‘Bridging hormones’: Increasing number of UK GPs leery of prescribing treatment

by SunMum

SunMum is a UK parent with kids who have been affected by gender ideology. She can be found on Twitter @Mum3Sun


 If you are a medical care provider and you have concerns about the safety and appropriateness of prescribing hormones and surgery to young people who are uncomfortable with their bodies, you are not alone. Trans activists frequently cite the non-existent ‘consensus of the medical community’ to argue that the only effective way of treating gender dysphoria is social and medical transition. However, in this carefully researched piece, SunMum reveals that a growing number of general practitioners (GPs) in the UK appear to feel uncomfortable providing transgender health services.

 Special note to UK readers: If you are concerned about proposed changes regarding transgender health services in this country, please complete the NHS survey by October 16. A helpful guide can be found here.


The recent sudden increase in young people identifying as trans presents a quandary for the UK’s National Health Service. Trans activists demand access to ‘life saving’ health care but there are simply not enough gender specialists to deal with all the new patients. Currently NHS England is holding a twelveweek public consultation on specialised gender identity services for adults who, worryingly, they define as ‘17 and above’. But it seems that not all GPs are happy with the role they are being asked to play. The current arrangement is that the patient’s own GP is responsible for ‘prescribing, on the recommendation of the specialist team’. But according to the Guide to Consultation ‘a small but significant and increasing proportion of GPs do not feel able to accept responsibility for prescribing’.

Why are GPs increasingly unhappy to prescribe gender medicine? Surely the profile of transgender has never been higher as trans charities work to ‘Embrace. Empower. Educate’?

Zara Aziz, a GP partner in Bristol writing in the Guardian newspaper in August 2017 in response to the consultation, is concerned about the demands placed on GPs by what she describes as ‘a niche field’ of medicine. GPs are asked to monitor gender treatment through blood and hormone levels. And since 2016, new British Medical Association guidelines ask them in some circumstances – where patients are self-medicating with hormones or where there is self-harm or risk of suicide – to provide “bridging prescriptions” for emergency hormones. This new demand has met with resistance from the General Practitioners Committee which states that GPs ‘should not be obliged to prescribe “bridging prescriptions’’’. So the BMA and the GPs own organisation are in conflict. According to the GPC, the British Medical Association’s report ‘fails to address the resulting significant medicolegal implications for GPs, and neglects the non-pharmacological needs of [gender dysphoric] patients.’ It almost sounds as if GPs would prefer psychotherapy to medication for these patients. As Dr Aziz put it, GPs are worried about ‘the risk of complaints and litigation against family doctors’.

GPs have clearly noticed the sudden increase in demand for gender medicine. Zara Aziz reports that ‘this year I have seen three gender dysphoria patients (although I have not prescribed any treatment for them yet), but before that it was that many in nine years.’ Like many of us, these reluctant GPs seem to be waking up to the realisation that something strange is going on. Just 10 years ago the number of adolescents who wanted to transition to the opposite gender was vanishingly small; today they seem to be in every school.

If a GP does go ahead and offer a ‘bridging prescription’ for hormones, she will be doing so off-label; these drugs are tested and licensed for other uses. As the NHS consultation document points out: ‘This arrangement differs from prescribing practice in many other secondary and tertiary care services, particularly when prescribing for ‘off label’ indications.’

Gender medicine asks GPs to behave in ways for which they have not been trained.  Perhaps the protocols of gender specialists are increasingly diverging from those of other medical specialties, and this gives the doctors pause?

2015 miller enquiry sunmum

From left: Susie Green, CEO Mermaids, and Anna Lee, first “queer trans disabled lesbian woman” to run for women’s officer at the National Union of Students, listen to Bernadette Wren (on right), consultant clinical psychologist at Tavistock clinic.

Or perhaps these GPs are concerned about the influence that activist groups like Mermaids and Action for Trans Health are having on transgender health care. After all, these groups are pushing for earlier and swifter intervention. In evidence to the UK Parliament Transgender Equality Inquiry in 2015, Susie Green of Mermaids spoke of the frustration of parents with NHS treatment pathways and explained that her organisation helped them to access early intervention abroad:

 ‘We have current conversations going on; I have at least six families who have children who are pubertal who are looking at that option now and are actively contacting the Hamburg centres and America to access that treatment, because they know that they are not going to get it here within the NHS.’ (Q58)

Many activist groups believe the role of the clinician is only to supply the drugs and medication requested by the transgender  patient. Perhaps GPs are concerned that activists are driving treatment decisions that rightfully belong in the hands of medical professionals.

