Country’s National Health Service Abandons Gender-Affirming Model of Care

After conducting a systematic review of evidence, England’s National Health Service has proposed new guidelines for treating trans-identifying youth, abandoning their previous endorsement of the “gender-affirming” model of care for a more cautious approach to treating gender dysphoria in minors.

The NHS now recognizes that children and adolescents identifying as transgender may be experiencing a “transient phase” and warns that doctors should not encourage them to change their names and pronouns, as “social transition” is not a “neutral act” and could have “significant effects” in terms of “psychological functioning.”

The new guidelines “reflect evidence that in most cases gender incongruence does not persist into adolescence” for young children. The guidance states that instead of encouraging transition, physicians should take “a watchful approach,” directly contrasting the American Academy of Pediatrics’ 2018 policy, equating “watchful waiting” with a “harmful” form of “conversion therapy.”

The NHS guidelines indicate that services will now be led by medical doctors rather than therapists, and will consider the impact of autism and other common co-occurring mental health issues. The new guidance also bans the use of puberty blockers in patients under 18, making exceptions only in certain cases for strict clinical trials. (Read more from “Country’s National Health Service Abandons Gender-Affirming Model of Care” HERE)

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