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Being Trans is no longer a Mental Disorder, but how does that affect medical funding?

OzGirl

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I recently attended a zoom in which a plastic surgeon stated that now that being trans is not a mental disorder, it would be harder to get funding, but he did not explain why. I can understand that it would make it more difficult to get mental health support, but it should make being trans a more medical condition.

I think the issue may lie in the description "normal part of human experience" but it still doesn't add up!


Hugs,

Allie
 

KathyLauren

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Being transgender is not a mental disorder, nor is it a medical problem, so it is not something to be cured. This is good, and supports the move to ban conversion therapy (which is before the Canadian Parliament now).

But gender dysphoria is still a medical/psychological condition. It causes distress, and there is therefore a need for treatment. Being able to live as who we are, in the bodies that we feel are right for us, is the cure for dysphoria. Those issues are ones that the medical and psychological fields are competent to handle.

So there is still a medical need, and insurers should still be on the hook to pay for treatment. The issue is what they are treating. They are treating/curing dysphoria, not being transgender.
 

Abigail

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As long as this does not lead to some sort of claim that all of this should be treated as a cosmetic issue, there may be a lot of good to gain from this. If, for instance, insurance companies can start denying coverage for therapy, because being transgender is not considered a mental health issue, then there are an awful lot of people that may lose the only lifeline they have for support. That is frightening. I think greater clarity is needed before we can be sure what to expect.
 

Lexxi

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As long as this does not lead to some sort of claim that all of this should be treated as a cosmetic issue, there may be a lot of good to gain from this. If, for instance, insurance companies can start denying coverage for therapy, because being transgender is not considered a mental health issue, then there are an awful lot of people that may lose the only lifeline they have for support. That is frightening. I think greater clarity is needed before we can be sure what to expect.
I totally agree Abigail. I know how insurance companies work and I can already see them trying to deny our coverage. If gender dysphoria gets removed from the DSM...well we'll all be paying out of pocket for our transitions. Which is going to lead to thousands of lost lives through suicide when people can't afford their transitions.

That's why I don't care if it remains a mental diagnosis. Because as soon as it gets removed then...viola....no more coverage.
 

Abigail

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That's why I don't care if it remains a mental diagnosis. Because as soon as it gets removed then...viola....no more coverage.
I think the advocates who work very closely with the American Psychological Association will address all of these concerns and probably some we can't think of at the moment. If they want to say we are not affected psychologically, by this experience, they will have a lot of resistance to that. Every time I leave my house or even just look in the mirror, I am reminded that it totally does.
 

OzGirl

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I think @KathyLauren is right in that being trans is not a mental disorder, but the dysphoria which usually accompanies it is a condition which requires treatment. The only recognised treatment for gender dysphoria is medical, and many individuals have achieved ridding themselves of dysphoria through transition.

The next DSM (6) being developed will not list gender incongruance as a mental disorder, and the danger is that it is now listed as within the range of normal human experience, which the insurance companies might sieze upon to refuse payment. This will be hard given the high rate of suicides and mental health issues in our community, and that procedures like affirming surgeries are listed as life saving.

I guess we will just have to wait to see how this all develops!

Hugs,

Allie
 

Lexxi

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Since it will no longer be listed as a mental condition I suppose trans people won't have to worry about going to get letters for HRT or surgeries, and we won't have to worry about WPATH having any control over our transitions any longer.
 

OzGirl

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Since it will no longer be listed as a mental condition I suppose trans people won't have to worry about going to get letters for HRT or surgeries, and we won't have to worry about WPATH having any control over our transitions any longer.


It has certainly thrown up some challenges for WPATH, and they have loosened thier policies a bit, but it will take a bit more time for WPATH to react to our evolving situation. This all started in 2018 with the World Health Organisation removing Gender incongruence for their mental disorder categories, so it’s taking time for other orgainisaions to catch up. Once some of these academics get control, they don’t like to give it up!

Hugs,

Allie
 

pamelatransuk

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Since it will no longer be listed as a mental condition I suppose trans people won't have to worry about going to get letters for HRT or surgeries, and we won't have to worry about WPATH having any control over our transitions any longer.
Sorry Lexxi but I fear if so many (but not all) GRS surgeons insist on the outdated practice of cessation of HRT before surgery, they are likely not for some time to perform surgeries without psychiatrists back up for patients.

This will all take years or perhaps a decade!

Hugs

Pamela xx
 

Abigail

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I just read this article again and I have a new take on it. I believe the whole point of this is to urge psychologists to discontinue conversion therapy and normalize the rights of transgender and non-binary individuals. One of these rights is affirming our right to care, regardless of gender or sexual identity. This article states very clearly that there is still a need for psychologists to play a role in all of this too. This means there will be justification for therapy, should individuals desire it.

