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How to ask my doctor to prescribe hormones?

Started by SamKelley, December 28, 2015, 01:33:49 PM

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SamKelley

To those who have PM'd me - I'm not being rude - I cannot reply, the forum won't allow me.

Hi Cindy,

That I think was when the review came in under Tammy Franks

I can't find further information of whether it was passed, do you know if it was?

They will take referrals from clinical psychologists - there is a  big difference. Both Rosie and Tony do their own monitoring.

Yes I'm seeing a clinical psychologist.

For sure. Be aware there is a psychologist in SA who states they are a clinical psychologist and who does not have the required degrees. Their opinion is not accepted as clinical information by either of the Endos

Now I'm a little concerned. From what I can see there are only 3 clinical psychologists in SA specialising in GD - Is this the real reason I'm getting push back from my therapist on a HRT referral? How can I find out if the person I'm seeing is not properly credentialed?

I'll just add from AnonyMs post. DSM is not relevant and has not been in Australia for years. WPATH SOC are guidelines and have no authority in Australia.

Hang on, do you mean the DSM is not relevant to gender incongruity, or is not used in general. Forgive me for challenging but that's potentially a big statement. I believe the DSM is still studied and used as a reference point for all psychological and social sciences degrees.

xox
Sami
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AnonyMs

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SamKelley

Phew! This is stressful I feel like I'm under scrutiny! :)
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KayXo

Quote from: Blush on December 28, 2015, 01:53:11 PM
Ask your GP about at least starting spironolactone while you wait. It's a pretty harmless drug that goes a long way

Harmless if you take the necessary precautions; otherwise, it can cause cardiac complications. Doctors sometimes forget to inform patients of precautions to take ...increasing salt and water intake, limiting potassium intake, moderate consumption of diuretics like caffeine.

Spiro taken alone can also have adverse effects insofar as putting you into menopause and triggering symptoms such as hot flashes, depression/fatigue, osteoporosis in the long-term, etc.

Finasteride inhibits conversion to allopregnanolone which exerts anxiolytic and antidepressant effects. The end result can be depression and anxiety so that's something to consider as well.
I am not a medical doctor, nor a scientist - opinions expressed by me on the subject of HRT are merely based on my own review of some of the scientific literature over the last decade or so, on anecdotal evidence from women in various discussion forums that I have come across, and my personal experience

On HRT since early 2004
Post-op since late 2005
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Cindy

Quote from: SamKelley on December 29, 2015, 08:07:07 AM
To those who have PM'd me - I'm not being rude - I cannot reply, the forum won't allow me.

Hi Cindy,

That I think was when the review came in under Tammy Franks

I can't find further information of whether it was passed, do you know if it was?

Not yet, we are waiting. The SALRI was published that made the recommendations to scrap the The Act, many of us made submissions to Parliaments but are still waiting. I expect the review will be killed as it is lead by the Greens. Labour will then bring in new legislation to take credit

They will take referrals from clinical psychologists - there is a  big difference. Both Rosie and Tony do their own monitoring.

Yes I'm seeing a clinical psychologist.

For sure. Be aware there is a psychologist in SA who states they are a clinical psychologist and who does not have the required degrees. Their opinion is not accepted as clinical information by either of the Endos

Now I'm a little concerned. From what I can see there are only 3 clinical psychologists in SA specialising in GD - Is this the real reason I'm getting push back from my therapist on a HRT referral? How can I find out if the person I'm seeing is not properly credentialed?

Yes she is (now I know her name!

I'll just add from AnonyMs post. DSM is not relevant and has not been in Australia for years. WPATH SOC are guidelines and have no authority in Australia.

Hang on, do you mean the DSM is not relevant to gender incongruity, or is not used in general. Forgive me for challenging but that's potentially a big statement. I believe the DSM is still studied and used as a reference point for all psychological and social sciences degrees.

In Australia it is basically not used. The framework may be (Axis types etc) but those frameworks are not unique to the DSM. The DSM is essentially a document created by the USA medical industry etc to ratify conditions that may be seen as 'treatable, paid for' etc. In Australia the WPATH SOC 7 is used as the basic guideline for gender dysphoria/ incongruity issues. Although this is now out of date and the revision is expected out in 2016.

xox
Sami
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SamKelley

Quote from: Cindy on December 30, 2015, 01:01:48 AMNot yet, we are waiting. The SALRI was published that made the recommendations to scrap the The Act, many of us made submissions to Parliaments but are still waiting. I expect the review will be killed as it is lead by the Greens. Labour will then bring in new legislation to take credit

Have you seen the one page letter from Dept. of Health stating under the act a psychiatrist is not required to be approved by the Minister. I'll PM you the link. I'm keen to help get the act repealed, I'll speak with you about that privately.

Quote from: Cindy on December 30, 2015, 01:01:48 AMYes she is (now I know her name!

Phew! Thank you for that :).
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