Demystifying the process of psychosocial assessment prior to receiving gender-affirming medical care

Publication Date

1-1-2023

Document Type

Article

Publication Title

Journal of Gay and Lesbian Social Services

DOI

10.1080/10538720.2023.2281960

Abstract

Psychosocial assessment by a qualified mental health provider, colloquially referred to as “getting a letter,” is recommended for transgender and gender diverse (TGD) individuals seeking gender-affirming medical care (GAMC). This study used an online survey to examine the logistics and overall affective responses of TGD adults (n = 134) to this process. Findings revealed that, to varying degrees, participants were involved in several steps to obtaining the letter, including seeing the letter before it was sent to medical providers. Overall, participants reported generally positive experiences with the process of “getting a letter” based on the affective measures of empowerment, stigma, helpfulness, and harm, with transgender women feeling more empowered than transgender men in the process. Documenting the lived experiences of TGD adults seeking GAMC is a critical step on the path to realizing health equity.

Keywords

Gender-affirming medical care, health equity, psychosocial assessment, transgender and gender diverse (TGD)

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