorns-Sadomasochism/dp/0964596008    https://fetlife.com     Find me on social media: https://www.instagram.com/oasis2care  https://www.facebook.com/oasis2care      Work with me:  https://oasis2care.com/contact-nazanin-moali-psychologist/    Extra Content: Bonus episode, Sex & Anorexia Nervosa: https://oasis2care.com/bonus-episode-anorexia-nervosa-sex/  Bonus Episode, Sex & OCD: https://oasis2care.com/bonus-episode-ocd-and-sex/  Bonus Episode, Sex & Depression: https://oasis2care.com/bonus-depression-sex/     Podcast Produced by Pete Bailey - http://petebailey.net/audio 

As we observe the month of Pride, a time for celebrating LGBTQ+ individuals across the nation, our latest episode of Well Said will focus on the health and well being of members of this community. Joining the program to discuss these issues are: David Rosenthal, DO, PhD, assistant professor of pediatrics and medicine at the Zucker School of Medicine and medical director for Northwell Health’s Center for Young Adult, Adolescent and Pediatric HIV and the Center for Transgender Care, and Anthony Santella, Dr PH, associate professor of public health at Hofstra University and chair of the Nassau-Suffolk Ryan White Planning Council. Resources: Northwell Health—LGBTQIA Services CDC—LGBTQ  Health New York State Department of Health GLAAD World Professional Association for Transgender Health (WPATH)

Session 100 Dr. Kara Connelly, a transgender medicine specialist. A pediatric endocrinologist by training in an academic setting, she has been out of training now for six years. Today, we talk about Transgender Medicine, why we have it, and why it's important for transgender patients. [04:13] Interest in Transgender Medicine Kara drew inspiration from patients and their families going through hoops they had to go through to access care. Knowing how challenging and difficult it was, she felt passionate about trying to make healthcare easier and more accessible. Additionally, this was in the realm of pediatric endocrinology that it naturally felt like they could build what they did to help more patients access the care they needed. [05:00] Traits That Lead to Being a Great Transgender Medicine Specialist Communication is the most important piece of being a great transgender medicine specialist. This goes for pediatric endocrinology as well. This being said, you also have to be a good listener and open to hearing people's stories and their needs. You also need to have an open mind in helping them access what they need. With pediatric endocrinology, you have to be able to tailor conversations based on who's listening. Be able to get the same points across to patients across different age ranges. [06:26] Types of Patients Kara mentions that one of the things that has been continuing to shift is where patients are accessing care. In this regard, pediatric patients are different from adult patients. Currently, they see patients as specialty care providers. They're often referred to by their primary care providers who are likely to have not had any training in the area since this wasn't included in their medical training. Not long ago, Kara didn't have any access to transgender medicine when she was a medical student. So it's still relatively new for many pediatricians. A lot of family medicine providers are gaining more experience because of their work with adult transgender patients. But many pediatricians are still wanting to refer to specialty care. As part of pediatric endocrinology, one of the treatments they offer is pubertal suppression or sometimes referred to as puberty blockers. These are medications that pause puberty and used for patients who are not transgender and go through puberty too early. This can also be accessed by transgender youth who don't want to go through the physical puberty changes that are not aligned with their gender identity. They also prescribe prosperity hormones to many patients who are not transgender. The patients come to see them pretty often after 3-4 months. They're prescribing hormones in starting puberty so they build relationships with these patients. For young adult and adult transgender patients, they usually access hormones through their primary care providers. So there are not a lot of adult patients that access these medications from adult endocrinologists. However, there also adult endocrinologists that are active in transgender health. [09:44] Focus on Transgender Health There aren't enough trained providers to be able to provide the care that is needed for this patient population. Kara explains that transgender health will be part of medical training and by that time, there will be more primary care providers with the knowledge and expertise to do the care. Pediatric care is a little bit more complicated than adults. But in adults, it usually involves prescribing hormones and monitoring for side effects which are low and rare. It's easy to get the training that's needed to become an expert in transgender health. So it's just a matter of training people. Taking care of this population is critical because transgender people in the U.S. and in the world, are not able to access a lot of the rights and healthcare that other populations are able to. It's important that as a society, we're able to gain awareness of what this means and how important it is to be able to provide basic healthcare needs to all patients. We have to recognize the significant disparities that transgender patients face by not being able to have their basic healthcare needs met. There are studies demonstrating high rates of transgender patients not accessing basic healthcare. This includes primary care and preventative care – because of the fear that they will be rejected by their healthcare provider or their healthcare clinic setting. [13:43] Typical Day Kara doesn't think she has a typical day. Working in an academic setting, she does clinical care, medical education, and a bit of research.  