WPATH Assessments for Adolescents

Q Psychology provides WPATH assessments for trans, gender diverse, and non-binary adolescents from 16 years-of-age seeking to medically affirm their gender.

Overview

The purpose of an assessment prior to commencing gender affirming hormone treatment (GAHT) is to support you to make informed decisions regarding this step in affirmation and to help you reach your goals in the safest way.

The assessment is a collaborative process with a mental health clinician conducted over several appointments. It is conducted in line with the WPATH Standards of Care Version 8 and the Royal Children’s Hospital Australian Standards of Care and Treatment Guidelines for Trans and Gender Diverse Children and Adolescents. Our assessments are always conducted from a gender affirming framework.

The first appointment

The first appointment will involve you, your parents/guardians, and two clinicians. This appointment helps us get an understanding of your affirmation journey so far and to provide information about the assessment process. After the first appointment, your clinicians will discuss with you a plan for how to safely reach your goals. One clinician will usually take you through the rest of the process, but both clinicians will still be there to support you as needed.

What happens next?

Then we start with the planned support – usually that’s just with you and your clinician, but sometimes it involves your parents/guardians joining in (and of course, you can have them there if you would prefer). Typically, we explore:

  • your goals and motivations for GAHT;
  • your gender identity and gender development;
  • your general psychosocial history and background;
  • social and legal affirmation;
  • the presence and impact of gender dysphoria in your life;
  • the impact of other difficulties you might be experiencing; and
  • your understanding of, and readiness for, GAHT (including the impacts of treatment).

Sometimes the plan also involves helping you explore your gender identity if you’re uncertain, supporting your overall mental health, or helping you to take steps in other areas of affirmation (e.g., socially). Your clinician will also need to speak to other healthcare professionals involved in your care. Your clinician will also spend time with your parents/guardians, asking them about you as a baby, your development, and answering any questions they might have. At the end of the process your clinician will write a report – the report will be discussed with you and your parents/guardians.

Costs

Sessions are charged at the clinician’s standard fee for a 50 minute session. With a GP referral and valid mental health care plan a Medicare rebate is available for each session (up to a total of 10 sessions per calendar year).

There are additional costs for the report. Medicare does not provide a rebate for reports.

Availability and access

Assessment sessions can be completed face to face at the clinic or via Telehealth. As Telehealth is available, assessments can be done Australia-wide.

Please reach out on 03 7023 4780 or talk@qpsychology.com.au to check availability.

Important links

WPATH guidelines: https://www.wpath.org/publications/soc

Transhub: https://www.transhub.org.au/

The Royal Children’s Hospital Gender Service: https://www.rch.org.au/adolescent-medicine/gender-service