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WPATH SOC Pages 23-28 Checklist
Pages 23-28 of the World Professional Association for Transgender Health’s Standards of Care 7th
Edition describes the mental health screening, assessment, and care recommended for gender dysphoric
adults. The SOC does not recommend psychotherapy as a required clinical response to gender dysphoria.
(Pg.28.) It does recommend that either a mental health professional or “another health professional
with appropriate training in behavioral health and with sufficient knowledge about gender
nonconforming identities and expressions and about possible medical interventions for gender
dysphoria” complete the following tasks.
This is a checklist for you, the patient, to verify that you’re receiving the mental health screening,
assessment, and treatment planning recommended by the SOC. All of these quotes are directly from the
SOC, laid out in checklist format with a space for you to document what staff member completed the
task and on what date. Once you sign an informed consent form to get hormones or surgery, you are
relinquishing your right to sue for whatever damage accrues to you because these tasks were not
completed. I’d encourage you, when choosing a clinic, to use this as a reference for discussing with the
intake personnel what services you can expect them to provide.
Page 23
“Mental health professionals assess clients’ gender dysphoria in the context of an evaluation of their
psychosocial adjustment (Bockting et al., 2006; Lev, 2004, 2009). The evaluation includes, at a minimum,
assessment of gender identity and gender dysphoria, 
(Dates + Staff names __________________________________________________________________)
history and development of gender dysphoric feelings, 
(Dates + Staff names __________________________________________________________________)
the impact of stigma attached to gender nonconformity on mental health, 
(Dates + Staff names __________________________________________________________________)
and the availability of support from family, friends, and peers (for example, in person or online contact
with other transsexual, transgender, or gender nonconforming individuals or groups). “
(Dates + Staff names __________________________________________________________________)
“The evaluation may result in no diagnosis, in a formal diagnosis related to gender dysphoria, and/or in
other diagnoses that describe aspects of the client’s health and psychosocial adjustment. “
(Dates + Staff names __________________________________________________________________)

“The role of mental health professionals includes making reasonably sure that the gender dysphoria is
not secondary to or better accounted for by other diagnoses.”
(Dates + Staff names __________________________________________________________________)

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Page 24
“…educate clients regarding the diversity of gender identities and expressions and the various options
available to alleviate gender dysphoria.”
(Dates + Staff names __________________________________________________________________)
“…..may facilitate a process (or refer elsewhere) in which clients explore these various options, with the
goals of
finding a comfortable gender role and expression 
(Dates + Staff names __________________________________________________________________)
becoming prepared to make a fully informed decision about available medical interventions, if
needed.”
(Dates + Staff names __________________________________________________________________)
“may include referral for individual, family, and group therapy and/or to community resources and
avenues for peer support.”
(Dates + Staff names __________________________________________________________________)
“discuss the implications, both short- and long-term, of any changes in gender role and use of medical
interventions.”
(Dates + Staff names __________________________________________________________________)
“These implications can be
psychological, 
(Dates + Staff names __________________________________________________________________)
social, 
(Dates + Staff names __________________________________________________________________)
physical, 
(Dates + Staff names __________________________________________________________________)
sexual,
(Dates + Staff names __________________________________________________________________)
occupational, 
(Dates + Staff names __________________________________________________________________)
financial, 
(Dates + Staff names __________________________________________________________________)
and legal.”
(Dates + Staff names __________________________________________________________________)

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“Possible concerns include
anxiety, 
(Dates + Staff names __________________________________________________________________)
depression,
(Dates + Staff names __________________________________________________________________)
self-harm,
(Dates + Staff names __________________________________________________________________)
a history of abuse and neglect, 
(Dates + Staff names __________________________________________________________________)
compulsivity,
(Dates + Staff names __________________________________________________________________)
substance abuse, 
(Dates + Staff names __________________________________________________________________)
sexual concerns, 
(Dates + Staff names __________________________________________________________________)
personality disorders,
(Dates + Staff names __________________________________________________________________)
eating disorders,
(Dates + Staff names __________________________________________________________________)
psychotic disorders,
(Dates + Staff names __________________________________________________________________)
and autistic spectrum disorders.
(Dates + Staff names __________________________________________________________________)
Mental health professionals should screen for these and other mental health concerns and incorporate
the identified concerns into the overall treatment plan.”
(Dates + Staff names __________________________________________________________________)
“Some clients may benefit from psychotropic medications to alleviate symptoms or treat coexisting
mental health concerns. Mental health professionals are expected to recognize this and either provide
pharmacotherapy or refer to a colleague who is qualified to do so.” 
(Dates + Staff names __________________________________________________________________)

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Pg. 25
“Mental health professionals can help clients who are considering hormone therapy to be both
psychologically prepared
(for example, has made a fully informed decision with clear and realistic expectations; 
(Dates + Staff names __________________________________________________________________)
is ready to receive the service in line with the overall treatment plan; 
(Dates + Staff names __________________________________________________________________)
has included family and community as appropriate)
(Dates + Staff names __________________________________________________________________)
and practically prepared
(for example, has been evaluated by a physician to rule out or address medical contraindications to
hormone use; 
(Dates + Staff names __________________________________________________________________)
has considered the psychosocial implications).
(Dates + Staff names __________________________________________________________________)
If clients are of childbearing age, reproductive options (section IX) should be explored before initiating
hormone therapy.
(Dates + Staff names __________________________________________________________________)
Pg. 26
Mental health professionals can help clients who are considering surgery to be both psychologically
prepared
(for example, has made a fully informed decision with clear and realistic expectations;
(Dates + Staff names __________________________________________________________________)
is ready to receive the service in line with the overall treatment plan; 
(Dates + Staff names __________________________________________________________________)
has included family and community as appropriate) 
(Dates + Staff names __________________________________________________________________)
and practically prepared
(for example, has made an informed choice about a surgeon to perform the procedure; 
(Dates + Staff names __________________________________________________________________)
has arranged aftercare). 
(Dates + Staff names __________________________________________________________________)
If clients are of childbearing age, reproductive options (section IX) should be explored before undergoing
genital surgery.
(Dates + Staff names __________________________________________________________________)

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