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Clinical Management of Gender Dysphoria in Adolescents

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Management of Gender Dysphoria

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Abstract

The chapter describes the clinical management of gender dysphoria in adolescents as offered by the Gender Identity Development Service at the Tavistock Centre in London. It provides a description of the presentations of gender dysphoria in adolescents, the associated psychosocial difficulties and a brief summary of the current explanatory models. It introduces the concept of ‘atypical gender identity organisation’ and its relevance to management.

The clinical management and therapy described are based on a staged approach in line with the Standards of Care by the World Professional Association for Transgender Health. The chapter highlights an approach which integrates psychological, social and physical interventions within a multidisciplinary and well-integrated team. The current eligibility criteria for early pubertal suppression adopted by the service are described. The chapter concludes that the management of gender dysphoria is in continuous evolution and that new models of care will be developed as clinical and research evidence progresses. Clinical vignettes are used to illustrate the approach to management described.

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Author information

Authors and Affiliations

  1. Gender Identity Development Service, The Tavistock and Portman NHS Foundation Trust, Tavistock Centre, 120 Belsize Lane, London, NW3 5BA, UK

    Domenico Di Ceglie MD, FRC, PSYCH

  2. Department of Clinical, Educational and Health Psychology, University College London, London, UK

    Domenico Di Ceglie MD, FRC, PSYCH

Authors
  1. Domenico Di Ceglie MD, FRC, PSYCH
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Correspondence to Domenico Di Ceglie MD, FRC, PSYCH .

Editor information

Editors and Affiliations

  1. Department of Urology, University of Trieste, Cattinara Hospital, Trieste, Italy

    Carlo Trombetta

  2. Department of Urology, University of Trieste, Cattinara Hospital, Trieste, Italy

    Giovanni Liguori

  3. Department of Radiology, University of Trieste, Cattinara Hospital, Trieste, Italy

    Michele Bertolotto

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Di Ceglie, D. (2015). Clinical Management of Gender Dysphoria in Adolescents. In: Trombetta, C., Liguori, G., Bertolotto, M. (eds) Management of Gender Dysphoria. Springer, Milano. https://doi.org/10.1007/978-88-470-5696-1_8

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  • DOI: https://doi.org/10.1007/978-88-470-5696-1_8

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5695-4

  • Online ISBN: 978-88-470-5696-1

  • eBook Packages: MedicineMedicine (R0)

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