Pediatric Gender Identity Gender-affirming Care for Transgender & Gender Diverse Youth

This book serves as a guide to key topics regarding pediatric gender identity to help clinicians better care for transgender and gender diverse youth. Written by experts in the field, it covers critical considerations for child health providers from a variety of disciplines in a range of clinical settings.  Patients, families and other community agencies can also find useful information about current practices and recommendations for care and support. The text begins by overviewing terminology, epidemiology, gender identity development, and relevant neurobiology.  Next, the text focuses on the emergence of affirmative treatment paradigms using a patient-centered, consent based framework. Topics include psychotherapeutic support, gender-affirming medical and surgical care, management of co-existing psychiatric conditions, sexual health and fertility, legal considerations, international considerations, and more. 

Pediatric Gender Identity can be used as a framework to address core clinical issues and offers practical considerations for gender-affirming care. Using the growing science and understanding of gender development, this book is an excellent resource for all professionals working with gender diverse youth, including child and adolescent psychiatrists, pediatricians, pediatric surgeons, psychologists, therapists, researchers, school and educational leaders, and students.

1. Overview and Terminology

Elizabeth A. Perzanowski, Tony Ferraiolo, Alex Keuroghlian

2. Epidemiology of Pediatric Gender Identity

Mamatha Challa, Caroline E. Scott, Jack L. Turban 

3. Pathways of Gender Development

Jenifer K. McGuire, Quinlyn J. Morrow

4. Neurobiology of Pediatric Gender Identity 

Baudewijntje P.C. Kreukels, Sarah M. Burke

5. Minority Stress & The Impact of Acceptance

Christy L. Olezeski, Wendy P. Bamatter

6. Sex Positive Approaches to Educating, Supporting, and Listening to TGD Youth in Clinical Encounters

Aida Manduley, Kira Manser 

7. Patient-Centered Care: Providing Safe Spaces in Behavioral Health Settings

Alison M. Jost, Agnieszka Janicka

8. Primary Care

Jaye Watts, Chelsea Graham

9. Mood, Anxiety & Other Mental Health Concerns

Marijn Arnoldussen, and Annelou L. C. de Vries

10. Caring for Transgender and Gender Diverse Youth with Co-occurring Neurodiversity

Roy H.T. van Vlerken, Coralie E. Fuchs, and Anna I.R. van der Miesen 

11. Pediatric Gender Identity: Considerations for Acute Care of TGD Youth

Zheala Qayyum, Erin Ursillo, Kristen Sayles, Gerrit I. van Schalkwyk 

12. Psychotherapy – A Clinical Overview

Teresa Daniels, Micaela Condon

13. Treatment Paradigms for Pre-pubertal Children

Diane Ehrensaft

14. Treatment Paradigms for Adolescents: Gender-Affirming Hormonal Care

Kathleen Chung, Sarah Rhoads, Alicia Rolin, Andrew C. Sackett-Taylor, Michelle Forcier 

15. Fertility Considerations for Gender Diverse Youth

Leena Nahata, Anna Valentine, Amy C. Tishelman

16. Gender Affirming Surgical Care

Vikram G. Mookerjee, Jonathan P. Brower, Daniel Kwan

17. Late Adolescence to Early Adulthood

Naomi Libby, Maria Trumpler

18. Cultural Considerations in the United States

Cecil R. Webster, Cynthia J. Telingator

19. International Considerations & Variations in Practice: An African Perspective

Anusha Lachman 

20. Legal Considerations for Transgender and Gender Diverse Youth

Ryan Thoreson

Michelle Forcier