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This article provides a summary of the therapeutic model and approach used in the Gender Identity Service at the Centre for Addiction and Mental Health in Toronto. The authors describe their assessment protocol, describe their current multifactorial case formulation model, including a strong emphasis on developmental factors, and provide clinical examples of how the model is used in the treatment.
Notes
1. We have used Clifft's (1986) guidelines for confidentiality in reporting clinical material.
2. These children are sometimes referred to as desisters, while those who do not “lose” the diagnosis are referred to as persisters.
3. There are more parents nowadays who interpret the cross-gender identification as a marker of the child's “essential” gender identity (Brill & Pepper, 2008; Dreger, 2009; Kilodavis, 2009).