Brief Review: Best Practices for Interdisciplinary Gender-Affirming Care

Jesse P. Cannella; Nita V. Bhatt; Julie P. Gentile

Jesse P. Cannella
Nita V. Bhatt
Julie P. Gentile

Keywords: Transgender, Gender-affirming care, Gender minority, Best practices, Healthcare, Gender diverse, TGD

Abstract

Prevalence of people who identify as transgender and gender diverse (TGD) is greater than previously recognized, yet community resources and accessible, inclusive healthcare remain limited. Research continues to reflect high rates of stigma, discrimination, unemployment, homelessness, violence, and poor health outcomes among TGD-identifying individuals.

Although not a disorder itself, the transgender identity may be associated with symptoms of gender incongruence or gender dysphoria, resulting in significant distress, and highly associated rates of self-harm, suicidality, and possible functional impairment. Gender-affirming medicine, which can include gender-affirming psychotherapy, exogenous hormones, surgery, or speech therapy, are safe and effective treatments in mitigating these symptoms. To better encourage provider competency in working with members of the TGD community, this article will discuss the various mechanisms of gender-affirming interventions, best practices for providing inclusive and gender-neutral environments, preventative medicine, and protocols for interdisciplinary referrals.

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