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Kristensen Z, Drinkwater C, Johnson R, Menkes DB. Considerations in the assessment and management of ADHD within the TGDNB population. N Z Med J 2023; 136:46-51. [PMID: 38096434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
AIMS In this article we consider current literature around Attention Deficit Hyperactivity Disorder (ADHD) in the transgender, gender diverse and non-binary (TGDNB) population. METHODS Literature review. RESULTS N/A conclusions: We outline specific considerations pertaining to the assessment and treatment of ADHD in this group and highlight evidential gaps and avenues for future research. We conclude that TGDNB individuals should be considered a "special population" with regards to ADHD and encourage mental health practitioners to consider specific TGDNB mental health needs beyond capacity assessments and gender-affirming care.
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Affiliation(s)
- Zoe Kristensen
- Te Whatu Ora - Waitematā, Auckland; Department of Psychological Medicine, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
| | - Caitlyn Drinkwater
- School of Psychology, Faculty of Science, The University of Auckland, Auckland, New Zealand
| | | | - David B Menkes
- Department of Psychological Medicine, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
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Veale JF, Bullock JJ, Byrne J, Clunie M, Hamilton T, Horton J, Kristensen Z, Macdonald JL, Oliphant J, Reid D, Shalom Abidi DS, Stephenson CJ, Withey-Rila C, Wolfgramm P, Yang RYT, Carroll R. PATHA's vision for transgender healthcare under the current health reforms. N Z Med J 2023; 136:24-31. [PMID: 37501229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 07/29/2023]
Abstract
AIM The Aotearoa New Zealand healthcare system does not adequately meet the needs of transgender people. Due to healthcare reforms and increases in funding and awareness of transgender health, the Ministry of Health has met with the Professional Association for Transgender Health Aotearoa (PATHA) to discuss ways to improve the healthcare system. We developed a vision for a transgender healthcare document to enable a process for our members to collaborate and to increase transparency about what advice PATHA has provided to the Ministry. METHOD Feedback from PATHA's committees was incorporated into a draft document, which was then sent to all PATHA members for further feedback and collaboration. RESULTS PATHA proposes improvements to transgender healthcare that are centred around a new transgender health resourcing hub, which should operate according to a Te Tiriti o Waitangi framework, provide national coordination of a distributed model of care, provide resourcing (including education) for primary care and actively work to increase provision and equity of gender-affirming surgeries. In order to be effective, the new resourcing hub would utilise peer health navigators, provide education and professional development, promote healing-focussed care and incorporate transgender community leadership and accountability. CONCLUSIONS These improvements would allow for the best practices from existing regional programmes to be implemented throughout the healthcare system. The proposed changes align with the goals of the healthcare reforms to make healthcare for transgender people more equitable, accessible and cohesive.
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Affiliation(s)
- Jaimie F Veale
- Senior Lecturer and Rutherford Discovery Fellow, Transgender Health Research Lab, School of Psychology, University of Waikato, Kirikiriroa Hamilton
| | - Jemima J Bullock
- Clinical Psychologist, Endocrine Department, Te Whatu Ora, Te-Whanganui-a-Tara Wellington
| | - Jack Byrne
- Research Associate, Transgender Health Research Lab, School of Psychology, University of Waikato, Kirikiriroa Hamilton
| | - Moira Clunie
- Project Lead, Te Ngākau Kahukura, Tāmaki-makau-rau Auckland
| | | | - Jove Horton
- Transgender Health Key Worker, Auckland Sexual Health Service, Te Whatu Ora, Tāmaki-makau-rau Auckland
| | - Zoe Kristensen
- Senior Psychiatric Registrar, Auckland City Hospital, Te Whatu Ora, Tāmaki-makau-rau Auckland
