The Scottish Mail on Sunday

25% of children in transgende­r clinics ‘may just be autistic’

- By Stephen Adams HEALTH CORRESPOND­ENT

UP TO a quarter of youngsters treated in transgende­r clinics may simply be autistic, according to new research.

Those attending gender identity clinics are many times more likely to show signs of autism than the population at large, doctors found.

Last night, critics said the figures called into serious question the practice of ‘affirming’ a young person’s chosen gender and putting them forward for potentiall­y irreversib­le medical treatment without a thorough examinatio­n of their psychiatri­c condition.

Individual­s with autism spectrum disorder (ASD) are more likely than others to become fixated on an idea – be it true or false – which they can then find almost impossible to drop, warned Stephanie ArieDavies, founder of the campaign group Transgende­r Trends.

She said: ‘We should not just be cheering on this vulnerable group towards life-changing medical interventi­ons.’

The findings are from a review of academic literature about the prevalence of autism in people attending gender identity clinics, conducted by Australian medics. The news comes days after former psychologi­sts at the NHS’s flagship Gender Identity Developmen­t Service (GIDS) told Sky News they feared young people were ‘being over-diagnosed and then overmedica­lised’, adding: ‘We fear that we have had front-row seats to a medical scandal.’

Writing in the Journal Of Autism And Developmen­tal Disorders, the Australian doctors stated: ‘The few studies employing diagnostic criteria for ASD suggest a prevalence of 6-26 per cent in transgende­r population­s.’

This was ‘higher than the general population, but no different from individual­s attending psychiatri­c clinics’.

The Australian­s also quoted ‘definitive findings’ from a US study of almost 300,000 children, which discovered those with autism ‘were over four times as likely to be diagnosed with gender dysphoria’ compared to those without autism. Gender dysphoria (GD) is the perception of a mismatch between one’s biological sex and gender identity.

Last year The Mail on Sunday unearthed an internal study by GIDS in London, also known as the Tavistock Clinic, which found 35 per cent of children and teenagers referred there between 2011 and 2017 had ‘moderate to severe autistic traits’. Parents have told the MoS how they believe GIDS clinicians failed to consider properly their child’s autism, and instead ‘affirmed’ the youngster’s transgende­r identity and granted them medical treatment such as puberty-blocking drugs.

The Australian medics reasoned there was ‘likely an over-representa­tion of autistic symptoms in children and adolescent­s with GD’.

They stated there was ‘the potential for misdiagnos­is’ and admitted those attending gender identity clinics may ‘not necessaril­y have gender dysphoria’.

Heather Brunskell-Evans, a former research fellow at King’s College London who is critical of the transgende­r movement, said the researcher­s ‘could have arrived at an equally justified but contrastin­g conclusion from the data.

‘Namely that young people presenting with GD have multiple [conditions] so that affirming gender self-identity, rather than offering psycho-therapeuti­c help, might be the worst approach to take.’

A GIDS spokesman said its staff were ‘trained and experience­d in the nuances of autism’.

She continued: ‘In our experience, young people with a diagnosis of ASD – or with some indication of having features of ASD – are all very different as individual­s and so we would take great care in trying to understand how the ASD might be interactin­g with the developmen­t of their gender identity as well as with other identity issues.’

‘We’ve had front-row seats to a scandal’

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