NHS Gender Clinics Mandate Autism Screening

Tejal Somvanshi

All children sent to NHS gender clinics will now be tested for autism and ADHD under sweeping changes following the controversial Cass Review.

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The new screenings replace the "medical model" at the former Tavistock clinic with a "holistic approach" examining mental health, family relationships, and development

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Research shows transgender youth are three to six times more likely to have autism than their peers, with half of former Tavistock patients possibly on the spectrum.

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Cases of gender dysphoria in under-18s jumped dramatically from 0.14 per 10,000 in 2011 to 4.4 per 10,000 in 2021, mainly among adolescent girls.

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Health Minister Stephen Kinnock stressed each case needs individual attention: "Rather than taking a blanket position, it's about understanding specific circumstances."

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Children who test positive for autism may be referred to specialized services to determine if their gender dysphoria symptoms relate to autism, both, or neither.

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Experts are divided on the new approach—some praise the focus on mental health while others worry it creates additional barriers for transgender youth already facing years-long wait times.

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These changes follow the UK government's permanent ban on puberty blockers for transgender youth after the Cass Review deemed evidence for their benefits "threadbare."

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