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Thank you. The journalist you interviewed used guarded and polite language when describing the pediatric-Trans pathway. She refers to the patient “assessment”. That word refers generally to the process of capturing patient information. It also refers to a specific psychological questionnaire tool that is specifically named in the patient medical record. Examples are: CANS, ANSA, ASI, etc. There is no tool to capture “Trans”. That means doctors have no method for separating Trans patient from non-Trans, other than patient stating “I am Trans”. Not a problem for autonomous adults who are entitled to decide on body modification. Both AG Garland and AG Bonta (CA) have my Dec 2022 letter stating the above. Both APA and NIMH violated their own standards in allowing treatment for a pediatric condition that cannot be captured.

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