In 2009, one of the leading British gender specialists, Dr Stuart Lorimer, a psychiatric consultant at Charing Cross Gender Identity Clinic and founder of GenderCare, a London private gender clinic, was asked what he saw as his biggest impediment in the development of gender identity services. The answer was ‘medical colleagues, GPs, other psychiatrists’. Lorimer mentioned a survey of 1,000 doctors of which 84 percent felt that gender services are ‘not legitimate, not deserved, should not be in the NHS’.

It is clear that a consensus on the protocols of transgender medicine does not exist outside the small group of specialists. A much-cited Swedish study from 2011 describes the standard treatment for gender dysphoria as ‘a unique intervention not only in psychiatry but in all of medicine’. Searching for parallels, one contributor to 4thwavenow had to go as far back as lobotomy. No other contemporary psychiatric therapy, after all, includes ‘the surgical removal of [healthy] body parts.’

Transgender medicine is not just a specialized field but something of a club. A 2003 Dutch study asked 382 Dutch psychiatrists about their experience of ‘diagnosing and treating patients with gender identity disorder’ and found that ‘[a] small number of psychiatrists’ were responsible for a large proportion of the referrals to ‘specialized sex reassignment therapy centres’. The study concludes that ‘the therapy options proposed to patients with gender identity disorder depend heavily on the personal preferences of psychiatrists’. (Am J Psychiatry 2003; 160:1332–1336) Personal preference is not a reassuring basis for medical treatment.

In the UK it seems that nothing much has changed in the 14 years since the Dutch study. Transgender medicine continues to be in the hands of a small group of clinicians and the NHS consultation guide cited above notes that ‘there is limited collaboration and sharing of best practice across the current providers’. A small number of treatment centres operate on the basis of limited evidence about outcomes.

It’s both welcome – and worrying – that the NHS is only now bidding for research into gender medicine. The commissioning brief acknowledges ‘the lack of a UK evidence base for the NHS to inform decisions about gender identity health services’. And the research bid notes that ‘the long-term iatrogenic impacts of hormonal treatments and surgeries on young people and adults are largely unknown, but some studies show some treatments increase risks of several long-term conditions including cardiovascular and renal diseases, and fracture risk, while research on user satisfaction and psychological outcomes in the UK is of small scale and duration.’ These treatment protocols, in other words, could be causing long term damage – we don’t know enough to rule this out.

When evidence is lacking, we might expect doctors to be cautious. But instead of trying to understand the reluctance of so many GPs, trans activists demand swifter interventions and ascribe medical caution to bigotry. Zara Aziz explains that ‘any reticence on our part to prescribe can be challenged and can sometimes be misinterpreted for prejudice.’ Specialists and activists work to bypass the caution of mainstream doctors. Lorimer’s private GenderCare clinic is designed specifically to get round the reservations of GPs. He explains that:

 In my GenderCare clinic, I saw those people who’d yet to reach a GIC, whose GPs had stalled, dismissed or, in one memorable case, informed them that no such service had ever existed in the UK.

Guidance for NHS clinicians who also offer private treatment issued in May 2009 recommended that ‘specialists should as a general rule make it clear to members of the public that they usually do not accept patients without a referral from a GP or other practitioner.’lorimer summer reading

GPs may not subscribe to the conventions of gender clinicians, but they do tend to know their patients and their family situations. And that, more than anything else, may explain the increasing reluctance of many GPs to provide transgender health services. Just as parents know their children, GPs know their patients. Perhaps more and more of them are seeing young patients who never expressed discomfort with their bodies as children suddenly demanding transgender health services. That would certainly be enough to make a good GP think hard before writing a prescription for cross-sex hormones.

The boy who ‘lived in stealth’: Judge challenges ’emerging orthodoxy’

The following guest post by 4thWaveNow contributor Artemisia investigates a recently reported case of a 7-year-old child in the UK who was removed from the custody of his mother. The court found that the child had been essentially groomed into a transgender identity by his mother. UK charity Mermaids was banned from contact with the mother and child.

