Agata Lesnicka Posted 4 months ago Norman Spack: How I help transgender teens become who they want to be I am sincerely surprised by how enthusiastic and uncritically this talk was welcomed. Even though I am all for tolerance to transgender people and they evoke my personal sympathy, surgical or hormonal influence at such a young age seems debatable and of dubious profits. What with cancer risk? What with risk of misdiagnosing transsexualism? Spack mentions psychometric test, yet fails to point out that we lack psychological lithmus paper for gender identity. He says that gender identity and sexual orientation is easy to confuse - I am surprised, for me they were always separate therefore I cannot understand why he mentions them in a talk on such topic at all. He manipulates saying that hormones are cheap or that it is such a popular topic. Diabetes, hypertension, depression - these are popular. I was also irritated by blowing used tolerance horn as if it would give more funding. In my country transsexual person must undergo a 2 year real life test and examination by several experienced professional and be adult to start a treatment. Due to financial matters it usually begins late after 18, yet most of them have supporting partners and find happiness. Transsexualism was nor removed from DSM-V altogether but now is in separate chapter. Doubtless ICD-11 would follow this trend somehow.