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Hormones are generally not prescribed without a formal diagnosis of Gender Identity Disorder (to be renamed Gender Dysphoria in 2013 by the American Psychiatric Association).A psychiatrist or clinical psychologist may make this diagnosis - usually upon 3 months of psychiatric assessments and therapy sessions.

As per current MCP Policy for the coverage of transsexual surgeries, which is outlined in great detail in a letter I received and posted on my blog, trans patients who feel they require bottom surgery, and wish to have the Provincial government pay for it, must attain a recommendation letter from CAMH.Project Manage your Life: While doctors can help you decide what is right for you, ultimately, you have to take responsibility for your own life.There is no magical blood test that can determine whether or not you are trans.In my opinion, this is the only thing that CAMH can offer, that doctors in Newfoundland can't.Take special note, MCP will not cover procedures if done at private clinics on Canadian soil.

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