| | | | - Jeannie Oliphant
- Clinical Director, Auckland Sexual Health Service, Te Whatu Ora, Tāmaki-makau-rau Auckland
| | - Dionysius Reid
- Secretary, Professional Association for Transgender Health Aotearoa (PATHA), Ahuriri Napier
| | | | | | - Cassie Withey-Rila
- Assistant Research Fellow, Department of Anthropology, University of Otago, Ōtepoti Dunedin
| | - Penni Wolfgramm
- Doctor of Clinical Psychology Candidate, School of Psychology, Faculty of Science, The University of Auckland Waipapa Taumata Rau, Tāmaki-makau-rau Auckland
| | | | - Rona Carroll
- Senior Lecturer and General Practitioner, Department of Primary Health Care and General Practice, University of Otago, Te-Whanganui-a-Tara Wellington
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Zwickl S, Kristensen Z, Lin A. Author reply to Letter to the Editor regarding 'Re: The RANZCP position statement on gender dysphoria'. Aust N Z J Psychiatry 2023; 57:144-145. [PMID: 36113093 DOI: 10.1177/00048674221125137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
- Sav Zwickl
- Board of Directors, Australian Professional Association for Transgender Health (AusPATH), Australia.,Trans Health Research, Department of Medicine (Austin Health), The University of Melbourne, Heidelberg, VIC, Australia
| | - Zoe Kristensen
- Auckland City Hospital, Auckland, Aotearoa New Zealand.,Policy and Advocacy Committee, Professional Association of Transgender Health Aotearoa (PATHA), Aotearoa New Zealand
| | - Ashleigh Lin
- Board of Directors, Australian Professional Association for Transgender Health (AusPATH), Australia.,Telethon Kids Institute, The University of Western Australia, Perth, WA, Australia
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Zwickl S, Chaplin B, Bisshop F, Cook T, Soo CTM, Birtles B, Veale J, Carroll R, Johnson R, Macdonald J, Porter J, Withey-Rila C, Kristensen Z, Lin A. Re: The RANZCP position statement on gender dysphoria. Aust N Z J Psychiatry 2022; 56:1217-1218. [PMID: 35815707 DOI: 10.1177/00048674221112007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Sav Zwickl
- Board of Directors, Australian Professional Association for Transgender Health (AusPATH), Australia.,Trans Health Research Group, Department of Medicine (Austin Health), The University of Melbourne, VIC, Australia
| | - Belinda Chaplin
- Board of Directors, Australian Professional Association for Transgender Health (AusPATH), Australia.,Northern Territory AIDS & Hepatitis Council, Northern Territory, Darwin City, NT, Australia
| | - Fiona Bisshop
- Board of Directors, Australian Professional Association for Transgender Health (AusPATH), Australia.,Holdsworth House Medical Brisbane, Fortitude Valley, QLD, Australia
| | - Teddy Cook
- Board of Directors, Australian Professional Association for Transgender Health (AusPATH), Australia.,ACON Health, Surry Hills, NSW, Australia
| | - Clara Tuck Meng Soo
- Board of Directors, Australian Professional Association for Transgender Health (AusPATH), Australia.,Hobart Place General Practice and East Canberra General Practice, ACT, Australia
| | - Belinda Birtles
- Board of Directors, Australian Professional Association for Transgender Health (AusPATH), Australia.,Brisbane Southside Psychology, QLD, Australia
| | - Jaimie Veale
- Executive Committee, Professional Association for Transgender Health Aotearoa (PATHA), Aotearoa, New Zealand.,Trans Health Research Lab, School of Psychology, University of Waikato Aotearoa, Hamilton, Aotearoa, New Zealand
| | - Rona Carroll
- Executive Committee, Professional Association for Transgender Health Aotearoa (PATHA), Aotearoa, New Zealand.,Department of Primary Health Care & General Practice, University of Otago, Wellington, Aotearoa, New Zealand
| | - Rachel Johnson
- Executive Committee, Professional Association for Transgender Health Aotearoa (PATHA), Aotearoa, New Zealand.,Centre for Youth Health, Counties Mānukau District Health Board, Aotearoa, New Zealand
| | - Joey Macdonald
- Executive Committee, Professional Association for Transgender Health Aotearoa (PATHA), Aotearoa, New Zealand.,Te Ngākau Kahukura, Tāmaki Makaurau, Aotearoa, New Zealand
| | - Jesse Porter
- Executive Committee, Professional Association for Transgender Health Aotearoa (PATHA), Aotearoa, New Zealand