Here is the one resolution that stood out most to me.
"11. BE IT FURTHER RESOLVED that the APA encourages psychologists to be aware of multiple and intersecting factors in identity, such as sex assigned at birth, gender expression, gender identity, age, race, ethnicity, religion, spirituality, socioeconomic status, disability, national origin, and sexual orientation in conceptualization, treatment, research, and teaching about transgender and gender nonbinary people"

To me, this is a hidden bonus for any trans or non-binary person who is faced with legal issues, such as the rights to shared or joint custody of children. It highlights the need for the literature and practices for addressing these issues and it can no longer hide behind the guise of calling this experience a mental disorder. The APA is saying that they do not recognize these issues as mental disorders, which should mean that a court of law would not make the decision to immediately revoke parenting rights solely based on that alone. They are further confirming the healthier perspective that individuals should be allowed to declare their own identity and lives will be saved.

My overall feeling is that this will be a steppingstone to inclusion and better healthcare for all individuals.
 

OzGirl

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A big thing about this new position from the APA is that psychologists can no longer diagnose anybody to be transgender as it is not a mental condition. We do not have yet a standard for medical diagnosis, so it leaves us in an area of no diagnosis. Will this affect access to funding?

Hugs,

Allie
 

Abigail

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The way I interpreted this article was that it no longer needs to be diagnosed at all. It is up to the individual to declare their identity and the care we need is just as individual. I can't say I felt better about how I felt all these past years, while being convinced I had a mental problem. I actually felt better after realizing that this was really what all my hardships in society and with my body had been trying to tell me. I just wasn't understanding the language of my own experiences. Now I face new challenges, like being respected in a medical or business setting. I can tell my doctor I am trans and they can't declare me insane, even if they don't support me. That is a step forward for all of us but, of course, we need more.
 

Lexxi

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I just read some good news...we won't have to worry about health insurance covering our transitions. The new DSM will have a new name for gender dysphoria....it will now be called gender incongruence. So it won't be coming out of the DSM which means that it should still have a diagnosis which should appease the health insurance companies.

Here's what Wikipedia said about it:
The ICD-11, which will come into effect on 1 January 2022, significantly revises classification of gender identity-related conditions.[28] Under "conditions related to sexual health", the ICD-11 lists "gender incongruence", which is coded into three conditions:[29]


  • Gender incongruence of adolescence or adulthood (HA60): replaces F64.0
  • Gender incongruence of childhood (HA61): replaces F64.2
  • Gender incongruence, unspecified (HA6Z): replaces F64.9

In addition, sexual maturation disorder has been removed, along with dual-role transvestism.[30] ICD-11 defines gender incongruence as "a marked and persistent incongruence between an individual’s experienced gender and the assigned sex", with no requirement for significant distress or impairment.

The working group responsible for this recategorization recommended keeping such a diagnosis in ICD-11 to preserve access to health services.[30]


I don't really like that it's gonna be tied to sexual health now....but at least it should still be covered by insurance.
 

OzGirl

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I just read some good news...we won't have to worry about health insurance covering our transitions. The new DSM will have a new name for gender dysphoria....it will now be called gender incongruence. So it won't be coming out of the DSM which means that it should still have a diagnosis which should appease the health insurance companies.

Here's what Wikipedia said about it:
The ICD-11, which will come into effect on 1 January 2022, significantly revises classification of gender identity-related conditions.[28] Under "conditions related to sexual health", the ICD-11 lists "gender incongruence", which is coded into three conditions:[29]


  • Gender incongruence of adolescence or adulthood (HA60): replaces F64.0
  • Gender incongruence of childhood (HA61): replaces F64.2
  • Gender incongruence, unspecified (HA6Z): replaces F64.9

In addition, sexual maturation disorder has been removed, along with dual-role transvestism.[30] ICD-11 defines gender incongruence as "a marked and persistent incongruence between an individual’s experienced gender and the assigned sex", with no requirement for significant distress or impairment.

The working group responsible for this recategorization recommended keeping such a diagnosis in ICD-11 to preserve access to health services.[30]


I don't really like that it's gonna be tied to sexual health now....but at least it should still be covered by insurance.
Thanks for posting that @Lexxi ! You would think that now it is a medical health issue, it should get easier to have medical procedures covered, but I bet the insurance companies have teams of lawyers trying to find ways out of it!

Hugs,

Allie
 

Lexxi

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Thanks for posting that @Lexxi ! You would think that now it is a medical health issue, it should get easier to have medical procedures covered, but I bet the insurance companies have teams of lawyers trying to find ways out of it!

Hugs,

Allie
I get you're right. Insurance companies are ran by vampires...the bad kind of vampires too, not the good ones.

I've been really scared about gender dysphoria being removed from the DSM....so I feel better now that it's really not.
 
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