This story was first published in digitalhealth.net

NHS England's gender identity development service has said that solving gender identity issues in children is complicated, and is not always going to be the answer to everything.
As referrals to the service have more than tripled since 2015, the experts have said that patients ‘need help from all sides’, because many of the under-18s are also dealing with mental health problems.
Fewer than half of the 2,590 young people who have been referred decided to have any physical treatments.
Most children and young people experiencing distress over their gender identity being seen are aged 14 to 16, going through puberty, and more than two-thirds are female at birth. The NHS clinics do not provide hormone blockers until the child has started puberty, and cross-sex hormones are only given from around the age of 16.
The Tavistock and Portman NHS clinic in London, which was the first gender identity clinic to be set up in the UK, has now been joined by two others in Leeds and Bristol. Another clinic in Birmingham is in the pipeline.
Dr Polly Carmichael, consultant clinical psychologist and director of the Gender Identity Development Service (Gids), said: "We think about all the needs of young people and try and work closely with local services to clearly manage risk around self-harm, and other difficulties, but also to raise awareness around gender issues.
"I think there is sometimes a danger there can be a split - if someone is presenting with issues around their gender identity, that local services perhaps think that's going to be the answer to everything. Whereas in reality it's a complicated picture that needs to be addressed from all sides."
This story was first published in digitalhealth.net
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