How do you discuss gender issues with adolescents?

Nurses General Nursing

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We've got a whole new world opening up to kids. They have to wrap their minds around issues that adults are having trouble with. How can they be expected to make a reasoned knowledgeable decision about their own sexuality with so much peer pressure, adult expectations and societal influences?

Personally I think I would go with "Be who you want to be, but honor the body you are born with even if it's not perfect." In a nutshell, that's my best effort. But tell me about kids that are questioning their identity. I thought for about a year in adolescence that I might be gay...I'm not, but imagine if I had gone through the coming out process, and then had to crawl back in! Mortifying! How do parents and school counselors help kids get though?

Regarding transgender folk, If a kid decides to take hormones, can they change their mind in a year, and have everything go back to normal? Will puberty take place, just delayed for a year? If they put off hormone therapy until they get through adolescence, what are the disadvantages? I hate to have a kid make a life changing decision at 12-13 years old, and have no way to change their minds.

I have noticed for years that most of my cisgender clients have depression, anxiety, PTSD, or some other kind of psychiatric diagnosis in their history. Do you think there's some connection there???

Specializes in Critical Care.

Why Transgender People Experience More Mental Health Issues | Psychology Today

"According to a study published in the July 2016 edition of The Lancet offers significant evidence that the "distress and impairment, considered essential characteristics of mental disorders" among transgender individuals primarily arises in response to the discrimination, stigma, lack of acceptance, and abuse they face on an unfortunately regular basis."

Specializes in Critical Care and ED.
Question: Has anyone ever had a trans patient who didn't have at least anxiety, depression, bipolar or PTSD in their health history? Are the two related? Chicken before the egg kind of thing? Or does the difficulty of being trans cause the aforementioned issues?

All you have to do is go onto any news story on Facebook about transgender issues and read the comments. And then you'll understand why transgender people have depression and anxiety. The world is seriously cruel to them.

Specializes in Certified Vampire and Part-time Nursing Student.
I stick with science: DNA and chromosomes. I don't encourage the schizo____ who believes they are the president, I don't encourage the person who is having a panic attack about a bomb in the room that is not there... and I don't encourage the anorexic that her belief (which is not science) that she is fat.

What a great attitude to have as a nurse. I personally don't have the time to karyotype all my patients before deciding how to address them, I just have to take their word for it :sarcastic:

To address the OP, as someone who is transgender, it's okay if you don't understand what these patients are going through. All you have to do is show a little compassion and be an active listener if they want to talk to you. Not guilt-tripping people with your own personal opinions or religious dogma is a plus. That goes for just about anything- depression, anxiety, psych cases, etc.

There are more than enough hoops for people to jump through to get access to any sort of trans-related care, enough that it's extremely unlikely to for anyone to regret anything just because of how purposefully inconvenient everything is. Meanwhile people can go to any shoddy plastic surgeon and get their whole face rearranged, bigger than DDD breasts, big butts that border on deformity, and as long as they have the cash and no one even blinks. Hell, you can get full facial and body tattoos like tiger lady and you won't run into as many road blocks as trans people do.

It just blows my mind how uninformed people are about us. We get lectures about the 'health risks' of hrt by the 400lb mcdonalds addict, told we should "love our bodies for what they are" by women who've gotten breast augmentation and rhinoplasty, 'something something chromosomes' from people who haven't taken a biology class since high school, "you just need to see a therapist," well yeah seeing a therapist IS a requirement for any transitional treatment so... :oldman: Listening and asking open ended questions so they can talk it out is important, discussing it is not necessary or desirable if you honestly don't know anything about the subject, no offense.

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