No, actually he said "at least one psychiatric diagnosis," and then goes on to suggest that GD might be a further mental health condition. I was assuming the patient was initially being treated for anxiety (or whatever) related to GD, and the other psychiatric diagnosis or diagnoses would be something else. Otherwise he and I were essentially in agreement.
>>Of 10,270 transgender patients identified, 58% (n=5940) had at least one psychiatric diagnosis compared with 13.6% (n=7,311,780) in the control patient population (p<0.0005).
What it does NOT say is that 58% had a *past history* of psychiatric disorders (ranging in their list from General Anxiety to Schizophrenia).
The authors admit that their survey is very incomplete, as it is an American survey, and privacy concerns and Federal law prevent them from harvesting historical patient information. Therefore the "psych diagnosis" isn't something from an old chart, it's one concurrent with the patient's present treatment:
>>This study was limited by not having access to individual patient charts through the Explorys database. Thus, we were not able to confirm gender minority-associated codes nor query transgender patients...Finally, we have no method through Explorys to verify the individual mental health diagnoses, the credentials of the health care worker assigning that diagnosis, when they might have been diagnosed, or how diagnoses may have changed over time...
In other words, their '58%' is scarcely more solid than that '48%' we were talking about. One of those box-of-sand surveys where you can't investigate even the limited data you come up with.
You don't want to challenge me in this stuff. I've done it longer and I do it better. Best of luck with your Substack.
No, actually he said "at least one psychiatric diagnosis," and then goes on to suggest that GD might be a further mental health condition. I was assuming the patient was initially being treated for anxiety (or whatever) related to GD, and the other psychiatric diagnosis or diagnoses would be something else. Otherwise he and I were essentially in agreement.
Not having access to the study he was talking about, and not being a physician or scientist, you misunderstood him and assumed wrong.
The bit you missed is that the 58% of trans patients had *a history* of at least one psych diagnosis when they came in for treatment for GD.
I DON'T HAVE ACCESS? Wrong again. It's right HERE. I have access to most NIH papers, through one institution or another. Full paper, not abstract:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830528/
What it says is:
>>Of 10,270 transgender patients identified, 58% (n=5940) had at least one psychiatric diagnosis compared with 13.6% (n=7,311,780) in the control patient population (p<0.0005).
What it does NOT say is that 58% had a *past history* of psychiatric disorders (ranging in their list from General Anxiety to Schizophrenia).
The authors admit that their survey is very incomplete, as it is an American survey, and privacy concerns and Federal law prevent them from harvesting historical patient information. Therefore the "psych diagnosis" isn't something from an old chart, it's one concurrent with the patient's present treatment:
>>This study was limited by not having access to individual patient charts through the Explorys database. Thus, we were not able to confirm gender minority-associated codes nor query transgender patients...Finally, we have no method through Explorys to verify the individual mental health diagnoses, the credentials of the health care worker assigning that diagnosis, when they might have been diagnosed, or how diagnoses may have changed over time...
In other words, their '58%' is scarcely more solid than that '48%' we were talking about. One of those box-of-sand surveys where you can't investigate even the limited data you come up with.
You don't want to challenge me in this stuff. I've done it longer and I do it better. Best of luck with your Substack.