Bhutan Symposium
GENDER
Dysphoria


Gender dysphoria is clouded by confusion in many societies and has become vulnerable to distortion and despair. In recent years there has been a sharp increase in the number of children and adolescents reporting gender dysphoria. It is in this context that this symposium for Bhutan has been organized. The goal is to equip your leaders and health professionals with information about the multiple facets of this complex disorder to perhaps enable a consensus for care in the best interest of the youth of Bhutan with respect to your culture, religion, and resources. The hope is to prevent, or at least lessen, the divisiveness and harm that have descended upon other countries.
The organizers of the symposium realize that some topics and discussions may be sensitive, personal, and contentious and strive to be considerate of speakers and attendees at all times.


The Story Behind The Symposium





Video
Slides / Articles


Thursday, 19 January
5:00 PM BTT Introduction
Welcome and Opening Remarks
Dr. Tshokey, THE LINK Bhutan, Head of Pathology and Laboratory Medicine, JDWNRH
Dr. Kinzang P. Tshering, President, Khesar Gyalpo University of Medical Sciences of Bhutan

5:10 BTT Section 1 What Is It? How Is It Treated?
Moderators:  Dr. Karma Tenzin    Dr. Phurpa Wangdi    Heath Miller, M.D. (University of Washington, Seattle)
Gender Affirmation Program
Shubham Gupta, M.D.Case Western Reserve University, Cleveland, Ohio, USA
Rachel Pope, M.D., M.P.H.Case Western Reserve University, Cleveland, Ohio, USA

6:50 Break

7:00 BTT Section 2 Basics, Research, and Endocrinology
Moderators:  Dr. Kuenzang Chhezom     Dr. Ugyen Tshomo
7:05 Medical Approaches to Alleviating Suffering from Gender Dysphoria
Paul W. Hruz, M.D., Ph.D. Washington University, St. Louis, Missouri, USA
7:50 Gender Dysphoria in Children and Adolescents: Basics and Research
Kenneth J. Zucker, Ph.D., C. Psych University of Toronto, Toronto, Canada

Friday, 20 January
7:00 BTT Section 3 What Has Happened?
Moderators:  Dr. Tshokey      Dr. Bikram Chhetri
5:05 Australia
John Whitehall, M.D. Western Sydney University, Sydney, Austrailia
Patrick J. Byrne, BA, BTheol The Legal Matrix of Transgender Laws being Imposed on Societies
President of the National Civic Center, Victoria
5:45 Canada and Ireland
Kenneth J. Zucker, Ph.D., C. Psych University of Toronto, Toronto, Canada
Stella O’Malley, M.A. Psychotherapy, Birr, Ireland
6:25 Finland
Riittakerttu Kaltiala, MD, PhD, BSc Professor, Chief Psychiatrist, Department of
Adolescent Psychiatry
Tampere University Hospital, Finland
6:50 Moderators: Dr. Pema Choden Bhutia      Monique Robles, M.D., M.S.
6:55 United Kingdom
My Journey into and out of GIDS, the Clinical Complications
    Anastassis Spiliadis, Doctoral Cand., MSc, B.A. Psychology and psychotherapy
Athens, Greece and London, England
7:25 United States
The Papers
    Lisa Littman, M.D., M.P.H. Physician scientist, The Institute for Comprehensive
Gender Dysphoria Research, Rhode Island, USA
7:45 The Professional Societies
    Julia Mason, M.S., M.D. Pediatrician, Calcagno Pediatrics, Gresham, Oregon, USA
8:15 The Children
    Stephen B. Levine, M.D.   Case Western Reserve University, Cleveland, Ohio, USA

Saturday, 21 January
5:00 PM BTT Section 4 Effects on Society
Moderators:   Dr. Karma Tenzin      Dr. Puja Subedi
5:05 Sports
Linda Blade, ChPC, Ph.D. Heptathlete, Athletics Alberta, Edmonton, Alberta, Canada
5:30 Law
Rachel Morrison, J.D. Ethics and Public Policy Center, Washington, D.C., USA
5:55 Ethics
Monique Robles, M.D., M.S. Bioethics Pediatric Critical Care, Bioethicist, Colorado, USA

6:20 BTT Section 5 Experiences (Personal Stories)
Moderators:   Dr. Cheni Zangmo     Dr. Chuni Selden    Monique Robles, M.D., M.S.
6:25 Tshering Believe
6:35 ZK The Lived Experience of an American Trans Man
6:45 EB I Was a Trans Kid
7:00 Amy What Have They Done to My Child?
7:10 SN For The Children's Sake
7:20 KCM Trauma and Transition

7:30 BTT Section 6 What to Do?
Moderators:   Dr. Sonam Wangmo      Dr. Phurpa Wangdi
Physicians and Mental Health Workers
7:35 Anastassis Spiliadis, Doctoral Cand., MSc, B.A. Psychologist and Psychotherapist
Gender Exploratory Approach/Therapy
7:45 Paul W. Hruz, M.D., Ph.D. Pediatric Endocrinologist
8:00 Stephen B. Levine, M.D. Psychiatrist
Parents, Family, and Friends
8:20 Erin Brewer, Ph.D Author, Advocates Protecting Children
Stella O'Malley, M.A. Psychotherapist, Author
Amy Parent

8:45 BTT Section 7 Conclusion
Moderator: Dr. Cheni Zangmo
Closing Speaker
Dr. Ugyen Tshomo Senior Gynecologist, First Gynecologic-Oncologist in Bhutan
Founder Bhutan Cancer Society, Clinic Physician for LGBT Community




Questions and Answers

Any questions concering gender dysphoria may be sent to thelinkbhutan@gmail.com for triage to a designated speaker. Answers will be posted here.