Clinical care is in the outpatient setting done at the clinic in their hospital. She also travels to three different cities for outreach clinics. She provides pediatric endocrinology care to patients outside of the major city she lives in who don't have access to a specialist. She provides telehealth care where she sees patients from her office while the patients are sitting in a clinic in another city. She also sees patients whenever she's on call providing inpatient service. They mostly see patients children with Type 1 diabetes as well as consults with other services in the hospital. That said, each day is a little bit different in terms of where she's seeing patients or whether she has an admin or nonclinical day. Nonclinical time is spent on scheduled roles with undergraduate medical education. She works with medical students in their preclinical years. She also works the rotation for pediatric endocrinology for students and residents rotating with them. She does didactic teaching, focused primarily on transgender health throughout their hospital and throughout their state. Her research is also primarily focused on transgender health, mentoring students and residents. She also helps oversee projects pediatric endocrinology fellows are doing in their field. [16:15] Academic vs Community Kara chose the academic setting primarily because of her passion for teaching and education. She loves seeing patients. Her primary interest is clinical work but it's not all that she wants to do. Kara wanted to be able to incorporate the education piece and research into her career. And the academic setting is the best place to do this. [16:55] Taking Calls Kara takes calls as a pediatric endocrinologist. She hasn't experienced getting any calls for transgender medicine. As a pediatric endocrinologist, their group takes calls evenly, where they do a week of call at a time. They're the main person somebody will call if they have questions about any of their patients. On the weekends, they see patients in the hospital for a couple of hours. Then she gets to come home and live her life through the rest of the day and the weekend. She doesn't get very many calls so she doesn't really feel it's interrupting her home life.  During the week, it can get pretty busy as they could get inpatient consulting and they still do clinics. So while the weekday calls can be busy, the nights are not too bad. Kara thinks this is partly because they're in an academic setting. They have pediatric endocrinology fellows who take the calls from the patients during the day and night. The attending doesn't get a lot of those calls. Basically, she gets 9 or 10 weeks of calls per year. [19:10] Transgender Medicine as a Full-Time Career Kara does transgender medicine as a pediatric endrocrinologist and sees pediatric patients. A lot of the transgender specialists in the country are trained as adolescent medicine providers. If you want to do this as a full-time career, you can do more of general adolescent pediatric care but also have a special interest in transgender care. Basically, it's up to the individual to decide what percentage of their practice they want to focus on. Moreover, there are different ways to provide care for transgender patients. As they continue to build more capacity for training providers and acceptance and understanding of the needs of this patient population, it will no longer feel as a specialized field. It will feel like being able to prescribe medications for high cholesterol patients. [21:06] Work-Life Balance Kara thinks that one of the best things about pediatric endocrinology is the lifestyle. They have low acuity and high complexity patients. But generally, their patients do well and it's their role to help them stay healthy. She feels their field is very conducive to being able to have a family. She has two young children but still gets to spend time with them even if she works full-time. She may miss out on school activities during the day if she had not been able to plan ahead for them. But she has a lot of vacation time she can use if she knows about activities in advance. Also, when she's on call at night, she never had to go back into the hospital. Even if the patients are sick in the hospital, they have residents seeing them as well as the ICU team. [22:40] Training Path to Becoming a Transgender Medicine Specialist Basically, the training path depends on what specialty somebody wants to go into. If you're interested in transgender medicine, the first question to ask is what patient population, specifically, age, are you interested in working with. What other skills do you hope to attain and have and work on? Kara went into pediatric endocrinology even before she knew about transgender medicine. But she always knew she wanted to work with pediatric patients. She did 3 years of pediatric residency and another 3 years of pediatric endocrinology fellowship. In pediatric endocrinology fellowship, you will likely get training in providing care to transgender youth. In fact, this is one of the things that the Pediatric Endocrine Society is actively working on. They're building a curriculum for pediatric endocrinology fellows where they would have standardized training for transgender care. In the primary care setting, you may do a family medicine residency and then become a family medicine doctor who can see youth and adults and provide transgender care. This may also look the same for somebody who wants to be a general pediatrician and be able to provide transgender care. So they go through three years of pediatric residency and then practice. Surgical care is more specialized and requires additional training. This has not been incorporated into the residency training yet. But there are special training fellowships