Welcome to our Child &
Adolescent Gender Services.

Our Child & Adolescent Gender Service is the only private clinic in Australia specialising in assessment, diagnosis, family support, and clinical management of gender dysphoria in older children and adolescents.

Our practice is informed by WPATH (World Professional Association of Transgender Health), Standards of Care and the Australian Standards of Care Treatment Guidelines. We are also informed by scientific and clinical understandings of different forms of gender dysphoria, and distinct challenges and prognoses associated with each. We take a careful, person-centred, and evidence-based approach to assessment of management of gender dysphoria informed by latest developments in the field.

Find out more about our approach

 to general mental health services

Services:

Assessment and diagnosisof gender dysphoria in children and adolescents (up to 18 years of age)

Psychological treatment
of co-occurring psychological disorders in children and adolescents with gender

Psychoeducation and family therapy
regarding gender dysphoria and hormonal or surgical interventions

Gillick Competence Assessments
for young people seeking gender related medical interventions

There has been a marked increase in the number children and adolescents seeking care for gender dysphoria/gender identity in recent years. As a profession, psychology has been slow to catch up with this development and provide evidence-based support for young people experiencing gender difficulties.

Both Dr James Morandini and Dr Georgia McClure (senior clinicians) have extensive clinical experience working with gender diverse young people. Dr Morandini continues to work as the Clinical Lead at The Gender Centre – having treated hundreds of transgender/gender-questioning children and adoelscents. Dr McClure worked for many years as lead psychologist at Westmead Children’s Hospital Gender Identity Clinic, specialising in puberty suppression assessment for gender dysphoric young people.

Services:

Assessment and diagnosis

of gender dysphoria in older children and adolescents (up to 18 years of age)

Psychological treatment

of co-occurring psychological disorders in children and adolescents with gender dysphoria

Psychoeducation and family therapy

regarding gender dysphoria and hormonal or surgical interventions

Gillick Competence Assessments

for young people seeking gender related medical interventions

There has been a marked increase in the number of children and adolescents seeking care for gender dysphoria and concerns related to gender identity in recent years. Mental health services have been slow to catch up with this development and to provide relevant support that is respectful, holistic, and evidence-based.  

It is in this context that we are pleased to inform you of the Child and Adolescent Gender Service at King Street Psychology Clinic. Ours is the only private clinic in Australia specialising in assessment, diagnosis, family support, and clinical management of gender identity related concerns in children and adolescents. Our team is multidisciplinary comprising clinical psychology, psychiatry, and speech pathology.

Our senior clinical psychologists including Dr James Morandini, Dr Georgia McClure, and Dr Sarah Bowman are leading clinicians and researchers in the field of paediatric gender dysphoria. They have worked in community and public health gender services in NSW, have treated hundreds of young people with gender related difficulties, and have published widely on paediatric gender dysphoria in scientific journals (see www.kingstreetpsychologyclinic.com.au/gender-identity).


Why Choose King Street Psychology Clinic? 

Expertise in Gender Dysphoria: All King Street Psychology clinical psychologists and clinic registrars have specialised training in assessment and management of paediatric gender dysphoria, undertaking weekly team supervision and case conferences to ensure high quality and consistent care. Our team is led by internationally recognised clinicians and researchers in gender dysphoria who also provide clinical supervision to the team.  

Holistic Approach: We take a careful, developmentally informed, and evidence-based approach to the assessment and management of gender dysphoria/concerns. We are aware of the complexity of this area of practice and aim to provide support that is balanced and respectful as well as rigorous and research-informed.   

Respectful and Inclusive Care: We are committed to providing a safe, inclusive, and respectful environment for all young people and their families. We are welcoming to a variety of perspectives and life experiences and understand varied struggles faced by children/adolescents and their parents in navigating gender related concerns.


