Sozialwesen (SW)
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- Adolescent (2)
- Child (2)
- Cooperative Behavior (2)
- Education (2)
- Female (2)
- Gender Identity (2)
- Gonadal Steroid Hormones/therapeutic use (2)
- Humans (2)
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- Male (2)
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- Psychotherapy (2)
- Puberty/drug effects/psychology (2)
- Transsexualism/diagnosis/psychology/therapy (2)
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- Preschool (1)
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- Watchful Waiting (1)
In Germany, the situation of health care services for children and adolescents with gender dysphoria is insufficient. In 2006 a specialized multiprofessional outpatient clinic was founded at the University Medical Center Hamburg-Eppendorf. Goals were improvement of health services for gender dysphoric children, development of treatment concepts, and gain of knowledge through research. After finishing a thorough interdisciplinary assessment an individualized, case-by-case treatment starts. Besides psychotherapy an interdisciplinary treatment (e. g. puberty suppression and cross-sex hormones) is provided if indicated. During childhood a watchful waiting and carefully observing attitude is necessary. If a marked increase of gender dysphoria occurs during the first phases of puberty development, puberty suppression and later cross sex-hormones might be indicated.