This is a review of an abstract; the original article is in German and I don’t have access to it.
“In many children and adolescents with gender dysphoria only minor or no psychopathology is found.”
However, 43% of the patients seen at the Frankfort University Gender Identity Clinic for children and adolescences have serious mental health issues.
This creates problems in treatment.
The article then discusses four sample cases to show some of the difficulties.
In two cases, “major psychopathology made decision for reassignment very difficult.”
In two other cases, the patients were “not able to follow recommended treatment steps, in these patients diagnostic doubts arose.”
it’s impossible to know what this means without knowing more about the study and about other gender identity clinics.
Clearly, however, there is a need for more research. Why did this gender clinic see so many children and teens with serious psychopathology? What about other gender clinics? How does this compare to the past? How many patients are we talking about? What were the mental health issues? Did any of the patients have autism spectrum disorders?