It is about what the health care approach should be, and how best to help the growing number of children and young people who are looking for support from the N.H.S.
For reasons that are also not clear, adolescents who were assigned female at birth are driving this trend, whereas before the late 2000s, it was mostly adolescents who were assigned male at birth who sought these treatments.
One is that greater social acceptance of trans people has enabled people to seek these therapies.
A third is that the rise of teen mental health issues may be contributing to gender dysphoria.
In her report, Cass is skeptical of broad generalizations in the absence of clear evidence; these are individual children and adolescents who take their own routes to who they are.
Persons:
Hilary Cass, Cass
Organizations:
National Health Service, Britain’s Royal College of Pediatrics, Child
Locations:
England, Cass