UPDATE. On 8th October 2017 Mermaids issued an official statement which was posted on Facebook. It stated, in part:Mermaids has not been served with any orders by the high court … … Following the proceedings, the mother informed us that the judge had ordered the child should have no further contact with the charity.’ This statement was later altered (without acknowledgement, but on or before 10th October). In an addition made at that time, Mermaids admitted to making ‘Facebook comments, which we acknowledge were unclear and suggest a ban’. (The charity also made at least one similar statement on its Twitter stream: see screenshot below and archived link.)


 by Artemisia

 On 21 October the Family Division of the High Court published a judgement delivered earlier that month by Mr. Justice Hayden. The case was widely reported in the press under headlines such as ‘Boy “living life entirely as a girl” removed from mother’s care by judge’ (Guardian). guardian-headline

At once the organisation Mermaids began to kick up a fuss on Twitter. Mermaids is a UK charity. Its objects are ‘to relieve the mental and emotional stress of all persons aged 19 years and under who are in any manner affected by gender identity issues, and their families, and to advance public education in the same’. Mermaids asserted that it had been involved with the family for three years, supporting the mother and child. The claim that Mermaids has had a close involvement with the case is corroborated by a passage in the judgement, extracted from a report prepared for the local authority, which states that the child’s mother was receiving ‘support from the charity Mermaids’.

Mermaids strongly disagrees with the decision to remove the child from his mother. In a series of remarkable public statements on Twitter and elsewhere, the charity and its supporters have stigmatized the judge’s decision to transfer the boy to the care of his father as ‘a huge injustice and transphobic practice’, claimed (wrongly) that ‘there is no evidence … to support [his] views’, described the judge as ‘uninformed and cold hearted’, accused him of ‘abuse’ towards the mother and child and demanded that the judgement be ‘overruled by a higher authority’.

mermaids-tweet

 This seems like very indiscreet behaviour for a charity, particularly a charity which has not denied that it was made the subject of a court order, banning it from contact with either mother or child; but discretion, it appears, is not the Mermaids way.

[Note: On 8th October 2017 Mermaids officially denied having been served an order by the court. See update above.]

mermaids-tweet-2

The case arrived in the High Court as a child protection case. However, it began as private legal proceedings brought in the county court by the child’s father.

The child at the centre of the case, called in the judgement ‘J’, is seven years old. His parents separated while he was still a baby. The father (‘F’ in the judgement) continued to have contact with the child until he was about three or four, when there was a breakdown in the access arrangements agreed between the parents. In 2013 the father applied to the county court for a child arrangement order. He was not seeking to remove his son from the care of his mother; he just wanted to be back in contact with him.

‘M’, the mother, opposed F’s application. Among other reasons she claimed that her son was ‘gender variant’ and that F was resistant to allowing him ‘to present as a girl’. The case was heard by Her Honour Judge Penna, a specialist in family proceedings.

In April 2014 Judge Penna considered a report from the Children and Family Court Advisory and Support Service (CAFCASS). It recorded that F had stated that he would not have an issue with J’s being ‘gender variant’, though he did request proof that this was actually the case. CAFCASS suggested that ‘this could be provided by the support group’: presumably this was a reference to Mermaids. Regardless, CAFCASS recommended that the court proceedings should be concluded and that there should be no resumption of contact between J and his father. The stated reason for this was that ‘the animosity between the parents was likely to lead to “potential emotional harm not only to [J] but to [M] too” ’.

Mother Must Never Be Upset. This is a precept that more than one of the agencies involved in this case seem to have taken as a guiding rule.

Judge Penna did not accept the conclusions presented by CAFCASS, stating: ‘I am unable to agree that this recommendation addresses J’s welfare needs which include a need to have a rounded sense of his identity as he grows older.’

Early in 2015 Judge Penna directed the local authority to conduct a section 37 investigation. This is an investigation to determine whether the local authority should apply to the court for a care order. Evidently the reports that Judge Penna had been receiving had led her to the view that J might be at risk.

The section 37 report, dated 20 March, records that during the course of the previous two years a number of concerns relating to M’s parenting of J had been raised by a range of agencies, including the local authority housing department, two different schools and the health centre. Some of the concerns raised, but not all, were related to M’s insistence that J was ‘gender variant’ or ‘transgender’.

The child’s first school, for example, reported that M was claiming that J was being bullied because of his ‘gender variance’. She was unable to provide any names of the bullies and the staff had not seen any bullying take place. M wanted to send her son to school ‘dressed as a girl’. The school, however, found ‘that in class, [J] [didn’t] display any differences to the other boys’. M did not wish to hear this, and ‘on occasions she reduced a teacher to tears’ by  ‘her “forceful and confrontational” manner’.

