Skip to main content
  • 1781 Accesses

Abstract

Transgender adolescents often experience co-occurring mental health symptoms, with anxiety being one of the most common. Often, these symptoms are not severe enough to lead affirming mental health providers to recommend slowing down the physical transition process for the youth. However, in some cases, when the anxiety symptoms are severe and occur with other complex factors, it may be in the adolescent’s best interest to take a slower, more cautious path toward irreversible interventions. This chapter describes the case of “Alex,” a gender diverse adolescent with severe anxiety. A description of the case and an explanation of how it was approached from an affirming and developmentally informed lens, balancing the complicated mental health picture, the parents’ reservations, and Alex’s desire to pursue testosterone treatment, are provided.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Spack NP, Edwards-Leeper L, Feldman HA, Leibowitz S, Mandel F, Diamond DA, et al. Children and adolescents with gender identity disorder referred to a pediatric medical center. Pediatrics. 2012;129(3):418–25.

    Article  PubMed  Google Scholar 

  2. Reisner SL, Vetters RV, Leclerc M, Zaslow S, Wolfrum S, Shumer D, et al. Mental health of transgender youth in care at an adolescent urban community health center: a matched retrospective cohort study. J Adolesc Health. 2016;56:274–9.

    Article  Google Scholar 

  3. Edwards-Leeper L, Feldman A, Henry R, Lash B, Shumer D, Tishelman A. Psychological profile of the first sample of transgender youth presenting for medical intervention in a U.S. Pediatric Gender Center. Psychol Sex Orientat Gend Divers. 2017;4(3):374–82.

    Article  Google Scholar 

  4. de Vries ALC, McGuire JK, Steensma TD, Wagenaar ECF, Doreleijers AH, Cohen-Kettenis PT. Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics. 2014;134:2013–958. https://doi.org/10.1542/peds.2013-2958.

    Article  Google Scholar 

  5. Edwards-Leeper L, Spack NP. Psychological evaluation and medical treatment of transgender youth in an interdisciplinary “Gender Management Service” (GeMS) in a major pediatric center. J Homosex. 2012;59(3):321–36.

    Article  PubMed  Google Scholar 

  6. Edwards-Leeper L, Leibowitz S, Sangganjanavanich VF. Affirmative practice with transgender and gender non-conforming youth: expanding the model. Psychol Sex Orientat Gend Divers. 2016;3(2):165–72.

    Article  Google Scholar 

  7. Ryan C, Russell ST, Huebner D, Diaz R, Sanchez J. Family acceptance in adolescence and the health of LGBT young adults. J Child Adolesc Psychiatr Nurs. 2010;23(4):205–13.

    Article  PubMed  Google Scholar 

  8. Olson KR, Durwood L, DeMeules M, McLaughlin KA. Mental health of transgender children who are supported in their identities. Pediatrics. 2015;137(3):2015–3223. https://doi.org/10.1542/peds.2015-3223.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Laura Edwards-Leeper PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Edwards-Leeper, L. (2018). Anxiety and Gender Dysphoria. In: Janssen, A., Leibowitz, S. (eds) Affirmative Mental Health Care for Transgender and Gender Diverse Youth. Springer, Cham. https://doi.org/10.1007/978-3-319-78307-9_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-78307-9_9

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78306-2

  • Online ISBN: 978-3-319-78307-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics