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Mental Healthcare Burden of Transgender Youth Before and After Gender-Affirming Treatment

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Mental Healthcare Burden of Transgender Youth Before and After Gender-Affirming Treatment

Heavy Psychiatric Care Costs Get Worse after Hormones

Peter McCullough, MD
May 11, 2023
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Mental Healthcare Burden of Transgender Youth Before and After Gender-Affirming Treatment

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By Peter A. McCullough, MD, MPH

The explosion of transgender medicine (TGD) as a new clinical segment of internal medicine is aimed at treating gender dysphoria. Does sex change really make gender dysphoria go away? One proxy for the psychological impact for better or worse is mental health care costs. A recent study reported shocking results in the wrong direction.

Hisle-Gorman et al from Department of Pediatrics, Uniformed Services University, Bethesda, MD published a retrospective cohort (N=3754) study using military healthcare data from 2010-2018 identifying mental healthcare diagnoses and visits, and psychotropic medication prescriptions among TGD youth who received care for gender dysphoria before age 18, and their siblings.

Hisle-Gorman E, Schvey NA, Adirim TA, Rayne AK, Susi A, Roberts TA, Klein DA. Mental Healthcare Utilization of Transgender Youth Before and After Affirming Treatment. J Sex Med. 2021 Aug;18(8):1444-1454. doi: 10.1016/j.jsxm.2021.05.014. Epub 2021 Jul 8. PMID: 34247956.

Sadly, TGD adolescents were more likely to have a mental health diagnosis (OR 5.45, 95% CI [4.77-6.24]), use more mental healthcare services (IRR 2.22; 95% CI [2.00-2.46]), and used psychotropic medications (IRR = 2.57; 95% CI [2.36-2.80]) compared to normal siblings. Diagnoses included adjustment, anxiety, mood, personality, psychotic disorders, and suicidal ideation/attempted suicide. Among 963 TGD youth (age ~18 yrs) using gender-affirming pharmaceuticals, mental healthcare did not significantly change (IRR = 1.09, 95% CI [0.95-1.25]) and psychotropic medications increased (IRR = 1.67, 95% CI [1.46-1.91]) following gender-affirming pharmaceutical initiation.

These data suggest transgender medicine makes the overall burden of psychiatric disease worse and clearly increases the costs of psychiatric care. Parents should understand that transgender medicine is not effective in handling the psychiatric drivers of gender dysphoria in their teenagers.

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Hisle-Gorman E, Schvey NA, Adirim TA, Rayne AK, Susi A, Roberts TA, Klein DA. Mental Healthcare Utilization of Transgender Youth Before and After Affirming Treatment. J Sex Med. 2021 Aug;18(8):1444-1454. doi: 10.1016/j.jsxm.2021.05.014. Epub 2021 Jul 8. PMID: 34247956.

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Mental Healthcare Burden of Transgender Youth Before and After Gender-Affirming Treatment

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Mental Healthcare Burden of Transgender Youth Before and After Gender-Affirming Treatment

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Angry Steve
May 11

With all do respect Dr. McCullough, I suggest not using the terminology "Gender Affirming Treatment" of the Marxists. Doing so only affirms the ideology not the Gender.

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TnDoc
May 11

Thanks for posting this, Dr McC. Not a surprising paper, except it is surprising that it made it past the censors.

I have numerous "trans" patients and all of them are badly damaged from life trauma (mostly family dysfunction). 100% have PTSD. This is the real tragedy,, as mainstream medicine does not recognize this reality and insists on "mental health diagnoses" that are artificial and mainly exist for pharmaceutical dispensing and reimbursement purposes.

Our society in the West has created a dystopic hell that is nothing but trauma - endless war, socioeconomic, physical, emotional, sexual, medical. We live in a collapsing empire that has devalued its citizens while monetizing that which cannot be measured in petro-dollars. This is coming to an end as I type. We have permitted overt clinical psychopaths to control and manage us - stealing our lives and labor - for centuries.

Having said all of this, there is something organic -- beyond mere "mental" issues that is also driving the explosion in the gender dysphoria arena. We live in a toxic soup of chemicals (from plastics to vaxxx to ag chemicals) and industrial waste that is effecting the Human genome in numerous ways - accelerated "gender bending' is but one result of this poisoning.

Sadly, our Ruling Elite has known this for decades (centuries?) and, instead of addressing the poisoning, have chosen to use the emerging disaster to divide and depopulate while extracting the last penny from the terminal patients.

Please do not attack those among us who are different - who are dealing with gender issues, for instance. They are victims of a failed society/culture and need to be supported and understood in a loving manner. Hating and disrespecting the "other" simply promotes the agendas of our Ruling Psychopathy.

We can do better. We must do better.

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