Back when Joshua D. Safer, MD, first began treating transgender patients at Boston Medical Center in 2004, being trans was almost universally regarded as a mental health condition. Times have changed. Today, the World Health Organization and the American Psychiatric Association no longer classify transgender identity as a psychopathology, although Safer said many clinicians haven’t caught up with this thinking. Safer himself now believes that gender incongruence is a largely biological phenomenon.
Abbasi J. A Day in the Life: Caring for Transgender Patients in New York City. JAMA. 2018;320(11):1092–1093. doi:10.1001/jama.2018.11218
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