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As the NHS reviews gender referrals, parents, clinicians and young people reveal the social, medical and emotional challenges they face
www.theguardian.com
An ‘explosion’ in referrals
The rise in the number of biological girls seeking referrals to Gids was set out in an
interim report by Dr Hilary Cass, the paediatrician commissioned to conduct a review of the services provided by the NHS to children and young people questioning their gender identity.
The trend was confirmed by clinicians who spoke to the Guardian.
“In the past few years it has become an explosion. Many of us feel confused by what has happened, and it’s often hard to talk about it to colleagues,” said a London-based psychiatrist working in a child and adolescent mental health unit, who has been a consultant for the past 17 years.
Like all NHS employees interviewed, she asked for anonymity due to the sensitivity of the subject.
“I might have seen one child with gender dysphoria once every two years when I started practising. It was very niche and rare.” Now, somewhere between 10% and 20% of her caseload is made up of adolescents registered as female at birth who identify as non-binary or trans, with just an occasional male-registered teenager who identifies as trans.
Another senior child psychiatrist said girls who wanted to transition made up about 5% of her caseload.
“In the last five to 10 years we’ve seen a huge surge in young women who, at the age of around 12 or 13, want to become boys. They’ve changed their name and they are pressing … to have hormones or puberty blockers”