Supporting Adolescents who experience Gender-Related Distress

Gender identity forms part of your sense of self. Connecting with your identity and being seen and accepted by others is crucially important for teenagers, their mental health, wellbeing and resilience. Adolescents experiencing gender-related distress face unique challenges that require careful and informed support. In our latest live session, we were joined by Anastassis Spiliadis, a Systemic and Family Psychotherapist and Psychologist, to talk about understanding the complexities of gender-related distress in teenagers, the impact on mental health and the best practices for supporting young people through these experiences. 

Key Findings from the CASS Report

Anastassis started by talking about the CASS Report, an independent review of Gender Identity services for children and young people. The report aims to ensure that young people questioning gender identity or experiencing gender dysphoria, and who need support from the NHS, receive a high standard of care that meets their needs and is safe, holistic and effective. Anastassis explained how the CASS report highlights the lack of robust research and evidence on medical interventions of gender care; emphasising the need for a different care model that allows the young person time to talk through how they’re feeling. 

The Role of Language 

The CASS report stressed the importance of careful language use, advocating for terms like ‘gender questioning’ and ‘gender-related distress’ to avoid assumptions about outcomes. As Anastassis explained, this tentative approach is crucial for parents and carers, encouraging them to support their children without rushing to conclusions or interventions.

Talking Therapy

Anastassis shared more about talking therapy, which is now recommended as the first line of treatment for young people experiencing gender-related distress. This involves a collaborative exploration with the young person and their family to understand their experiences and develop a supportive, individualised care plan. The goal is to provide a safe space for adolescents to express their feelings and thoughts, acknowledging the fluidity and complexity of their identities.

Co-Occurring Mental Health Challenges

Evidence shows that many adolescents with gender-related distress also experience co-occurring mental health challenges such as anxiety, depression, autism, and eating disorders. These complexities necessitate a holistic approach to treatment, addressing both gender-related distress and other mental health issues to improve overall well-being.

The Role of Schools

Anastassis talked about how schools play a critical role in supporting gender-questioning students. The upcoming government guidance emphasises the need for schools to work alongside parents and carers, ensuring that any support provided is in collaboration with the family. This approach aims to create a supportive environment while respecting the legal responsibilities of parents.

Supporting Parents and Carers

Parents and carers often face significant anxiety and uncertainty when supporting a child with gender-related distress. It's essential for them to educate themselves about the current evidence and recommendations, engage in open and respectful conversations with their children, and seek professional support when needed. 

The full session is available to watch now on the Let’s all Talk Mental Health hub - log in or register here.