Paul W. Hruz, M.D., Ph.D.
Growing Pains: Problems with Puberty Suppression in Treating Gender Dysphoria
Deficiencies in Scientific Evidence for Medical Management of Gender Dysphoria
Kenneth J. Zucker, Ph.D.
Recent Publications
This is his expansive curriculum vitae:
zucker_cv_july_2020.doc.rtf
John Whitehall, M.D.
Whitehall, John. (November 2022) Catholic Bishops Capitulate on Schools' Gender Confusion. Quadrant Online Volume LXVI, Number 10, No.591. 57-63.
Australian story
Letter to Minister of Health
Stella O'Malley, M.A.
http://www.stellaomalley.com/cotton-wool-kids/
http://www.stellaomalley.com/bullyproof-kids/
"Fragile: Why are we feeling more anxious and overwhelmed than ever before"
"Inventing Transgender Children and Young People"
Riittakerttu Kaltiala, MD, PhD, BSc
Summary of a recommendation by COHERE Finland
Gender identities in adolescent population: Methodological issues and prevalence across age groups
Adolescent development and psychosocial functioning after starting cross-sex hormones for gender dysphoria
Two years of gender identity service for minors: overrepresentation of natal girls with severe problems in adolescent development
Gender dysphoria in adolescence: current perspectives
Anastassis Spiliadis, Doctoral Cand., MSc, B.A.
Understanding Gender Identity Difficulties in Adolescence
Towards an Exploratory Model
Marcus Evans
https://www.cambridge.org/core/journals/bjpsych-bulletin/article/freedom-to-think-the-need-for-thorough-assessment-and- treatment-of-gender-dysphoric-children/F4B7F5CAFC0D0BE9FF3C7886BA6E904B#
https://onlinelibrary.wiley.com/doi/full/10.1111/bjp.12733
https://firingthemind.com/product/9781912691784/
Lisa Littman, M.D., M.P.H.
Individuals Treated for Gender Dysphoria with Medical and/or Surgical Transition Who Subsequently Detransitioned: A Survey of 100 Detransitioners. Littman L. (2021). Archives of Sexual Behavior. [link to paper]
The Use of Methodologies in Littman (2018) Is Consistent with the Use of Methodologies in Other Studies Contributing to the Field of Gender Dysphoria Research: Response to Restar (2019). Littman L. (2020). Archives of Sexual Behavior.
Correction: Parent reports of adolescents and young adults perceived to show signs of a rapid onset of gender dysphoria. Littman L. (2019). PLOS ONE. [link to paper]
Parent reports of adolescents and young adults perceived to show signs of a rapid onset of gender dysphoria. Littman L. (2018). PLOS ONE. [link to paper]
Julia Mason, M.S., M.D.
Wall Street Journal Opinion
Stephen B. Levine, M.D.
Levine SB, Abbruzzese E, Mason JW. Reconsidering Informed Consent for Trans-Identified Children, Adolescents, and Young Adults. J Sex Marital Ther. 2022;48(7):706-727. doi: 10.1080/0092623X.2022.2046221. Epub 2022 Mar 17. PMID: 35300570. https://doi.org/10.1080/0092623X.2022.2046221
Commentary on Levine: A Tale of Two Informed Consent Processes
Reconsidering Informed Consent for Trans- Identified Children, Adolescents, and Young Adults
Linda Blade
Top YouTube interview:
https://youtu.be/i12xgVq2Poc
Article about Linda Blade:
https://www.genderdissent.com/post/resistance-profile-canada-s-coach-blade-a-leader-in-the-race-to-save-women-s-sports
Editorial by Linda Blade:
https://www.swimmingworldmagazine.com/news/guest-editorial-defense-of-lia-thomas-rang-hollow-and-missed-point-of-controversy/
Book:
https://www.unsporting.com/
Twitter:
https://twitter.com/coachblade[@coachblade]
Rachel Morrison, J.D.
Gender Identiy Policy under the Biden Administration by Rachel Morrison in the Federalist Society Review, May 2, 2022.
Monique Robles, M.D., M.S. Bioethics
The Bioethical Dilemma of Gender-Affirming Therapy in Children and Adolescents    Monique Robles, M.D., M.S.
Erin Brewer, PhD.
https://www.advocatesprotectingchildren.org/
Video for parents of children who have adopted a transgender identity called Commonsense Care:
https://www.youtube.com/playlist?list=PL14HpowPtWbm08bktcwn0Xvz5Pl1dmvDp
For teachers struggling with how to navigate the transgender agenda in their classrooms:
https://www.youtube.com/playlist?list=PL14HpowPtWbkaQJ28nrIqfA5XzkwoDZYs
SEGM, a group of doctors that have great information:
https://segm.org/about_us
Always Erin
Transing Our Children
Parenting in a Transgender World



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