The following essay is an adapted excerpt from Miriam Grossman's new book, Lost in Trans Nation: A Child Psychiatrist's Guide Out of the Madness, out now from Skyhorse Publishing.I was contacted by lawyers in Salt Lake City about a 13-year-old boy whose divorced parents were in litigation over his social transition.
Zach had recently declared himself a girl, and his mother was 100 percent on board—new name, pronouns, dresses. His father wasn't going along with it.I reviewed the records from Zach's recent psychiatric hospitalization.
Staff listed gender dysphoria as one of his diagnoses and consistently used his girl's name and female pronouns, but the reasoning for those clinical decisions was absent.
The hospital records indicated Zach heard voices and saw "ghosts." I searched for more information about the voices and the ghosts but found none.Was it possible no one had asked?