There are other reports of M behaving aggressively when she is challenged.

Transgender activist Fox Fisher, a strong supporter of Mermaids, has posted an ‘open letter’ addressing J as a ‘trans girl’. Fisher says,

‘After having spent time with you and your mum on number of occasions I cannot understand how anyone could not see you as the girl that you really are. … When I met you at the age of 5, you were using female pronouns and were living happily as the girl that you are.’

I am sure Fisher is perfectly sincere and has reported the situation as it appeared. But has Fisher ever met J without his mother? Or witnessed J’s mother in one of her well-documented rages?

The section 37 report did make some acknowledgement that M could be a difficult person to have dealings with and that ‘on occasion’ she had ‘challenged professionals’. However, this was blamed on the schools and other agencies, who, it was said, ‘did not have a full understanding of gender non conforming children’. This made M feel ‘stressed’. (Mother Must Never Be Upset.)

In spite of the large number of referrals, the report concluded that ‘the concerns have not been substantiated and did not meet threshold for further intervention’: in other words, the local authority would not be applying for a care order.

At several points the report mentioned that M was receiving support from a charity. In each case this was given as a reason why there was no need for further action to be taken by the children’s services department. In one place the charity is named as Mermaids. In other places the name of the charity has been redacted.

No doubt the children’s services department is under-resourced. Probably the social workers felt off-balance and out of their depth, faced with a putatively transgender five-year-old and his articulate and sometimes very daunting mother. Still, with the best will in the world, the CEO and volunteers of Mermaids do not have the training that a social worker receives, nor could they have the overview of the case gained from multi-agency referrals. On the other side, handing J and his mother off to Mermaids meant that the department was committed to accepting without proper investigation the claim that J ‘feel[s] like a girl and want[s] to be a girl’, to use his mother’s words. Moreover, the department bestowed its authority on the ideology of transgenderism which Mermaids embraces and propagates, and in particular the highly questionable construct of the ‘transgender child’. And it led to the rather convenient assumption that whenever concerns were raised about J’s welfare, this was merely a sign that the agency involved was deficient in its ‘understanding of gender non conforming children’.

By October 2015 the court and the local authority had lost track of J. His home address was not known, he was not attending school, and M was not co-operating with the court-appointed guardian over her efforts to get in touch. In this situation, concerned for the child’s welfare, Judge Penna took the decision to transfer the case to the Family Division of the High Court, which has statutory powers that the county courts do not possess. At this point the case ceased to be a matter of private legal proceedings and became a child protection case, a matter of public law.

The case came before Mr Justice Hayden, the judge against whom Mermaids has directed so much bile.  Anthony Hayden QC was made a High Court judge in 2013. Before then he was a senior barrister, acknowledged as an expert in family and children’s law. He was one of five specialists  who contributed to a massive, ground-breaking legal handbook on Children and Same Sex Families (2012). Judge Penna was another of the contributors. The book includes a detailed section on ‘Gender Recognition’.

children_and_same_sex_families

The ‘transphobic’ & ‘uninformed’ judges were contributors to this book

Mr Justice Hayden wrote in the foreword: ‘A society that respects diversity, values equality and promotes fairness is a healthier one for children to grow up in and a better one for us all.’

The judges who have dealt with J’s case are among the top authorities in the country on family and children’s law as it relates to transgender people. When Mermaids and its supporters call Mr Justice Hayden ‘transphobic’ and ‘uninformed’, they show up their own ignorance and prejudice.

At the first hearing before Mr Justice Hayden, in November last year, he made what he describes as ‘a variety of highly prescriptive orders, reinforced by a Penal Notice’ (that is, a warning that any breach of the order will be a contempt of court). He discreetly declines to say what was in these orders or to whom they were directed. However, Fox Fisher, a Mermaids volunteer with inside knowledge of the case who does not, it seems, appreciate that there are some things it is better to keep quiet about, has acknowledged being subject to a gagging order. Fisher has also stated that there has been ‘a ban on Mermaids being involved with either [J or M] for many months’. Presumably, after studying the reports, Mr Justice Hayden concluded that the continued involvement of Mermaids would not be helpful.

During that hearing M told the judge that her son was living ‘in stealth’, that is, entirely as a girl. She claimed that in bringing him up as a girl she was following advice that she had received from the Tavistock Centre (which runs a gender identity clinic for children). When the court asked to see the records that the Tavistock held on her child, she tried to bar their production; when, eventually, these were obtained, they did not bear out her claim.

