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Trans and mental health
Transgender people report higher rates of depression, anxiety disorders, autism, ADHD, eating disorders and suicidality than cisgender controls.
Increased prevalence
Transgender people report higher rates of depression, anxiety disorders, autism, ADHD, eating disorders and suicidality than cisgender controls. The 'minority stress' model explains part of this in terms of discrimination, isolation and internal conflicts.
Effect of transition
Research shows that for many transgender people transition reduces dysphoria-related complaints, but does not automatically resolve comorbid conditions. The Dutch cohort study by Wiepjes (2020) showed that suicide death remains elevated after transition.
Implications for care
International guidelines point to the importance of integrated mental health care alongside medical transition. This prevents underlying problems from being left untreated and offers support for broader identity development.
Sources
Wiepjes, C.M., Nota, N.M., de Blok, C.J.M., et al. (2020). Trends in suicide death risk in transgender people: results from the Amsterdam Cohort of Gender Dysphoria study (1972–2017). Acta Psychiatrica Scandinavica, 141(6), 486–491. doi:10.1111/acps.13164
Cass, H. (2024). Independent Review of Gender Identity Services for Children and Young People: Final Report. cass.independent-review.uk
Coleman, E., Radix, A.E., Bouman, W.P., et al. (2022). Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. International Journal of Transgender Health, 23(sup1), S1–S259. doi:10.1080/26895269.2022.2100644