Table 2.

Roles of the Psychiatrist

Assess and diagnose gender concerns according to current DSM criteria and see that they are addressed.

Assess and diagnose any coexisting psychopathology and see that it is addressed.

Assess eligibility for hormonal and/or surgical treatments, or refer to professionals capable of making such assessments.

Assess capacity to give informed consent for hormonal and surgical treatments.

Ensure that eligible individuals are aware of the full range of treatment options and their physical, psychological, and social implications, including risks, benefits, and impact on sexual functioning and reproductive potential.

Ensure adequate psychological and social preparation for transition treatments.

Refer patients for hormonal or surgical treatments, collaborating with providers as needed.

Ensure continuity of mental healthcare as indicated throughout transition and beyond.