Rarely, and here's why: When a kid has gender dsyphoria (GD), its source is unknown. And kids with GD often have a host of other issues (comorbidities). So usually the therapist cannot accurately determine which small minority of GD kids will actually end up being trans. A few will, most will not.
In other words, having GD in no way means a kid is trans. In fact, only a small percentage of GD kids ultimately turn out to be trans.
So from a therapy perspective, social transitioning comes with a lot of psychological baggage that might well not be called for.
Leaked files from WPATH reveal widespread medical malpractice on children and vulnerable adults at global transgender healthcare authority World Professional Association of Transgender Health (WPATH) members demonstrate a lack of consideration for long-term patient outcomes despite being aware o
environmentalprogress.org
To answer your remaining questions:
- We know that these drugs and surgeries are dangerous in themselves, AND that they commit the patient to a lifetime of medicalization.
- Defenders of the current GAC approach often claim that "GAC saves lives" by reducing suicidal thoughts and actual suicides. This is a powerful, emotional appeal, but the Cass report (and other studies), determined that there is no evidence to support this claim.
- GD is a mental condition, and it's not "stigmatizing" to say so. People have scores of different mental conditions.
- A basic premise of medicine is "first, do no harm".
So GAC is a dangerous approach to treating a mental condition and there is no good evidence that it works. That runs counter to the idea of "first, do no harm".
So you are arguing against GAD?
I think social transitioning is only dangerous because we are still in a society that is ordered around gender lines. The danger being how the rest of the world treats those who don't conform to what they are socially told about their identity.
Comorbidities very likely do play a part in it, which is why a holistic approach is important. Simultaneously, ignoring the gender aspect for the sake of the other mental health aspects doesn't exactly make sense. Fact is: Folks with gender identity non-conformities do exist and it is important to recognize that especially where this can lead to other things like alienation, anxiety, depression, etc.
The Cass report summary does not state that there is no evidence that GAD is helpful. If the full report does so, please quote it and refer to where it is in the report.
From the summary:
"There is no simple explanation for the increase in the numbers of predominantly young people and young adults who have a trans or gender diverse identity, but there is broad agreement that it is a result of a complex interplay between biological, psychological and social factors. This balance of factors will be different in each individual."
-This establishes there is something biological, psychological, and socially going on with some folks.
"An appraisal of international guidelines for care and treatment of children and young people with gender incongruence found that that no single guideline could be applied in its entirety to the NHS in England."
-This suggests that there is not a single guideline that can be established: In other words, it is not saying that GAC should be discontinued as a practice.
"Clinicians are unable to determine with any certainty which children and young people will go on to have an enduring trans identity."
-Meaning the longterm prognosis is difficult to judge, but also that enduring trans identities exist. Difficulty should not be construed as a reason to stop trying, only that caution and continued research is necessary.
"For most young people, a medical pathway will not be the best way to manage their gender-related distress. For those young people for whom a medical pathway is clinically indicated, it is not enough to provide this without also addressing wider mental health and/or psychosocially challenging problems.
Innovation is important if medicine is to move forward, but there must be a proportionate level of monitoring, oversight and regulation that does not stifle progress, while preventing creep of unproven approaches into clinical practice. Innovation must draw from and contribute to the evidence base."
-Meaning for some, a medical pathway may be necessary, and that innovation, rather than removal is necessary--with caution and further study.
As for using these drugs for conditions like early onset puberty, that is a physical condition.
Should use of drugs be reserved for physical conditions only? There are many psychological conditions treated with drugs, many of which have the potential for dangerous side effects.
As for letting families and doctors decide, WPATH officials admit that in many cases there is no informed consent, again, that's really bad care. And again, doctors rely on other doctor's protocols, and the WPATH files demonstrate that relying on protocols forwarded by WPATH means a doctor is relying on bad medical practices. These doctors have been sold a collection of lies by WPATH.
Thank you for posting the link to the WPATH file leak article! It's very helpful.
The original report is a 200+ page document so I am unlikely to read the entire thing. I just don't have the time to dedicate that much time to that one source, but in good faith I will be clear about my critical analysis of the source. This will be in a separate post so I can dedicate more time to it. I will tag you.