for gender-affirming surgical care. This can be done after finishing the surgical residency training. At this point, there is no board certification for transgender medicine. There are groups or organizations dedicated to transgender healthcare such as the World Professional Association for Transgender Health (WPATH). It's an organization of professionals dedicated to providing transgender care. To match into pediatric endocrinology from general pediatrics is not very competitive. There are more training physicians than there are applicants. Kara believes that this is a great field to enter if you want your pick as far as training program and where you want to live." The pediatrics side can be competitive depending on which programs you want to apply for. [27:00] Subspecialty Opportunities From a primary care standpoint, you can specialize in transgender care. In pediatric endocrinology, when they're providing care for transgender patients, they do prescription of pubertal suppression medications for different conditions regularly. But it's not really specialized training. [28:34] Bias Against DOs and Working with Primary Care and Other Specialties Kara is not seeing any problems with DOs having access to training. When working with primary care providers, Kara wants them to understand how to create an affirming care environment. People who identify themselves as transgenders want to go into the clinical setting not knowing if they're going to be respected. They have to understand the basic things like using the right names and pronouns and how to ask the questions. They need to make sure all the people the patient is going to encounter are being consistent in being affirming and using the right names and pronouns. Secondly, primary care should be sensitive about physical exams. People who identify as transgender or gender-diverse are often really anxious or uncomfortable about the chest exam or the genital exam. So help them understand the purpose of the exam and why it's necessary. Then make sure they give permission and consensus first before the exam is done. Lastly, when a patient comes in for any reason, focus on the reason why they're there. If they want to start hormones, that's specific to transgender care. This is important for emergency room providers to recognize and just ask the questions pertinent to the reason why they're presenting. Other specialties pediatric endocrinologists work with include general pediatrics, adolescent medicine, psychology, and psychiatry. In transgender health, they have an integrated team of many clinical providers that provide care for all ages. They work closely with primary care providers in family medicine, internal medicine, OB/GYN, urology, and plastic surgery. [32:50] How to Start a Dialogue with Transgender Patients Several clinics use written forms, which is an easy venue for the youth to write things down.  It's important to leave the forms as open as possible so they don't feel like they have to check boxes. For example, it's important not to have a male or female box for gender identity. And specify gender identities separate from sex assigned at birth. Verbally, pediatricians can just ask the youth about their gender identity and whether they feel comfortable with it. And it would feel more natural if this is something you ask all patients. Just opening the space to have that dialogue and making that just a routine part of every well adolescent visit will start to feel more natural. Sometimes, pediatricians could ask very young children (as young as 3 or 4) whether they're a boy or a girl. This is a simple way to open the conversation to very young children. Sometimes, this could be the first place where young children are able to say who they are.  [36:35] Special Opportunities Outside of Clinical Medicine There are tons of opportunities for advocacy and getting closely involved with community partners. You can work on having resources outside of the clinic setting for gender-diverse youth. For example, you can get involved with support groups for parents and youth. [37:34] What She Knows Now that She Wished She Knew Kara finds transgender medicine to be a very rewarding career as you get to build relationships with parents and patients. This is something that she loves about her specialty. And it's really unique for this specific population. Another thing she had no idea about getting into this specialty is how hard and complex the care is. They face so many barriers in terms of getting insurance coverage for some of the basic needs of these patients.  In fact, 30-40% of the care she provides to patients is battling insurance companies just to get approval for basic things. But it's gotten better though. Their state Medicaid plan will cover all transgender-related medications and surgeries. But a lot of commercial insurance plans won't. And if ever they do cover treatments, it can be very costly. Hence, they have a specialized team of people who can work on this aspect. They have a full-time medication authorization specialist who focuses on getting authorizations for the medications prescribed for patients. [40:30] Most and Least Liked Things What she loves most about transgender medicine is being able to develop meaningful relationships with patients. It's great to have a place where they can come and know that every conversation is safe. They can ask any questions. Kara also loves working with families and help them overcome resistance and fears they experience around supporting their child's identity. From the pediatric endocrinology standpoint, Kara loves working with patients of all ages. She loves working with kids that have chronic health conditions and getting to know them over the years. On the flip side, dealing with insurance companies is one of her least liked things. Another thing is the Electronic Health Record. She