Transgender and Gender Diverse Children and Adolescents, An Issue of Child And Adolescent Psychiatric Clinics of North America

1st Edition, Volume 32-4 - September 23, 2023
Editors: Scott Liebowitz, Serena Chang, Natalia Ramos
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 9 3 8 6 1 - 7
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 9 3 8 6 2 - 4

In this issue of Child and Adolescent Psychiatric Clinics, guest editors Drs. Scott Leibowitz, Serena Chang, and Natalia Ramos bring their considerable expertise to the topic of… Read more

Transgender and Gender Diverse Children and Adolescents, An Issue of Child And Adolescent Psychiatric Clinics of North America

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In this issue of Child and Adolescent Psychiatric Clinics, guest editors Drs. Scott Leibowitz, Serena Chang, and Natalia Ramos bring their considerable expertise to the topic of Transgender and Gender Diverse Children and Adolescents. Top experts in the field cover key topics such as complex psychiatric histories and gender diverse/transgender youth; neurodiversity and transgender/gender diverse youth: the co-occurrence; individual affirming care: psychological and social approaches to trans and gender diverse youth; psychosocial family treatments and navigating family dynamics; and more.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
Gender Literacy Across Childhood and Adolescence
Key points
Introduction
Sexual orientation
Sex/gender
Gender Expression and Gender Roles
Terminology
Pronouns
Intersex
Etiology of gender diversity
LGBTQ identities and the DSM: gender dysphoria
Psychiatric implications and protective factors
Gender transition
Treatment and care
Summary
Clinics care points
Traumatic Stress and Resilience Among Transgender and Gender Diverse Youth
Key points
Introduction
Neurobiological underpinnings of toxic stress
Psychosocial impacts of identity-related toxic stress
Physical health impacts of identity-related toxic stress
Distinct stressors facing TGD youth
Resilience and protective factors for TGD youth
Implications for clinical care
Summary
Clinic care points
Beyond Race, Sex, and Gender: Mental Health Considerations of Transgender Youth of Color, Intersex Youth, and Nonbinary Youth
Key points
Introduction
Intersectional care for transgender and nonbinary youth of color
Intersex youth
Nonbinary youth
Summary
Disclosure
Assessment of Transgender and Gender-Diverse Adolescents: Incorporating the World Professional Association of Transgender Health Standard of Care 8th Edition
Key points
Introduction
Background
Summary of content
Summary
Clinics care points
Disclosure
Assessment of Gender Diverse Children: Incorporating the Standard of Care 8th Edition
Key points
Introduction
Summary of child standard of care 8 content
Methods of information gathering
Summary
Clinics care points
Disclosure
Complex Psychiatric Histories and Transgender and Gender Diverse Youth
Key points
Introduction
Transgender youth and minority stress
Psychological impacts of minority stress
Gender dysphoria and complex psychiatric conditions
Adaptive assessment and treatment approach
Discussion and future research
Clinics care points
Disclosure
Common Intersection of Autism and Gender Diversity in Youth: Clinical Perspectives and Practices
Key points
The nature of the common co-occurrence of autism and gender diversity
Ethical considerations in care
Clinical practices: priorities and unknowns
Clinics care points: the evidence base
Future directions
Disclosure
Individual Affirming Care: Psychological and Social Approaches to Trans and Gender-Diverse Youth
Key points
Introduction
Background
Discussion
Summary
Clinics care points
Disclosure
Family-Based Psychosocial Care for Transgender and Gender-Diverse Children and Youth
Key points
Introduction
Trauma and transgender and gender-diverse youth
Assessment
Considerations
Evidence-based interventions and integrated Family Acceptance Project-Trauma-Focused Cognitive Behavioral Therapy model
Approach
Enhancing safety
Psychoeducation and parenting skills
Clinics care points
Disclosure
Gender-Affirming Medical Treatments
Key points
Introduction
Benefits of gender-affirming medical treatments in transgender and gender diverse youth
Puberty suppression
Hormone therapy
Menstrual suppression
Fertility preservation
Chest dysphoria and mastectomies
Gender-affirming medical treatments for nonbinary youth
Summary
Clinics care points
Disclosure
Dynamic Gender Identities and Expressions: Detransition and Affirming Non-linear Gender Pathways Among Transgender and Gender Diverse Youth
Key points
Introduction
Current literature on transition discontinuation and detransition
Clinical case examples
Discussion
Summary
Clinics care points
Disclosure
Supporting Transgender Youth Across Psychosocial Systems
Key points
Introduction
Supporting transgender youth in schools
Supporting transgender youth in communities
Supporting transgender youth in religious institutions
Supporting transgender youth in rural settings
Summary
Clinics care points
Disclosure
Appendix 1. Resources to support transgender youth
Systems-Involved Transgender and Gender-Diverse Youth: Homelessness, Juvenile Legal Systems, and Child Welfare and Foster Care
Key points
Introduction
Transgender and gender-diverse youth experiencing homelessness
Transgender and gender-diverse youth and the juvenile legal system
Transgender and gender-diverse youth and the child welfare and foster care systems
Summary
Clinics care points
Disclosure
Transgender and Gender Diverse Youth in Inpatient and Other Residential Care
Key points
Background
Discussion
Environment
Summary
Clinics care points
Disclosure
Puberty for Transgender Kids and Their Parents: Impressions from a Mom
Key points
Puberty was a crisis
Hormone blockers or no?
Next stop: testosterone
Clinics care points
Disclosure

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Transgender and Gender Diverse Children and Adolescents, An Issue of Child And Adolescent Psychiatric Clinics of North America

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Scott Liebowitz

Serena Chang

Natalia Ramos