Until recently, transgender adolescents were regarded as suffering from a primary psychiatric illness. They experienced extremely high incidence of self-harm and suicide, substance abuse, unemployment, family strife, and social discrimination. Early evaluation and prevention of the unwanted natal puberty in its earliest stages, with provision of sex hormones of the affirmed gender in mid-teenage has changed the outlook for the young adults who are the oldest cohort so treated.
Dr. Norman Spack is a Pediatric Endocrinologist and founder of Boston Children's Hospital's GeMS Program, the first medical clinic for transgender adolescents in the USA.
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