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Cisgender women sometimes also worry about social stigma and may be uncomfortable with the bodily feminization of their partner as the partner moves through transition. Providers should be respectful of their patients' identity labels; however, due to the rapid evolution of gender terminology, they may need to clarify how both their patients and colleagues employ particular terms. Cambridge, MA: Some clinicians report that a significant proportion of young children diagnosed with gender dysphoria later do not exhibit any dysphoria. In multidisciplinary clinics providing transgender care, primary care providers can assess for and diagnose longstanding GD that might benefit from treatment with hormones and administer hormones without referral from a mental health professional. Retrieved August 28, The organizing actions of adolescent gonadal steroid hormones on brain and behavioral development.

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The DSM-5 states that at least two of the following criteria for gender dysphoria must be experienced for at least six months' duration in adolescents or adults for diagnosis: In Gale Ed. Find articles by Richard R.

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Thus, to be fully effective, the mental health provider needs to be informed about the medical and surgical history of the individual, A6A7 the available data on long-term gender development e.

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