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“Should I Take Testosterone When I Turn 16?”

Posted on November 14, 2017
by Lisa Marchiano
5 Comments

A few weeks ago, I received a very thoughtful email from someone who had read my blog. This young person suffers from gender dysphoria and is considering taking testosterone upon turning 16. We agreed together that I would answer the email here on my blog, in public.  Dear N, Thank you for your email, and for trusting me with a…

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New Guidance for Rapid Onset Gender Dysphoria

Posted on July 21, 2017
by Lisa Marchiano
21 Comments

In 2016, I posted a short blog that gave general guidance for parents with teens who had recently come out as transgender. In the intervening months, I have spoken with a number of families whose teen identified as trans for some period of time, and subsequently desisted, often as a result of parental support for finding alternative ways of managing…

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Some Thoughts on Authenticity

Posted on April 14, 2017
by Lisa Marchiano
2 Comments

Those who enthusiastically support pediatric transition for dysphoric children often invoke the loaded phrases “authentic self,” or “true self.” For example, top pediatric transition physician Jo Olson-Kennedy posted on the WPATH (World Professional Association for Transgender Health) Facebook page in March 2016 regarding her desire to see the standards of care changed to lower the recommended age for surgery to…

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What’s My Agenda?

Posted on December 15, 2016
by Lisa Marchiano
2 Comments

Some readers of this blog may notice that I have an interest in writing about the potential dangers associated with pediatric transition of trans identified children, teens, and young people. You may be wondering why I am interested in this topic, and where my views have come from. Lisa, what is your agenda regarding transgender teens? What’s it to you,…

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Guidance for Parents of Teens with Rapid Onset Gender Dysphoria

Posted on October 27, 2016
by Lisa Marchiano
65 Comments

For part two of this post, please visit here. Parents whose teens or tweens suddenly come to identify as transgender “out of the blue” without a significant history of gender dysphoria or even nonconformity have few places to turn. The professional response to gender dysphoria has not caught up with this new presentation, and parents are often told that they…

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