There is no medically valid reason to exclude transgender individuals from service in the U.S....
Transgender Individuals Say They Need Better Access to Mental Health Care
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Survey respondents reported a high prevalence of depression (44 percent), anxiety (33 percent), and somatization (28 percent). The social stigma that the respondents experienced was associated with psychological distress. However, they indicated that support from other transgender people decreased such distress.
More information about the challenges facing transgender individuals and what can be done to help them can be found in Psychiatric News here and here . Information for psychiatrists and other clinicians who treat LGBT individuals can also be found in American Psychiatric Publishing's The LGBT Casebook.
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