167 Gender Affirming Care: A Mother’s Story

Prepare to be thoroughly moved and enlightened in this groundbreaking episode of Pediatric Meltdown, as we unravel the deeply personal journey of a Mother and her transgender daughter, exploring the intricacies of gender affirming care. From initial confusion and grief to unwavering support and acceptance, their story will challenge your preconceptions and inspire you to embrace empathy and understanding. Step into the shoes of this multiracial, adopted teenager who fearlessly stands tall amidst the challenges of living her true self. As they navigate through complex healthcare settings to championing understanding within conservative communities, their story will challenge your perspectives and ignite a flame of compassion within your heart. Join Dr Lia Gaggino as she takes us on this extraordinary exploration of gender identity, expanding your knowledge and empathy, one step at a time, above all, the unequivocal power of love in the face of adversity. In a world where the politicization and ignorance surrounding transgender identity and gender-affirming care persist, it is more important than ever for professionals in healthcare, mental health, and education to step up and provide the support and understanding that these individuals and their families so desperately need. Education, empathy, and open-mindedness are the key to dismantling the barriers and prejudices that stand in the way. Let us stand together, united in our commitment to acceptance, and  ensure that every child has the opportunity to live as their true selves, free from judgment and harm. Together, we can make a powerful impact on the lives of transgender individuals and contribute to a more inclusive and compassionate society.       

 

[00:33 -8:51] Early Signs of Gender Identity

  • Recognizing and supporting a child’s exploration of gender identity from a young age
  • Understanding the developmental appropriateness of dress-up and self-expression
  • Lack of available information and resources for parents navigating gender identity discussions
  • The emotional journey of parents when their child begins to voice their gender identity
  • The importance of creating a safe and supportive environment for children to express their true selves

 

[8:52 – 15:33]  Misconceptions about Hormone Treatment and Surgery for Transgender Youth  

  • The misconception that all questioning children should immediately start hormone treatment
  • Addressing the false belief perpetuated by anti-trans voices
  • The importance of a thoughtful and informed approach to hormone treatment
  • The recognition that surgery is not the immediate goal for all transgender youth
  • Acknowledging progress made by clinicians in understanding transgender healthcare needs over the past decade

 

[15:34 – 26:46]  Effects of the Politicization of Gender Affirming Care

  • Frustration and fear due to lack of understanding
  • Generalizations and ignorance surrounding transgender issues
  • Feeling marginalized and targeted
  • Access to gender affirming care and support
  • Psychological and emotional impact on the child and family

 

[26:47 – 39:21]  Letting Your Child Be the Guide 

  • A clinician in Chicago advised parents to let their child be the guide in their gender identity journey.
  • This approach may initially feel counterintuitive for parents, but it emphasizes the importance of listening to and supporting the child’s self-discovery.
  • Many individuals identify as non-binary, which may not fit into traditional gender categories, but it is essential to validate their feelings and experiences.
  • Gender identity is not a trend but a deeply personal and authentic expression of self.
  • Allowing your child to guide their own gender identity can lead to a more positive and supportive parent-child relationship.

 

[37:22 – 45:25]  Closing segment Takeaway

Links to resources mentioned on the show

Book* Amazon.com: This Is How It Always Is: A Novel (Audible Audio Edition): Laurie Frankel, Gabra Zackman, Macmillan Audio: Books

Crisis support:  The Trevor Project lifeline 866-4-U- TREVOR. www.thetrevorproject.org

 Family support:  Rainbow Families www.rainbowfamilies.org

 AAP Policy Statement:  Ensuring Comprehensive Care and support for Transgender and Gender-Diverse Children and Adolescents https://publications.aap.org/pediatrics/article/142/4/e20182162/37381/Ensuring-Comprehensive-Care-and-Support-for?autologincheck=redirected

 Pediatric Meltdown episode #15 Caring for Transgender Youth With Compassion:  What Pediatricians Must Know https://podcasts.apple.com/us/podcast/pediatric-meltdown/id1529656785?i=1000502571754

Other episodes you may like:

https://swiy.co/PediatricMeltdownPodcast

160 Youth Suicide Prevention: What About the Parents?

149 Management of Youth Depression: Beyond Medications

142 Difficult Childhood Behaviors: Meeting the Challenges of Parenting

Key quotes for Twitter:

“I think there were all lost feelings in the beginning, again, I think seeing her for the first five and a half years of her life, it kind of started to make sense to us”…Mother 

“I think her understanding and her experience with adoption…She has hope with that, and she doesn’t necessarily feel like a loss at this point with not being able to produce that.”… Mother

THANK YOU FOR YOUR SUPPORT!

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Dr Lia Gaggino

Dr. Lia Gaggino has worked as a pediatrician for over 30 years on the west side of Michigan. During her career as a primary care physician, she has been privileged to care for children and adolescents, and know that their success is closely tied to mental wellness.

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About

Dr. Lia Gaggino has worked as a pediatrician for over 30 years on the west side of Michigan. During her career as a primary care physician, she has been privileged to care for children and adolescents, and know that their success is closely tied to mental wellness.

Recent Episodes

  • All Post
  • ADHD
  • Advocacy
  • Aggression and Disruptive Behaviors
  • Anxiety
  • Autism
  • Building Better Workflows
  • Depression
  • Genetics
  • healthcare disparities and inequalities
  • LGBTQIA+
  • Medications
  • Mental Health
  • OCD
  • Other
  • Pain
  • Parent/child
  • Physician Well-Being
  • Schizophrenia
  • Sexual Trauma
  • Sleep
  • Social Media
  • Substance Abuse
  • Suicide Prevention
  • Trauma

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