Study Questions Effectiveness of Gender-Affirming Care
Consider being unsure about your gender identity and feeling like you were “born in the wrong body.” It’s worth wondering if treatments like experimental drugs and surgeries aimed at altering your appearance would really help your mental state.
Recent research from Finland suggests a different narrative. The study indicates that individuals under 23 diagnosed with gender dysphoria are more likely to seek specialized psychiatric help both prior to and long after their first gender clinic referral, and that “gender-affirming care” may actually worsen their conditions.
Published in the journal Acta Paediatrica, this analysis revealed that young Finns referred for gender identity services were over three times more likely to require specialist psychiatric treatment than their peers. Those who underwent medical procedures following these referrals had even higher chances of needing psychological support.
Many past studies lack thorough follow-up and consistent control groups, but this one incorporated both elements. Collaborating with the Finnish government, the study examined various groups, including individuals with gender dysphoria who received or did not receive surgeries, as well as matched individuals from the general population.
Using Finland’s personal identification numbers, researchers tracked medical history and psychiatric visits. The results showed that 61.7% of young people with gender dysphoria sought specialist psychiatric treatment over two years after their referral, compared to just 14.6% in the control group. Interestingly, these individuals also had a higher likelihood of needing psychiatric care even before their diagnosis (45.7% vs. 15.0%).
Furthermore, it was noted that those diagnosed with gender dysphoria after 2010 had greater psychological needs than their earlier-diagnosed counterparts. For instance, only 15.3% of those diagnosed pre-2010 visited specialists beforehand, while 47.9% diagnosed afterward did so prior to their referral.
Follow-up analyses revealed a significant increase in psychological issues post “gender-affirming care.” Among males transitioning to female, psychological problems rose from 9.8% to 60.7%, while females attempting to appear male saw rates increase from 21.6% to 54.5%.
These findings suggest two major points: first, that sex-rejecting procedures do not contribute to long-term mental health improvements; second, that individuals diagnosed with gender dysphoria tend to have pre-existing psychological issues.
Data from the study paints a concerning picture: nearly half of the gender-dysphoric youth had consulted a psychiatric specialist more than 25 times throughout their lives, in stark contrast to just 11% of their non-dysphoric peers.
Dr. Kurt Miceli, a psychiatrist and chief medical officer at Do No Harm, emphasized that over two decades of Finnish data clearly indicate that youth pursuing medical gender reassignment utilize psychiatric services at significantly higher rates, even before intervention.
However, the study acknowledges its own shortcomings; it did not evaluate the types of psychiatric care offered, nor did it consider patients’ socioeconomic backgrounds.
Understanding the Results
The findings challenge the claims made by some transgender advocates, suggesting that the often glamorized procedures dubbed “gender-affirming care” could potentially harm mental health over time.
When a doctor diagnoses a minor with “gender dysphoria,” they may prescribe treatments like puberty blockers or cross-sex hormones, which can alter a person’s body permanently, leading to lasting repercussions like infertility. Detransitioners have shared their experiences of dissatisfaction post-treatment, with one individual even awarded over $2 million in a malpractice suit.
A Call for Compassionate Response
Recognizing the complexities of this issue should compel us to approach it with empathy. The study highlights that those diagnosed with gender dysphoria often struggle with additional psychological challenges, which require supportive counseling that addresses the root issues tied to their feelings.
Recent developments, such as the Supreme Court’s decision to strike down parts of a Colorado law limiting talk therapy options, are steps toward validating these alternative support options. Yet, activists continue to oppose this therapeutic approach.
Ultimately, the study underscores the need for therapy that encourages individuals to accept their biological realities rather than turning to medical procedures that attempt to erase them. If we truly wish to assist those grappling with gender dysphoria, we must focus on fostering a therapeutic environment that promotes understanding and acceptance.