The next hearing was in February this year. Mr Justice Hayden makes some telling observations about M’s behaviour in court:

What struck me forcibly … was that M spoke of J only in the somewhat opaque and convoluted argot of social work and psychology. She offered an impressive, intense and highly articulate evaluation of the problems faced by children with gender dysphoria but she conveyed no sense of J’s personality, temperament or enthusiasms, notwithstanding frequently being encouraged to do so. Repeatedly she struck me as a professional witness giving evidence about somebody else’s child.

This is reminiscent of some of the signs of Munchausen syndrome by proxy (also known as factitious disorder by proxy). An attention-seeking mother gratifies her needs by faking in her child an unusual condition or disease. Typically she is well-informed about medical care and is able to discuss the child’s symptoms in considerable detail.

I am critical of the modern tendency to class every problematic behaviour pattern as a mental disorder. But the fact that this kind of pattern in a mother-child relationship is recognised and documented is a useful notice that it is by no means unheard-of for mothers to treat their children as screens on which they project whatever gratifies their needs. And I think we need to be reminded of this sometimes. The meme of the ever-loving mother is very powerful and there are strong cultural taboos on saying anything that may tend to undermine it.

After the hearing in February, the judge concluded that J ‘was at risk of significant emotional harm’. He agreed with J’s court-appointed guardian that he should be removed from M’s care. A very experienced clinical psychologist had made assessments of M and F. On the basis of her reports and his own assessment of F as a witness, the judge made an order transferring J to the care of his father.

Mr Justice Hayden has set his views out plainly:

My experience in the Family Division leaves me with little doubt that some children, as young as 4, 5, 6 years of age may identify strongly with their opposite gender. Such children can experience rejection and abuse arising from ignorance both on a personal and institutional level. … It is important that such children are listened to and their views afforded respect but, to my mind, they are ill served by premature labelling. What they require … is the opportunity to develop their identity in which ever way it evolves. J was not only deprived of that space and opportunity by his mother, he was pressed into a gender identification that had far more to do with his mother’s needs and little, if anything, to do with his own.

J’s father has undertaken to give him that space; his mother remains convinced that he is ‘a girl whose true gender identity is being repressed by F and the professionals’.

What Mr Justice Hayden says in the passage I have quoted above is simply the epitome of good sense. To the ideologues of the transgender movement, however, it is heresy. The claim that a child’s ‘gender identity’ is immutably fixed, and identified by the child at four, or three, or even two, is often made by trangenderists and their allies and facilitators. It serves an obvious political purpose, bolstering the ‘born this way’ narrative. However, I have never seen any research evidence that supports it.

Is Mr Justice Hayden aware that he is going against a cherished tenet of transgender ideology? I think he probably is – he’s clearly well-informed – and doesn’t care one bit. No good purpose is served by pandering to the promoters of unsupported and unlikely notions. There is little point, even, in undertaking a debate with them, since their arguments typically disintegrate as soon as they are closely examined. There is a great deal to be said for simply stating reason plainly, and leaving it to the other side to find rational grounds to criticise – if they can.

The judgement is highly critical of the local authority for its persistent failure to intervene in a case where, as Mr Justice Hayden says, ‘there were strong grounds for believing that a child was at risk of serious emotional harm’. He continues: ‘I propose to invite the Director of Children’s Services to undertake a thorough review of the social work response to this case.  Professional deficiencies to this extent cannot go unchecked…’ He raises as a special cause for concern the way the local authority ‘moved into wholesale acceptance that J should be regarded as a girl’, disregarding the fact that, as he states, ‘There was no independent or supportive evidence that J identified as a girl at all, indeed there was a body of material that suggested the contrary.’

He is certainly aware, at least to an extent, of the social and political pressures that have been placed on professionals as a result of the directions taken by transgender activism. He suspects (no doubt correctly) that this is part of the reason why the social workers involved with this case failed to conduct a proper assessment.  He makes it plain that he does not find that acceptable. He refers to ‘an emerging orthodoxy’ with, I think, a clear implication that it hasn’t been adequately scrutinised:

Transgender equality has received a great deal of attention in recent times.  I believe that in this case the profile and sensitivity of the matters raised by the mother blinded a number of professionals from applying their training, skills and, it has to be said, common sense.  They failed properly to investigate M’s assertions, in part I suspect, because they did not wish to appear to be challenging an emerging orthodoxy in such a high profile issue.

