Freedom to think: the need for thorough assessment and treatment of gender dysphoric children

Referrals (particularly natal female) to gender identity clinics have increased significantly in recent years. Understanding the reasons for this increase, and how to respond, is hampered by a politically charged debate regarding gender identity. This article starts with a discussion of the so-called 'affirmative approach' to gender dysphoria and considers the implications of the Memorandum of Understanding on conversion therapy. I then say something about the relationship between gender dysphoria and the developmental problems that are characteristic of adolescence. Finally, I outline what changes to the current approach are needed to do our best to ensure these patients receive the appropriate treatment.

Automated summary

This article discusses the significant increase in referrals to gender identity clinics in recent years, particularly among natal females, and the challenges in understanding and responding to this trend due to a politically charged debate on gender identity. The author explores the implications of the 'affirmative approach' to gender dysphoria and the impact of the Memorandum of Understanding on conversion therapy. Finally, the article outlines the necessary changes to the current approach to ensure appropriate treatment for these patients.