At last, the long-awaited appointment day has arrived. Arter owning up to self-administration, and discovering there are no recriminations, it is down to further interview and then to ongoing care.
Questions:
Were you a normal pregnancy?
Approximate age of puberty?
Was there any gynaecomastia?
As an adult: reduced facial and/or body hair? Erectile function, normal? Genitalia normal?
Children? If not, out of choice?
History:
Past Medical History, in detail
Allergic History?
Social History: Tobacco, Alcohol and occupation
Family History
Dating of Gender Dissonance and details
Schooling and friends
Traumas of Dissonance
Presentation in Public and work-place. Support in these environments
Legal name change
Downsides of transition
Psychiatric History:
GP's report
History of deliberate self-harm, suicide attempts or eating disorder
Forensic History
Substance abuse
Social History
Housing and finance
Friends
Fertility
Relationships (family)
Objects of sexual desire
Future Transition plans.
Marriage hostory
Treatment, under supervision - to follow.