Disorders of gender identity: what to do and who should do it?
Transsexualism is not usually indicative of psychopathology. In carefully selected individuals, with multidisciplinary support, a change of social gender role and cross-sex hormone treatment greatly improves the psychological and social state. Sustained improvement merits gender reassignment surgery. The key is early referral with subsequent primary care cooperation in the treatment plan.
James Barrett, MBBS, MSc, FRCPsych, Charing Cross Gender Identity Clinic, West London Mental Health NHS Trust, London. Email: james.barrett@wlmht.nhs.uk.
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D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D063106:Transgender Persons / Q000706:statistics & numerical data*; D014189:Transsexualism / Q000453:epidemiology*