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Transgender and Gender Diverse Children and Adolescents
CHILD AND ADOLESCENT PSYCHIATRIC CLINICS OF NORTH AMERICA (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - September 21, 2023 Category: Psychiatry Authors: Natalia Ramos, Serena Chang, Scott Leibowitz Source Type: research

Copyright
ELSEVIER (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - September 21, 2023 Category: Psychiatry Source Type: research

Contributors
JUSTINE LARSON, MD, MPH, DFAACAP (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - September 21, 2023 Category: Psychiatry Source Type: research

Contents
Natalia Ramos, Serena Chang, and Scott Leibowitz (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - September 21, 2023 Category: Psychiatry Source Type: research

Forthcoming Issues
Workforce and Diversity in Psychiatry (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - September 21, 2023 Category: Psychiatry Source Type: research

Assessment of Gender Diverse Children
This article provides an overview of the World Professional Association of Transgender Health (WPATH) Standard of Care 8th edition (SOC8) chapter on transgender and gender diverse (TGD) prepubescent children (see Scott Leibowitz ’s article, “Assessment of Transgender and Gender Diverse Adolescents: Incorporating the Standard of Care 8th Edition,” in this issue). This is the first WPATH SOC chapter in history, specifically devoted to children, acknowledging that the developmental needs and experiences of these youth ca n be distinguished from those of TGD adolescents. The child standards are based on the consensus of ...
Source: Child and Adolescent Psychiatric Clinics of North America - July 5, 2023 Category: Psychiatry Authors: Amy Tishelman, G. Nic Rider Source Type: research

Common Intersection of Autism and Gender Diversity in Youth
Autism and gender diversity often intersect. Many transgender youth seeking gender-related medical interventions are autistic. Clinicians serving these youth lack an autism-specific evidence base to guide gender care decisions. At present, care decisions are based on extrapolation of care models from transgender youth samples, generally. At this point, there is no evidence to suggest that autistic youth are likely to experience shifts in gender or gender-related medical requests, although this has been insufficiently studied. In this article, cowritten by expert clinicians and autistic gender-diverse collaborators, an over...
Source: Child and Adolescent Psychiatric Clinics of North America - July 5, 2023 Category: Psychiatry Authors: John F. Strang, Anna I.R. van der Miesen, Abigail L. Fischbach, Milana Wolff, Marvel C. Harris, Sascha E. Klomp Source Type: research

Assessment of Transgender and Gender-Diverse Adolescents
This article provides an overview of the World Professional Association of Transgender Health (WPATH) Standard of Care 8th edition (SOC8) recommendations for adolescents seeking gender-affirming care. SOC8 was the first iteration of the guidelines to employ a Delphi consensus process that required 75% agreement of 120 multidisciplinary international transgender health experts for approval of its recommendations. While the evidence base for adolescent care is evolving, gender-affirming treatment is medically necessary and promotes long-term psychological wellbeing. The guidelines emphasize the importance of an assessment to...
Source: Child and Adolescent Psychiatric Clinics of North America - June 28, 2023 Category: Psychiatry Authors: Scott F. Leibowitz Source Type: research

Gender Literacy Across Childhood and Adolescence
Gender--once an afterthought despite its significant yet unspoken role in the average American ’s daily life (public restrooms, clothes shopping, grooming, sports teams)--has become a fraught sociopolitical issue. The concept of gender as a construct, once relegated to the realm of Women’s and Gender Studies courses, went mainstream while concurrently, gender reveal parties have experienc ed a surge in popularity. Meanwhile, youth (and adults) have become increasingly comfortable exploring their gender identities and expression, which has led to an increase in inquiries regarding gender-affirming care--along with an ac...
Source: Child and Adolescent Psychiatric Clinics of North America - June 25, 2023 Category: Psychiatry Authors: Serena M. Chang, Laura Erickson-Schroth, Marija Kamceva Source Type: research

Transgender and Gender Diverse Youth in Inpatient and Other Residential Care
Inpatient and other residential care environments require special considerations for safety and unique opportunities to provide affirming care to TGD youth. Gender-positive policies, staff training, communication, placement, programming, and discharge planning are imperative; however, data and literature are limited in regard to affirming the care of TGD youth in such environments. This chapter draws from published research and best practice to support the wellness of TGD individuals in inpatient and similar settings. It offers clinical guidance for an organization ’s clinicians, administrators, educators, and advocates ...
Source: Child and Adolescent Psychiatric Clinics of North America - June 25, 2023 Category: Psychiatry Authors: Jaime Stevens Source Type: research

Supporting Transgender Youth Across Psychosocial Systems
Transgender children and adolescents are at an elevated risk for negative mental health outcomes due to exposure to stigma and discrimination regarding their identity. While various environments may perpetuate this stigma, many supports also exist that can bolster safety, affirmation, and resilience in this population. Opportunities for support exist within schools, broader communities, religious organizations, and with medical professionals who practice gender-affirming care. Clinicians who are familiar with resources in their communities can effectively guide transgender youth and their families to these affirming spaces...
Source: Child and Adolescent Psychiatric Clinics of North America - June 20, 2023 Category: Psychiatry Authors: Brandon Johnson, Nathalie Szilagyi Source Type: research

Individual Affirming Care
Clinicians working with youth encounter transgender and gender-diverse youth and play a role in supporting the psychological and social well-being of youth and their families. Mental health clinicians start with a thorough assessment, development of a biopsychosocial formulation of the youth, and a collaborative treatment plan. Determining if the youth meets diagnostic criteria for Gender Dysphoria and identifying comorbid mental health diagnoses inform recommendations for psychiatric medication management, individual and/or family therapy interventions, and/or referrals to medical or surgical colleagues. Supporting develo...
Source: Child and Adolescent Psychiatric Clinics of North America - June 20, 2023 Category: Psychiatry Authors: Erin L. Belfort, Brandy Brown Source Type: research

Gender-Affirming Medical Treatments
This article will outline the role of medical providers in implementing safe and effective gender-affirming medical treatments in youth. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - June 20, 2023 Category: Psychiatry Authors: Puja Singh, Ximena Lopez Source Type: research

Beyond Race, Sex, and Gender
This article explores how race, sex, and gender are better thought of as a continuum rather than binary categories. Starting with a discussion of intersectionality, we examine the importance of ethnic-racial identity and explore unique cultural considerations for working with Black, Latinx, and AAPI transgender and nonbinary youth. We then examine intersex youth and variations of sex development, as well as specific challenges they face. Finally, we explore nonbinary gender identities and the importance of individually tailoring affirming interventions. For all sections, we highlight the strengths and resilience of the you...
Source: Child and Adolescent Psychiatric Clinics of North America - June 15, 2023 Category: Psychiatry Authors: A. Ning Zhou, Kai J. Huang, Terence L. Howard Source Type: research

Navigating the Storm: Meeting the Needs of Transgender and Gender-Diverse Youth and Their Families in a Time of Sociopolitical Upheaval
“The way I see it, if you want the rainbow, you gotta put up with the rain.”–Dolly Parton (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - June 15, 2023 Category: Psychiatry Authors: Natalia Ramos, Serena Chang, Scott Leibowitz Tags: Preface Source Type: research