Möller Birgit, Nieder Timo Ole, Preuss Wilhelm F, Becker Inga, Fahrenkrug Saskia, Wüsthof Achim, Briken Peer, Romer Georg, Richter-Appelt Hertha
Prax Kinderpsychol Kinderpsychiatr. 2014;63(6):465-85.
In Germany, the situation of health care services for children and adolescents with gender dysphoria is insufficient. In 2006 a specialized multiprofessional outpatient clinic was founded at the University Medical Center Hamburg-Eppendorf. Goals were improvement of health services for gender dysphoric children, development of treatment concepts, and gain of knowledge through research. After finishing a thorough interdisciplinary assessment an individualized, case-by-case treatment starts. Besides psychotherapy an interdisciplinary treatment (e. g. puberty suppression and cross-sex hormones) is provided if indicated. During childhood a watchful waiting and carefully observing attitude is necessary. If a marked increase of gender dysphoria occurs during the first phases of puberty development, puberty suppression and later cross sex-hormones might be indicated.
在德国，为性别焦虑症儿童和青少年提供的医疗保健服务状况不足。2006年，汉堡-埃彭多夫大学医学中心设立了一家专门的多专业门诊。目标是改善为性别焦虑症儿童提供的医疗服务，制定治疗方案，并通过研究获取知识。在完成全面的跨学科评估后，开始进行个性化的个案治疗。除心理治疗外，如有指征，还会提供跨学科治疗（如青春期抑制和跨性别激素治疗）。在儿童期，需要采取密切观察和谨慎留意的态度。如果在青春期发育的第一阶段性别焦虑症显著增加，可能需要进行青春期抑制，随后使用跨性别激素。