Our Gender Dysphoria Services:

Assessment and Diagnosis: Our clinical psychologists/registrars conduct comprehensive psychological assessment of children and adolescents. We seek to understand children’s gender concerns in the context of their broader neurodevelopmental (e.g. autism), developmental, social, and mental health functioning. We provide differential diagnosis and treatment recommendations relevant to their specific circumstances, as well as providing assessments and psychological/medication support for Autism/ADHD, conditions which are present in almost 30% of gender diverse young people (Warrier et al., 2020).


Psychoeducation and Therapy: We provide a range of education and therapy services to gender diverse/questioning young people and their parents. This can include information sessions explaining different types of gender dysphoria, different ways of managing gender dysphoria, exploring pros and cons of different treatments, and providing open-ended exploration of gender related distress. For young people who do pursue social or medical transition, we can provide support in navigating gender-related milestones (i.e., coming out, transitioning at school) and challenges, as well as general mental health challenges. For parents attempting to make difficult decisions or manage their own feelings regarding the child’s transition, we also provide parent therapy specifically. 


Hormone Readiness Evaluation and WPATH v8 Letters: We provide comprehensive Hormone Readiness evaluations over a 6-month period for access to masculinising or feminising hormone treatments in those aged 16 years and over. These involve a comprehensive psychological assessment, individual and family counselling, psychoeducation with children and parents regarding pros and cons of different treatments, fertility counselling, and assessment of medical decision-making competence (Gillick competency) in the young person. For young people with well documented and stable gender dysphoria, for whom other mental health issues are well managed, who are deemed Gillick competent, and for whom all legal guardians (having been informed of risks and evidence base for hormone treatments) provide enthusiastic consent for medical treatment, we can provide WPATH v8 (www.wpath.org/soc8/chapters) letters required for accessing hormonal interventions. 

Referral Support: If medical interventions, such as hormone therapy are appropriate based on the above-mentioned evaluation, our team can provide referrals to trusted specialists within our network and support the young person during adjustment to medical interventions.


Support Groups: We host support groups for patients to connect with others who may be experiencing similar challenges. This includes a DBT group for gender-diverse young people. We also provide two parent groups, “Trans 101” and “Tuning into Teens for Parents of Gender Diverse Children”. These groups are designed for parents of teens who have recently disclosed a transgender/non-binary identity and who are seeking information on how to navigate gender related issues. These groups offer a safe space for sharing experiences, concerns, and triumphs.


Education and Consultation: King Street Psychology Clinic is committed to promoting understanding of gender dysphoria in children/adolescence, awareness of the state of evidence regarding gender-related medical interventions, clinical controversies in the field, and current best practice approaches for medical and allied health practitioners working with this population. We offer educational workshops and consultations to clinics and clinicians.

Our team is actively involved in clinical research in the area of gender dysphoria, have published:

Morandini, J. S., Kelly, A., de Graaf, N. M., Carmichael, P., & Dar-Nimrod, I. (2022). Shifts in demographics and mental health co-morbidities among gender dysphoric youth referred to a specialist gender dysphoria service. Clinical child psychology and psychiatry, 27(2), 480-491.

Morandini, J. S., Kelly, A, de Graaf, N., Dar-Nimrod, I., & Carmichael, P (2021). Is Social Gender Transition Associated with Mental Health Status in Children and Adolescents with Gender Dysphoria? Archives of Sexual Behavior 52(3), 1045-1060.

Hilton, M. N., Boulton, K. A., Kozlowska, K., McClure, G., & Guastella, A. J. (2022). The co-occurrence of neurodevelopmental disorders in gender dysphoria: Characteristics within a paediatric treatment-seeking cohort and factors that predict distress pertaining to gender. Journal of Psychiatric Research, 149, 281-286.


Bowman, S. J., Casey, L. J., McAloon, J., & Wootton,B. M.
Assessing gender dysphoria: A systematic review ofpatient-reported outcome measures. Psychologyof Sexual Orientation and Gender Diversity.


Bowman, S. J., Hakeem, A., Demant, D., McAloon, J.,& Wootton, B. M.
Assessing Gender Dysphoria: Development and Validationof the Gender Preoccupation and Stability Questionnaire–2nd Edition(GPSQ-2). Journal of Homosexuality,1-25.