OPINION: Why hormone prescriptions for people age 18-25 should not be written after one doctor’s visit.
Due to the informed consent model of medical treatment, a person age 18 or older can obtain gender affirming hormones in one brief clinic visit. In a recent consultation, divorced parents recounted that their 18-year-old son questioned his gender during senior year in high school, moved on to a university and, during the fall term as a freshman, presented as female at the student health center and was started on gender affirming hormones.
Yet across hundreds of college campuses and Planned Parenthood clinics, an 18 year old can present for hormones and, at the first visit, obtain a prescription and begin a full medical gender transition. Sometimes this happens with no mental health screening or evaluation beyond the opinion that they are competent to consent by a medical provider.
Yet the costs of such practices can be considerable and potentially disastrous, as in cases — and there are many — when parents learn about their child’s medical gender transition following a psychiatric hospitalization. In such cases, the young person decides to transition but is ill-equipped to handle both the transition and the adjustment to college, which can be challenging for young adults with preexisting or co-occurring mental health issues.
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