Bhutan Symposium
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

Slides / Articles
      Dr. Tshokey,                                                                                                                                                         
      Dr. Kinzang P. Tshering,                                                                                                                                            
                           Dr. Karma Tenzin      Dr. Phurpa Wangdi      Heath Miller, M.D. (University of Washington, Seattle)
      Shubham Gupta, M.D.   
      Rachel Pope, M.D., M.P.H.   
                           Dr. Kuenzang Chhezom      Dr. Ugyen Tshomo
      Paul W. Hruz, M.D., Ph.D.   
      Kenneth J. Zucker, Ph.D., C. Psych      
                           Dr. Tshokey      Dr. Bikram Chhetri
      John Whitehall, M.D.      
      Patrick J. Byrne, BTheol      
      Kenneth J. Zucker, Ph.D., C. Psych   
      Stella O’Malley, M.A.   
      Riittakerttu Kaltiala, MD, PhD, BSc   
                           Dr. Pema Choden Bhutia      Monique Robles, M.D. (Colorado, USA)
           Anastassis Spiliadis, Doctoral Cand., MSc, B.A.   
           Lisa Littman, M.D., M.P.H.   
           Julia Mason, M.S., M.D.   
           Stephen B. Levine, M.D.   
                           Dr. Karma Tenzin     Dr. Puja Subedi
     Linda Blade, ChPC, Ph.D.   
     Rachel Morrison, J.D.   
     Monique Robles, M.D., M.S. Bioethics   
                           Dr. Cheni Zangmo      Dr. Chuni Selden      Monique Robles, M.D.
                            Dr. Sonam Wangmo      Dr. Phurpa Wangdi
     Anastassis Spiliadis, Doctoral Cand., MSc, B.A.   
     Paul W. Hruz, M.D., Ph.D.   
     Stephen B. Levine, M.D.      
     Erin Brewer, Ph.D   
     Stella O'Malley, M.A.   
                          Dr. Cheni Zangmo
     Dr. Ugyen Tshomo   

Questions and Answers

Any questions concering gender dysphoria may be sent to 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:
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.
"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 treatment-of-gender-dysphoric-children/F4B7F5CAFC0D0BE9FF3C7886BA6E904B#
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.
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:
Article about Linda Blade:
Editorial by Linda Blade:
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.
Video for parents of children who have adopted a transgender identity called Commonsense Care:
For teachers struggling with how to navigate the transgender agenda in their classrooms:
SEGM, a group of doctors that have great information:
Always Erin
Transing Our Children
Parenting in a Transgender World