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Prof Psychol Res Pr. 2015;46(1):37-45.

Serving Transgender Youth: Challenges, Dilemmas and Clinical Examples.

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Boston Children's Hospital and Harvard Medical School.
Pacific University School of Professional Psychology.
Boston Children's Hospital.


Historically, many gender variant individuals have lived in a chronic state of conflict between self-understanding and physical being, one in which there was a continual misalignment between others' perceptions of them and their internal self-perception of gender. Only recently have professionals from mental health and medical realms come together to provide services to these youth. This paper describes an innovative program: the first mental health and medical multidisciplinary clinic housed in a pediatric academic center in North America to serve the needs of gender variant youth. We describe our model of care, focusing on the psychologist's role within a multidisciplinary team and the mental health needs of the youth and families assisted. We highlight clinical challenges and provide practice clinical vignettes to illuminate the psychologist's critical role.


adolescent; gender dysphoria; gender non-conforming; transgender; youth

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