appreciates it in terms of the way it has improved communication among providers and between patients and providers. But it can be pretty cumbersome and can take up a lot of time. That being said, you have to be really strategic around the ways you use it. In their case, they're building teams consisting of more medical assistants and nurses that can help triage those questions and issues. Nevertheless, if she had to do this all over again, Kara would do it without doubt. [47:00] Final Words of Wisdom Find a mentor or somebody in the field that you respect who's doing something you think you might be interested in. It's so valuable to have a mentor in the field that can help you really understand what that field is like. This could be in the form of shadowing or doing a scholarly project with them. Understand what their life is like and if it's something you want to pursue. Your mentor could also help you make connections with other people, whether it's the same field or a different field. There's so much value in face-to-face contact with people. It's so hard to get swallowed up in the paper of applications without the ability to show who you are as a person and the skills you bring. Links: Meded Media World Professional Association for Transgender Health (WPATH)

Welcome to episode 93 of the Sexology Podcast, today I’m delighted to be joined by Eva Smidova, M.A., PhDr., LMFT who speaks to me about common themes around coming out as transgender, the difference between gender identity and sexual identity and when is a good time to come out to your partner as transgender?     Eva Smidova, M.A., PhDr., LMFT is a Licensed Marriage and Family Therapist in Florida, Transgender Care Certified Therapist, Board Certified Hypnotherapist, Florida Department of Children and Family approved Parenting Care Provider. She holds EU earned degrees M.A. in Psychology and Law, and PhDr. in Clinical Psychology. She recently finished her PhD. in Family Therapy at Nova Southeastern University, Fort Lauderdale.    Eva was born in former Czechoslovakia so rebelling and craving for diversity and freedom are in her DNA. Eva worked in international business and got the opportunity to become familiar with many countries around the world. Before she moved to Florida, she became a resident in Austria.  Eva has been single all her life, yet lived with one partner for almost 20 years. She has a 12-year-old daughter and 32-year-old kind of step-son. She considers herself for gender and sexually; fluid.    She is an expert on couples, marriage, intimacy, family systems, communication strategies and conflict resolutions, life guidance, gender, and sexual issues. She is a professional member of several national and international Family Therapy Associations, also organizations supporting and caring for LGBTQ population – PFLAG, GLSEN, World Professional Association for Transgender Health (WPATH), and a professional member of American Association of Sexual Educators, Counselors, and Therapists (AASECT). She also regularly presents and publishes topics related to the field of family therapy and transgender care nationally and internationally.    In this episode, you will hear:     Common themes around coming out as transgender   The impact fear can have on the process of coming out   Do many couples continue their relationship after one comes out as transgender?   The difference between gender identity and sexual identity   Dealing with the dynamic changes that happen through this process  How couples have improved intimacy and sex through this process  When is a good time to come out to your partner as transgender?     Resources  http://www.psychotherapyswflorida.com  +123 924 742 31   dr.eva.smid@gmail.com    Survey - https://www.surveymonkey.com/r/MCM62XY    https://www.facebook.com/oasis2care   https://www.instagram.com/oasis2care   https://twitter.com/oasis2care      Podcast Produced by Pete Bailey - http://petebailey.net/audio 

Let’s Do It is a podcast focusing on the practical aspects of sex education and sexual health. In this episode Liz and Alex are talking about transgender health - what is it, how to get it, and if you’re trans enough (hint: hell yeah you are!). For more information on the subject, check out our new format of episode ‘Lets Do It 101’, where we provide you a bit of background info before this chat! For more information, sexual health links or to submit anonymous questions, visit our website. You can also follow the podcast on Twitter, as well as both Liz and Alex.   References and links: Progesterone contraception study - link Liz’s essay on the oral contraceptive pill ‘The Period of Choice’ - link Trans women & breast feeding - link World Professional Association for Transgender Health (WPATH) - link Trans Pathways report - link transhealth.ucsf.edu - link Article on care of neovaginas (behind a paywall) - link julia serano’s ‘whipping girl’ - link

Let’s Do It is a podcast focusing on the practical aspects of sex education and sexual health. In this episode Liz and Alex are talking about transgender health - what is it, how to get it, and if you’re trans enough (hint: hell yeah you are!). For more information on the subject, check out our new format of episode ‘Lets Do It 101’, where we provide you a bit of background info before this chat! For more information, sexual health links or to submit anonymous questions, visit our website. You can also follow the podcast on Twitter, as well as both Liz and Alex.   References and links: Progesterone contraception study - link Liz’s essay on the oral contraceptive pill ‘The Period of Choice’ - link Trans women & breast feeding - link World Professional Association for Transgender Health (WPATH) - link Trans Pathways report - link transhealth.ucsf.edu - link Article on care of neovaginas (behind a paywall) - link julia serano’s ‘whipping girl’ - link