Erica Anderson argues the uptick in minors identifying as transgender likely has more to do with mental health struggles, rather than gender issues, which many of her colleagues allege.
While many of her European colleagues have recognized the need for a shift in the standards of care, Anderson blames 'hubris' for the full steam ahead approach to gender-affirming care for minors in the U.S., is sounding the alarm on the approach many of her colleagues have taken in recent years regarding medical and social treatment for gender dysphoria among children and teens in the United States.
Despite belief among some of her colleagues in the industry that"the distress that kids experience is all due to gender issues," Anderson said she rarely sees that to be the case. She said cases where a child is gender questioning are"quite simple" and in her experience,"rare." Anderson warned that children are"not just mini adults," but that"they're developmentally different."
At UCSF, Anderson said the shift in patients went from a fairly defined population seen in the past, made up of primarily natal males who assert a female gender identity at a young age to a very heterogeneous population that"completely flipped" and was made up of predominantly natal females,"most of whom have not exhibited any gender questioning until more recently" and"didn't match the historic pattern we expected, which was to see someone who was gender...
"We've seen that in the United Kingdom, most notably Sweden, Finland, France and more recently Norway and Denmark, who have very publicly indicated the same things that I've been talking about, that the population has shifted," she said."Protocols that we've had in the past no longer seem to apply, and so we need to ask ourselves what do we need to do with this population? That's where I think the issues lie right now in the United States.
"Large social surveys in recent years have confirmed what I've been saying, which is a huge number of kids questioning their gender beyond anything we ever expected, as many as one in five kids who are adolescents in the United States arethan straight and cisgender. That's a huge shift," she said."We used to think of transgender kids as a very small proportion, maybe half a percent, 1% or less.
"I've been worried that too often kids are rushed towards medicalization and that this is not good," she said. Due to the pandemic, children and teens are spending more time online, which Anderson argued could be influencing children to experiment with their gender. FEDERAL APPEALS COURT RULES SCHOOL DISTRICT CAN CONTINUE TO KEEP STUDENT GENDER TRANSITIONS FROM PARENTS
She said many pediatricians, have been advocating for an evidence review of the standards for care for several years and"finally" at the beginning of this month, the AAP agreed." Anderson described their enthusiasm for an evidence review as"lukewarm," citing the news release from the AAP announcing the review, whIch reaffirming their basic guidelines from 2018 at the same time.
Dr. Anderson believes all children should have a full, individualized assessment before making any life-altering decisions.
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