"She only started regular psychotherapy *after* they performed cosmetic surgeries on her? Is this the ‘standard of care’ for any minors?"
The gender activists have declared that the cause of anxiety, depression, non-suicidal self harm and suicidality is "minority stress." They thereby proclaim that all psychiatric symptoms in any trans-id…
"She only started regular psychotherapy *after* they performed cosmetic surgeries on her? Is this the ‘standard of care’ for any minors?"
The gender activists have declared that the cause of anxiety, depression, non-suicidal self harm and suicidality is "minority stress." They thereby proclaim that all psychiatric symptoms in any trans-identified child or adult are situational reactions to external stressors, especially bullying, parental refusal to support a child's trans gender claims, and other forms of what gender activists define as discrimination. The fact that patients report severe psychiatric symptoms does not lead the evaluators at gender clinics to conclude that the patients may have significant mental illnesses, even when many trans-identified patients report histories of psych hospitalizations. In research reports written by gender treatment advocates, the authors often directly tell the reader that any psychiatric symptoms reported prior to medical transitions should be framed as reactions to "minority stress."
The gender treatment professionals in gender clinics also believe that giving people opposite sex hormones and cosmetic surgeries alleviates their psychiatric distress and they have reported that patients' distress is alleviated after medical transition. They appear to believe these things without openness to considering alternative hypotheses about the patients' mental diagnoses or their possible causes. These claims by gender activist treatment professionals are not consistent with evidence-based healthcare.
I suspect that the belief that "gender affirming" medical transition is the gold standard for treating psychiatric conditions in trans people is the basis for clinical decisions to start transitioning the trans patients as soon as they are diagnosed. The treatment teams probably expect that the patients will be cured and won't need psychotherapy anymore after the surgery.
Note the clever strategy of legally declaring psychotherapy in such a situation to be "conversion therapy" and as such, illegal. There are not many laws that mandate a certain treatment for a particular complaint, and fewer still that mandate the wrong treatment. In many jurisdictions it is no longer legal to demur at processing the child through transition, and even asking 'are you sure?' will get you in trouble. One consequence of this that has not yet been used in civil proceedings by detransitioners is that surgical consent forms are only valid if consent is 'informed'—there has been a full discussion of possible drawbacks and potential side-effects. But such a discussion is now 'conversion therapy' and illegal. Therefore the consent is not valid.
It is the case in Oregon that "conversion therapy" is illegal. You make a good point, that the law runs counter to informed consent. I hadn't even thought of that.
Another consequence of the law is that some psychotherapists will stop seeing adolescents altogether. So many of these kids decide one morning that they are "trans" or "non-binary," there is no way to screen them out during initial evaluations. Therapists are not going to want to have a major ethical dilemma dumped on them because a patient suddenly caught the trans virus.
"She only started regular psychotherapy *after* they performed cosmetic surgeries on her? Is this the ‘standard of care’ for any minors?"
The gender activists have declared that the cause of anxiety, depression, non-suicidal self harm and suicidality is "minority stress." They thereby proclaim that all psychiatric symptoms in any trans-identified child or adult are situational reactions to external stressors, especially bullying, parental refusal to support a child's trans gender claims, and other forms of what gender activists define as discrimination. The fact that patients report severe psychiatric symptoms does not lead the evaluators at gender clinics to conclude that the patients may have significant mental illnesses, even when many trans-identified patients report histories of psych hospitalizations. In research reports written by gender treatment advocates, the authors often directly tell the reader that any psychiatric symptoms reported prior to medical transitions should be framed as reactions to "minority stress."
The gender treatment professionals in gender clinics also believe that giving people opposite sex hormones and cosmetic surgeries alleviates their psychiatric distress and they have reported that patients' distress is alleviated after medical transition. They appear to believe these things without openness to considering alternative hypotheses about the patients' mental diagnoses or their possible causes. These claims by gender activist treatment professionals are not consistent with evidence-based healthcare.
I suspect that the belief that "gender affirming" medical transition is the gold standard for treating psychiatric conditions in trans people is the basis for clinical decisions to start transitioning the trans patients as soon as they are diagnosed. The treatment teams probably expect that the patients will be cured and won't need psychotherapy anymore after the surgery.
Note the clever strategy of legally declaring psychotherapy in such a situation to be "conversion therapy" and as such, illegal. There are not many laws that mandate a certain treatment for a particular complaint, and fewer still that mandate the wrong treatment. In many jurisdictions it is no longer legal to demur at processing the child through transition, and even asking 'are you sure?' will get you in trouble. One consequence of this that has not yet been used in civil proceedings by detransitioners is that surgical consent forms are only valid if consent is 'informed'—there has been a full discussion of possible drawbacks and potential side-effects. But such a discussion is now 'conversion therapy' and illegal. Therefore the consent is not valid.
It is the case in Oregon that "conversion therapy" is illegal. You make a good point, that the law runs counter to informed consent. I hadn't even thought of that.
Another consequence of the law is that some psychotherapists will stop seeing adolescents altogether. So many of these kids decide one morning that they are "trans" or "non-binary," there is no way to screen them out during initial evaluations. Therapists are not going to want to have a major ethical dilemma dumped on them because a patient suddenly caught the trans virus.