| | - Cassie Withey-Rila
- Executive Committee, Professional Association for Transgender Health Aotearoa (PATHA), Aotearoa, New Zealand.,Otago Medical School and Social Anthropology Programme, University of Otago, Ōtepoti Dunedin, Aotearoa, New Zealand
| | | | - Ashleigh Lin
- Board of Directors, Australian Professional Association for Transgender Health (AusPATH), Australia.,Telethon Kids Institute, The University of Western Australia, WA, Australia
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Kristensen Z. Inequity in psychiatry cannot be addressed without first embracing intersectionality. Aust N Z J Psychiatry 2022; 56:1046-1047. [PMID: 35522170 DOI: 10.1177/00048674221098632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Zoe Kristensen
- Mental Health and Addiction Services, Waitemata District Health Board, Auckland, Aotearoa, New Zealand
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Anderson E, Eleazer JR, Kristensen Z, St Amand CM, Baker AM, Correro AN, Cottingham ME, Hinrichs KLM, Parmenter BA, Stelmokas J, Trittschuh EH. Affirmative neuropsychological practice with transgender and gender diverse individuals and communities. Clin Neuropsychol 2022:1-19. [PMID: 35642438 DOI: 10.1080/13854046.2022.2073915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Accepted: 04/29/2022] [Indexed: 11/03/2022]
Abstract
Objective: To provide guidance and resources on how to practice culturally safe and humble neuropsychology with transgender and gender diverse (TGD) individuals and communities. Methods: We gathered a multidisciplinary team of clinicians with relevant professional and/or lived experience to review pertinent literature, discuss important concepts, and identify key resources. From this process, we outline practical steps to advance gender affirmative neuropsychological practice. Results: Professional awareness and knowledge regarding how to gather context-relevant, gender identity information is critical. TGD individuals form a heterogenous group; a one-size-fits-all approach is not adequate. It is incumbent upon neuropsychologists to engage in clinical and research practices in a manner that does not perpetuate gender minority stress and trauma. Creating an open, safe environment of care requires intentionality and careful thinking to determine what information is relevant for a particular referral question. We provide recommendations and resources for neuropsychologists. Conclusion: When neuropsychologists are proactive, responsible, and intentional, they can better provide individualized, person-centered, and trauma-informed care to TGD individuals.
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Affiliation(s)
- Erica Anderson
- Anderson Health Strategies, LLC, President Former USPATH, Berkeley, CA, USA
| | | | | | - Colt M St Amand
- Department of Family Medicine, Mayo Clinic Rochester, Department of Psychology, University of Houston, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine
| | - Abigail M Baker
- VA-Tennessee Valley Healthcare System
- Saint Mary's University of Minnesota
| | - Anthony N Correro
- VA Ann Arbor Healthcare System Michigan Medicine, University of Michigan
| | | | - Kate L M Hinrichs
- VA Boston Healthcare System, Mental Health Service, Harvard Medical School, Department of Psychiatry, Boston, MA, USA
| | - Brett A Parmenter
- Olympic Psychology Services, Tacoma, WA
- VA Puget Sound Health Care System, GRECC, University of Washington School of Medicine, Department of Psychiatry and Behavioral Sciences, Seattle, WA, USA
| | - Julija Stelmokas
- VA Ann Arbor Healthcare System Michigan Medicine, University of Michigan
- New York Harbor Healthcare System Brooklyn Campus
| | - Emily H Trittschuh
- VA Puget Sound Health Care System, GRECC, University of Washington School of Medicine, Department of Psychiatry and Behavioral Sciences, Seattle, WA, USA
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Birring A, Megson M, Kristensen Z, Singh S. Is full body MRI (FB-MRI) a viable alternative to Bone Scan (BS) in detection of metastasis in GEH patients with prostate cancer? Int J Surg 2018. [DOI: 10.1016/j.ijsu.2018.05.628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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