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Chapter 3 - Physical Treatments for Trans People and Their Interactions with Psychiatric Treatments

Published online by Cambridge University Press:  18 August 2020

Christina Richards  and
James Barrett
Christina Richards
Affiliation:
Nottingham Centre for Transgender Health
James Barrett
Affiliation:
Charing Cross Gender Identity Clinic
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Summary

This chapter considers the extent to which trans folk need any adjustment to the pharmacological and physical therapies used in the treatment of coincidental mental illness or disorder as a result of existing endocrine treatment for gender dysphoria. Conversely it also considers the impact hormones and surgeries commonly used in the management of gender dysphoria may have on the treatments commonly used to treat mental illness.

The best approach is first to consider the endocrine treatment itself because if its aims, principles, and nature are properly understood the subsequent advice regarding psychotropic drugs is rendered logical and intelligible, and it becomes possible to extrapolate to other pharmacotherapeutic proposals that have not been covered or have yet to be developed.

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Trans and Non-binary Gender Healthcare for Psychiatrists, Psychologists, and Other Health Professionals , pp. 31 - 44
Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

Ettner, R., Monstrey, S., & Eyler, A. E. (eds.). (2016). Principles of transgender medicine and surgery (2nd ed.). New York: The Haworth Press.CrossRefGoogle Scholar
Richards, C., Bouman, W. P., & Barker, M. J. (eds.). (2018). Genderqueer and non-binary genders. London: Palgrave-Macmillan.Google Scholar

References

Bränström, R., & Pachankis, J. E. (2019). Reduction in mental health treatment utilization among transgender individuals after gender-affirming surgeries: A total population study. American Journal of Psychiatry, 1–8. doi:10.1176/appi.ajp.2019.19010080CrossRefGoogle Scholar
Cancer Research UK (2019). I’m trans or non-binary. Does this affect my cancer screening? Available from www.cancerresearchuk.org/im-trans-or-non-binary-does-this-affect-my-cancer-screeningGoogle Scholar
Gijs, L., & Brewaeys, A. (2007). Surgical treatment of gender dysphoria in adults and adolescents: Recent developments, effectiveness, and challenges. Annual Review of Sex Research, 18, 178–224.Google Scholar
NHS (2019). Information for trans and non-binary people: NHS screening programmes. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/834656/Screening_for_trans_and_non-binary_people_Sept_2019.pdfGoogle Scholar
Richards, C., Bouman, W, P., & Barker, M. J. (eds.). (2018). Genderqueer and non-binary genders. London: Palgrave-Macmillan.Google Scholar
World Professional Association for Transgender Health (WPATH) (2011). Standards of care for transgender and gender non-conforming people Version 7. Minneapolis, MN: WPATH.Google Scholar
World Professional Association for Transgender Health (WPATH) (forthcoming 2020). Standards of care for transgender and gender non-conforming people Version 8. Minneapolis, MN: WPATH.Google Scholar

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