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 :: Gender Transition Counseling Protocol for serving transgendered people seeking a documentation letter for hormone therapy or chest surgeryIn working with transgendered individuals, I will follow the Harry Benjamin International Gender Dysphoria Association's Standards of Care For Gender Identity Disorders, Sixth Version (SOC) when providing services to transgendered people for the purpose of providing a letter documenting an individuals readiness for initiation of hormone therapy or chest surgery. The individual must be at least 18 years of age to receive these services. As is stated in the SOC, the client receiving services must have a relationship with the provider for a minimum of three (3) months. In my practice, the standard is 12 sessions. Since the SOC is such an important document, for your convenience I have taken the following from the February 2001 up date to the SOC. A full copy of the entire text is available on-line. I. Introductory Concepts The Purpose of the Standards of Care. The major purpose of the Standards of Care (SOC) is to articulate this international organization's professional consensus about the psychiatric, psychological, medical, and surgical management of gender identity disorders. Professionals may use this document to understand the parameters within which they may offer assistance to those with these conditions. Persons with gender identity disorders, their families, and social institutions may use the SOC to understand the current thinking of professionals. All readers should be aware of the limitations of knowledge in this area and of the hope that some of the clinical uncertainties will be resolved in the future through scientific investigation.
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