Good Practice Guidelines for the Assessment and Treatment of Adults with Gender Dysphoria

Kevan Wylie, James Barrett, Mike Besser, Walter Pierre Bouman, Michelle Bridgman, Angela Clayton, Richard Green, Mark Hamilton, Melissa Hines, Gabriel Ivbijaro, Deenesh Khoosal, Alex Lawrence, Penny Lenihan, Del Loewenthal, David Ralph, Terry Reed, John Stevens, Tim Terry, Ben Thom, Jane ThorntonDominic Walsh, David Ward, Eli Coleman, Domenico Di Ceglie, Emma Martin, Philip McGarry, Andrew Messenger, Russell Reid, Su Sethi, Paul Sutcliffe, Daniel Wilson, Susan Carr, Dai Davies, Tracey Dean, Michelle Ellis, Brian Ferguson, Darren Skinner, Vicky Williams, Susan Brechin, Jim Lucey, Maxine Rathbone

Research output: Contribution to journalArticlepeer-review

42 Scopus citations

Abstract

The Good Practice Guidelines for the Assessment and Treatment of Adults with Gender Dysphoria is a publication of the Intercollegiate Committee of the Royal College of Psychiatrists. The overall goal of the Good Practice Guidelines is to provide clinical guidance for health professionals to assist transsexual, transgender, and gender nonconforming people with safe and effective pathways to achieving lasting personal comfort with their gendered selves, in order to maximize their overall health, psychological well-being, and self-fulfillment. This assistance may include primary care, gynaecologic and urologic care, reproductive options, voice and communication therapy, mental health services (e.g., assessment, counselling, psychotherapy), and hormonal and surgical treatments. The Good Practice Guidelines are based on the best available science and expert professional consensus. The Good Practice Guidelines articulate standards of care while acknowledging the role of making informed choices and the value of harm reduction approaches. In addition, the Good Practice Guidelines recognizes that treatment for gender dysphoria i.e., discomfort or distress that is caused by a discrepancy between persons gender identity and that persons sex assigned at birth (and the associated gender role and/or primary and secondary sex characteristics) has become more individualized. Some individuals who present for care will have made significant self-directed progress towards gender role changes or other resolutions regarding their gender identity or gender dysphoria. Other individuals will require more intensive services. Health professionals can use the Good Practice Guidelines to help patients consider the full range of health services open to them, in accordance with their clinical needs and goals for gender expression.

Original languageEnglish (US)
Pages (from-to)154-214
Number of pages61
JournalSexual and Relationship Therapy
Volume29
Issue number2
DOIs
StatePublished - Apr 2014

Bibliographical note

Funding Information:
The following organisations have endorsed the report: British Association of Urological Surgeons British Psychological Society Gender Identity Research and Education Society Gender Trust Press for Change Royal College of General Practitioners Royal College of Nursing Royal College of Obstetricians and Gynaecologists Royal College of Paediatrics and Child Health* Royal College of Physicians Royal College of Speech and Language Therapists Royal College of Surgeons UK Council for Psychotherapy

Keywords

  • Practice Guidelines
  • Standards of Care
  • Transsexual
  • gender dysphoria
  • gender reassignment surgery
  • hormone treatment
  • transgender

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