WPATH 2016 - Dr. Polly Carmichael: The Tavistock GIDS Experience

At the 2016 WPATH Symposium in Amsterdam, Dr Polly Carmichael - the head of the GIDS clinic at the Tavistock in the UK gave a presentation which reviewed the referral patterns, social context and outcomes of the early intervention program at the clinic, treating children with gender dysphoria.

This presentation was cited in the recent book "Time to Think" by Hannag Barnes which describes the evolution and eventual dissolution of the clinic in the UK.

She describes the service and makes some surprising admission including:

- The departure of the clinic from the selection and exclusion criteria of treatment guidelines based on the Dutch Protocol.
- The preliminary results of kids treated with puberty blockers which show no improvement on the various assessments given prior and after treatment.
- The implications of the almost 100% of patients that went on to further hormones and surgery after puberty blocker therapy - that it means the concept of blockers as a diagnostic tool or "time to think" are not accurate.

Index:
00:00 Introduction
00:39 Opening remarks
02:02 History of GIDS
02:59 Demographics
05:05 Equity of Access
07:44 Referrals by the Numbers
09:57 Why the Rapid Growth in Referrals?
12:19 Press Coverage
13:51 Teaching Gender in Schools
14:43 Referrals by Natal Gender
16:00 Associated Difficulties
17:09 Anxiety
17:54 Autism Spectrum
19:04 Self Harm
20:28 Service Protocol
22:00 Service Users Pathways
23:02 Possible Pathways
24:35 Informed Consent
25:56 Physical Interventions
26:56 Puberty Blockers
29:36 Ages at Puberty Blockade
30:59 Differences from the Dutch Experience
31:53 Questions to Ponder
33:28 Rapidly Changing Landscape
34:48 Awards
36:56 Transgender Provider Tries to grab mic from de Vries
37:12 Segregation

Source: https://av-media.vu.nl/Mediasite/Play/581e58c338984dafb455c72c56c0bfa31d?catalog=2d190891-4e3f-4936-a4fa-2e9766ae0d0d

Check out "Time to Think" by Hannah Barnes here: https://swiftpress.com/book/time-to-think/