Gender Affirming Care Across the Lifespan: Care for Non-Binary Patients

79 Pages·2017·2.21 MB·English

by  Caitlin Wells

Affirming Care for
Trans & Non-binary Patients
Neola Young, Legacy Health
S. Annah Shapiro, ND, Sacred Vessel
Annie Tubman, MD, IBCLC, Northwest Primary Care
Disclosures
We have no financial disclosures
(Hopeful) Goals
● Introduction to trans health
● Care environment tips
● Mental health considerations
● Hormone protocols
● Integrated primary care
● Case examples
● Q&A
Intro to Trans Health
Understanding Concepts
Sex –
● understood as physiological & anatomical characteristics; assigned at birth (male,
female, intersex) and can be changed legally
Gender –
● innate sense of who you are (man, woman, genderqueer, another gender)
Gender expression –
● how you present yourself through clothing, hairstyles,
accessories, body language, etc.
● Sexual/romantic orientation –
who you’re attracted to
Understanding Concepts: Orientation terms
● Gay
● Lesbian
● Same Gender Loving (SGL)
● Bisexual
● Pansexual
● Queer
● Asexual
● Straight/heterosexual
Understanding Concepts: Gender terms
● Cisgender
● Transgender
● Transsexual
● Trans
*Cis = stay on the same
● Trans woman, trans man, trans person
side
● Genderqueer, non-binary
● Third/fourth gender *Trans = to cross over
For more info:
https://transequality.org/issues/resources/frequently-asked-questions-about-transgender-people
Understanding Concepts
● "Gender dysphoria" is the medical diagnosis used to describe transgender
identities. Other dx codes that show up: "gender identity disorder" or
"transsexualism".
● "Gender identity disorder" was added to the DSM (Diagnostic and
Statistical Manual of Mental Disorders) in 1980 and replaced with "gender
dysphoria" in 2013.
● How many trans people exist? Range is 0.3% to 5% of the population, but
we don’t totally know because data collection is insufficient.

Complication & Correlation
● 28% of trans people postponed
medical care due to
discrimination
● 41% have attempted suicide
● 78% of trans youth harassed
● 90% experienced harassment
or discrimination on the job
● 2x the general rate of
homelessness
● Over 50% experience sexual
violence