Information for Patients:

Local Trans-Friendly Therapists, Health Care Providers, and Lawyers Recommended by Spectrum Members (PDF) Updated March 2009

HBIGDA Ethical Guidelines (PDF)
Outlines a code of professional conduct for members of the Harry Benjamin International Gender Dysphoria Association.

Protocols for Hormonal Reassignment of Gender (PDF)
Provided by the Transgender Clinic of Tom Waddell Health Center in San Francisco.

MTF Prevention Needs Factsheet (PDF)
Prepared by Joanne Keatley, MSW and Kristen Clements-Nolle, MPH of the UCSF Center for AIDS Prevention Studies and the San Francisco Department of Public Health.

Psychoanalysis (PDF)
A basic factsheet for patients, prepared by Columbia University's Center for Psychoanalytic Training and Research.

Trans People and Access to Services:

An Overview of U.S. Trans Health Priorities (PDF)
A report from the National Coalition for LGBT Health, published in August 2004.

Crossing to Safety: Transgender Health and Homelessness (PDF)
The June 2002 issue of Healing Hands, a publication of the National Health Care for the Homeless Council.

Community Survey: Transition/Crossdressing Services in BC (PDF)
Results of a 2003 survey conducted in British Columbia.

The Cost of Transgender Health Benefits (PDF)
Written by Mary Ann Horton, PhD, this paper examines the cost of Transgender Health Benefits for U.S. residents.

The Healthcare Provider's Perspective:

The Transgendered Patient: A Practitioner's Guide (PDF)
Lecture notes from "Transgender Issues in Medicine and Psychiatry," presented at the University at Buffalo School of Medicine on February 20, 2003 by Melanie Spritz, D.O., associate professor of Internal Medicine and Psychiatry at the Columbia University College of Physicians and Surgeons.

Medical Therapy and Health Maintenance for Transgender Men:
A Guide for Health Care Providers (PDF)
Written by R. Nick Gorton, MD, Jamie Buth, MD, and Dean Spade, Esq.

Holding Up A Mirror: In the Therapy Room with a Trans Therapist and Her Trans Clients (PDF)
Dr. Melanie Spritz writes about times when her shared experience as a trans person helps her clients, and how it can also complicate the therapy.

Insubordination Versus Identity: Challenges of a Transsexual Psychiatry Resident (PDF)
Autobiographical essay by Dr. Spritz on her experiences as the first transsexual physician to undergo medical residency training "out of the closet" in the United States.

External Links:

Harry Benjamin International Gender Dysphoria Association Standards of Care