Hormones and surgery are the mainstay of treatments available routinely for transsexual patients in the UK. The condition and approach to it by mental health professionals are explored within the paper by the author who has run a specialist psychotherapy service for patients with gender dysphoria for eight years at The Portman Clinic in London. In the paper he describes the challenges posed by the therapist in treating these patients and important factors in the treatment to enable psychotherapy to be a useful treatment option. He details some of his experience of treating transsexual patients within a homogenous outpatient slow-open group analytic psychotherapy group.
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