UK pediatric transition referrals DOUBLE in SIX months, girls far outnumber boys, many under 10 years old

Scanning through my Twitter feed this morning, I nearly scrolled past this little news item tweeted by the Guardian:

According to a freedom of information response obtained by the Guardian, the number of children referred to the Tavistock has jumped from 314 referrals in 2012-13 to 697 referrals in 2014-15. In the last six months the service has seen a further increase in referrals with 634 children referred between April and September.

Children? LITTLE children:

Many of the referrals – 151 from 2012-13 to 2014-15 – relate to children under the age of 10, including one three-year-old and 12 four-year-olds.

Yesterday, I posted about a very recent research survey conducted by members of the Dutch team of clinicians who pioneered pediatric medical transition. They found that, worldwide, there is a growing sense of unease amongst clinicians working in child gender clinics. It is widely acknowledged that there is no long-term research to support the current medical paradigm for “treating” children with gender dysphoria–to the point that some providers are even forming “moral deliberation” groups to “rethink” aspects of the pediatric “treatment” protocol.

Does the Guardian article hint at any such doubts? To be fair, the director of London’s Tavistock clinic, Polly Carmichael, does hint:

“The increase is challenging,” Carmichael said. “We are keen to provide space for young people to fully explore their options and find their own way forward. It is a very complicated issue.”

If Guardian reporters would bother to read the 17-clinic survey study, they might be able to expand a bit more on some of these “complicated issues.” Oh wait, they do–in one paragraph, written in the passive voice, accompanied by a glamorous photo of Laverne Cox:

Increased media interest, the proliferation of social media where children and young people can discuss gender identity issues, and the prevalence of trans figures in popular culture such as Caitlyn Jenner and Laverne Cox, is thought to be part of the reason why there has been such a significant increase in these referrals.

“Thought to be”–it is thought by whom?  Couldn’t you find anyone to go on the record to say this publicly? And just how ironic is it that this reporter touches on “increased media interest” without even a phrase devoted to her OWN role, in this very article, in promoting the media circus.

But never mind, because the rest of the article makes clear that the real issue is how important it is to serve all these kids and parents who are demanding transition services.

The Tavistock and Portman NHS trust gender identity development service in London has said that attempting to meet the demand from children seeking their services has put them under huge pressure…

A spokeswoman for the Tavistock said: “Gender expression is diversifying”, adding that it was important for young people to explore and develop their own path.

Let’s see: Should some of those kids with their “diversifying” identities perhaps just be advised to be comfortable in their own bodies?  Is it the duty of the NHS to be “candy sellers” (to quote the wise ethicist in the Journal of Adolescent Health survey) vs. raising a few questions with primary-school children and their doting parents? If question-raising or encouraging other, less extreme options is part of what “support from specialist services” means, it is certainly not stated in this article.

Instead, we get to hear from none other than Jay Stewart, of “Gendered Intelligence,” that NGO which has been teaching preschoolers to obsess about gender for the last 7 years.

Jay Stewart, director of Gendered Intelligence, an NGO that promotes greater understanding of gender diversity, said there are now more than 50 gender options on Facebook rather than the traditional two.

Tail wagging the dog much? Kid signs up for an account on Facebook. Kid has 50 “identity” options to choose from. Hm, kid ponders. Guess this gender thing is really something I need to worry about.  Guess I need to decide whether my body is some alien appendage attached to my all-knowing, gender-generating mind. Because I can’t possibly actually BE my healthy, evolution-crafted body, can I? I am only my ideas, my notions–one of the “identities” Facebook helpfully cooked up with the help of trans-identified employees.

This is the tip of the iceberg of what gender identity is going to look like in the future,” [Stewart] said. “Young people have a very sophisticated understanding of gender yet the world is lagging behind. There is poor understanding of these issues and a lot of hostility and discrimination. Everyone’s gender identity and journey is unique and the numbers of children and young people wishing to transition are going to keep going up and up.”

