Woman Sues Psychiatrist Over Gender Transition

The first time Sydney woman Jay Langadinos saw psychiatrist Dr Patrick Toohey she was 19, living at home and identifying as male. It was May 2010. Langadinos wanted to start on masculinising hormones and her endocrinologist had referred her to Toohey to assess if she was suitable for the treatment.

According to a statement of claim filed in the NSW Supreme Court in May, the referral letter from Professor Ann Conway said it “seemed likely” Langadinos had “true gender dysphoria”, but she was “very young” and “clearly” needed “thorough psychiatric work-up before embarking on hormone treatment”.

Toohey agreed Langadinos suffered from gender dysphoria – a misalignment between a person’s sex and gender identity – and found she was suitable for hormone therapy, in this case testosterone, which encourages the development of male secondary sexual characteristics.

Langadinos saw Toohey a second time in February 2012. Now she was eager to have her breasts surgically removed. Toohey allegedly found “no contraindication” for her to undergo a bilateral mastectomy. She had the operation in April.

The following month, Langadinos was back again, this time to discuss her wish to have her womb removed. Again, Toohey reported he could not see “any psychiatric contraindication to proceeding with hysterectomy as part of gender transition”. Langadinos underwent the surgery in November, less than seven months after her mastectomy. She was 22.

Toohey’s advice is now subject to a rare legal case. Langadinos, now 31 and no longer identifying as male, is suing Toohey for professional negligence. The case comes amid an intensifying debate in Australia and overseas about the “gender-affirming” approach to treating gender dysphoria after an explosion in young people questioning their gender.

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Her parents were supportive of her having a mastectomy, Toohey noted, though her mother agreed she needed treatment for anxiety.

“Considering the situation overall and the parents’ support,” Toohey concluded, he could see “no contraindication to proceeding with bilateral mastectomy”, and Langadinos could then be encouraged to receive treatment for anxiety.

In a separate letter to an andrology fellow at Concord Repatriation General Hospital, Toohey said that when he first saw Langadinos in May 2010 he had noted at the time “a past history of significant social phobia and depression which may have been beyond gender dysphoria”.

After their third and final session, according to the legal claim, Toohey found “no psychiatric evidence of incompetence regarding making medical decisions” and that the “only major psychiatric issue was the chronic social phobia” and Langadinos’ avoidance of treatment.

https://www.smh.com.au/national/absolutely-devastating-woman-sues-psychiatrist-over-gender-transition-20220823-p5bbyr.html

There's going to be a lot more litigation surrounding these nuts. Just bring back the asylums and be done with it.

It's stunning how much malpractice and child abuse is going on out there, and the most horrific of all - getting a nod.