
So we’re back and I need to discuss more things that injure, isolate, and disconnect transgender and gender expansive people from the connection needed to live. I believe the whole way we have things set up where we ask folks to meet with a long list of docs before getting their medical needs met is a huge injury. I’ve heard advisors tell me they meet with, question and quiz transgender folx in order to make sure their next steps in gender affirming care are the right ones. I’ve heard many sides argued here. I’ve become a Gender Therapist and learned the world path association for transgender health (WPATH, v. 7). I get it, I’m cisgender, but I don’t get how through WPATH, insurance, and medical systems of abuse we neglect people through this gate keeping process.
I believe that the opinion that transgender people should take some weird gender quizzes about what toys they played with is gate keeping and unhelpful. This opinion, not fact, is exactly what gives the field of psychology a bad name. If you come to me or anyone I recommend for a gender affirming surgery letter you will get more mindfulness around this gate keeping process. It’s not to say we’re not a part of it, but we do try our best to work through these oppressive systems and support the patients we serve to obtain the medically necessary care they need.
I’m also a believer in the letters being an open channel of support and communication if that’s what the patient wants. So long as we’re not further blocking people from the medically necessary care they need because we want to cover our butts or ask them about what toys they played with growing up I think we’re off to a better start.
There are so many ways we can come together and connect rather than isolate. Let me know if you’d like more on how we can work together with our gender expansive family.