If it wasn’t clear from other statements Stewart has made publicly, this paragraph crystallizes the matter. “Gendered Intelligence” is not in the business of helping children (with their “sophisticated understanding”) feel positively about who they are. Stewart isn’t teaching 4-year-olds to break gender stereotypes. Right here in black and white, we see that children “wishing to transition” is what those drug-company-taxpayer-funded “lessons” are all about. Because the word “transition” means only one thing: rejecting the sex you are to become one you aren’t.  And as we know from the story reported a couple of days ago, granting childish wishes is what Stewart and his minions are all about:

It’s so important to be teaching children in schools that they can be anything that they want regardless of the gender that they have been given at birth.

Seems Jay Stewart might as well be appointed as a government minister in the UK. Yesterday’s Guardian also featured Stewart as the key advocate for what sounds like soon-to-be-implemented governmental oversight of social media for UK residents who use Twitter, Facebook, or other online networking sites:

Jay Stewart, the director of Gendered Intelligence, a transgender youth group, agreed that more needed to be done about transphobic abuse online…

…“There needs to be more regulation. If people behaved like that in a school or at work it would be dealt with.

Dealt with how? Jail terms? Firings?

“People also think that being trans has something to do with child abuse or they obsess over gender reassignment surgery. All of this comes down to an educational issue and the government can do more here,” Stewart said.

Seems like the government is doing quite enough, paying for Gendered Intelligence to propagandize children in the UK schools, and providing free-at-point-of-service medical transition. But hey, a new Ministry of Thought Police would give taxpayers more bang for their buck, with Stewart at the helm.

Returning to today’s Guardian piece, what about the surge in girls “wishing” to transition, a trend that is being noticed around the world?

According to the Tavistock figures, more girls want to become boys (893) than boys want to become girls (579). Carmichael said the larger number of girls was likely to have a complex explanation. “It might be to do with increased confidence in natal females coming forward but there are lots of unknowns. But we’ve seen a large rise in natal females coming forward, which deserves fuller exploration,” he said.

At least this spokesman thinks the issue “deserves fuller exploration.” But the Guardian reporters aren’t going to do that exploration, now are they? ARE they?

Because, right. It’s just that girls who hate their bodies are feeling more “confident.” Confident of what? Certainly not that it’s perfectly ok to be a “gender nonconforming” female without spending the rest of your life injecting testosterone, undergoing surgery after surgery, and, oh, maybe regretting the kids you never got to have because your parents and people like Jay Stewart–and the “charity” Mermaids–thought it was a brilliant idea to sterilize you instead of allowing you to go through natural puberty.

The charity Mermaids, which provides support to children and families on the issue of gender transition, says children who want to transition can be given gender hormone blockers to prevent the onset of puberty followed by cross-sex hormones. The former are reversible but the latter are less reversible. Currently cross-sex hormones are available from the age of 16 on the NHS.

Signal boost, parents and teens! Just letting you know to come-and-get your free-at-the-point-of-service testosterone when you turn 16! But cross-sex hormones are “less” reversible. That’s a pretty wishy-washy way of saying that your beard, deep voice, and a host of other things that haven’t even been researched are going to be permanent changes. Oh, and then there’s that pesky little problem I keep harping about: that when you follow blockers by cross-sex hormones (as casually mentioned in the paragraph above) you won’t be able to have any kids of your own. But you couldn’t have mentioned that, could you, Diane Taylor, the author of this piece, with your “particular interest” in “human rights”? How about the human right of not being proactively sterilized and permanently altered when you’re too damn young to understand what you’re doing?

Susie Green, the chair of Mermaids, said:“Our children are being failed on a daily basis … There is a crisis. NHS primary care services often don’t understand what is going on with these children and can be dismissive and say, ‘This is just a phase they’re going through.’

Mother's Day card offered for sale by

Mother’s Day card offered for sale by “Mermaids” on their website

Except that the people who know the most about these issues, including the Dutch clinicians who started this whole pediatric transition thing, say, over and over again, that most prepubescent children ARE usually just “going through a phase.

Parents, family members, reporters-with-a-conscience, child development specialists: Are you going to let this continue? Are you going to let the media just go on racing ahead with its propaganda, while the rate of children who “wish” to “transition” doubles, triples, quadruples–how many is too many?

And in case it isn’t painfully clear, you bet I am writing this post in anger this morning. When even some of the people who administer these “treatments,” who are profiting from them, are expressing doubts, but the lazy mainstream (and even the supposedly “feminist” media) continues to behave as de facto propaganda organs for adult trans activists, it’s hard not to become infuriated.

I keep thinking I’m past outrage. But the blood pounding in my ears right now tells me I’m nowhere near Peak Trans.