title: [Care of children and adolescents with gender dysphoria in the context of an interdisciplinary special consultation service].
abstract: In Germany, the situation of health care services for children and adolescents with gender dysphoria is insufficient. In 2006 a specialized multiprofessional outpatient clinic was founded at the University Medical Center Hamburg-Eppendorf. Goals were improvement of health services for gender dysphoric children, development of treatment concepts, and gain of knowledge through research. After finishing a thorough interdisciplinary assessment an individualized, case-by-case treatment starts. Besides psychotherapy an interdisciplinary treatment (e. g. puberty suppression and cross-sex hormones) is provided if indicated. During childhood a watchful waiting and carefully observing attitude is necessary. If a marked increase of gender dysphoria occurs during the first phases of puberty development, puberty suppression and later cross sex-hormones might be indicated.
authors.forename: Birgit
authors.initials: B
authors.lastname: Möller
authors.forename: Timo Ole
authors.initials: TO
authors.lastname: Nieder
authors.forename: Wilhelm F
authors.initials: WF
authors.lastname: Preuss
authors.forename: Inga
authors.initials: I
authors.lastname: Becker
authors.forename: Saskia
authors.initials: S
authors.lastname: Fahrenkrug
authors.forename: Achim
authors.initials: A
authors.lastname: Wüsthof
authors.forename: Peer
authors.initials: P
authors.lastname: Briken
authors.forename: Georg
authors.initials: G
authors.lastname: Romer
authors.forename: Hertha
authors.initials: H
authors.lastname: Richter-Appelt
mesh_terms: D000293:Adolescent; D035843:Biomedical Research; D002648:Child; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D004505:Education, Nonprofessional; D005260:Female; D005783:Gender Identity; D012739:Gonadal Steroid Hormones / Q000627:therapeutic use; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D010044:Outpatient Clinics, Hospital; D011613:Psychotherapy; D011627:Puberty / Q000187:drug effects / Q000523:psychology; D012017:Referral and Consultation; D014189:Transsexualism / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D057832:Watchful Waiting
chemical_list: D012739:Gonadal Steroid Hormones