Dr. Koray Başar (Turkey)

Caring for Parents, Children & Partners of Trans and Gender Diverse Individuals

Psychosocial support is an essential component of the care provided to trans and gender diverse individuals. Although the need for support varies, it should be provided starting from the assessment and maintained throughout the gender-affirmation process, tailored to the individual’s biopsychosocial condition. This core element of gender-related health services has always been emphasized (1); however, with the recent global trend in limiting access to TGD care, it should be emphasized even more, especially in youth. Perceived and enacted support in diverse social domains has an important influence on individuals’ well-being and enhances resilience in hostile social contexts with pervasive stigma and discrimination (2, 3). TGD individuals have been reported to have less social support compared to the population (4). Parents’ and other family members’ attitudes have a substantial impact on TGD individuals, especially youth. These attitudes can be threatening or the primary source of oppression and violence, in the early period of gender exploration or identity disclosure. In later ages, losing family relationships can be an important burden for the individual. Therefore, for TGD individuals of all ages, mental health professionals’ assistance to the individual and family members in protecting, improving, and strengthening family relations and functions is a valuable effort (5). Diverse methods of assistance could be employed flexibly to provide care for parents, children, and partners of TGD individuals.

 

  1. Coleman, E., et al. (2022). Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. International journal of transgender health, 23(Suppl 1), S1–S259. DOI: 10.1080/26895269.2022.2100644
  2. Başar, K., & Öz, G. (2016). Resilience in Individuals with Gender Dysphoria: Association with Perceived Social Support and Discrimination.  Turkish journal of psychiatry, 27(4), 225–234.
  3. Başar, K., et al. (2016). Perceived Discrimination, Social Support, and Quality of Life in Gender Dysphoria. The journal of sexual medicine, 13(7), 1133–1141. DOI: 10.1016/j.jsxm.2016.04.071
  4. Kaptan, S., et al. (2021). Gender Dysphoria and Perceived Social Support: A Matched Case-Control Study. The journal of sexual medicine, 18(4), 812–820. DOI: 10.1016/j.jsxm.2021.01.174
  5. Malpas, J., et al. (2022). Family-Based Interventions with Transgender and Gender Expansive Youth: Systematic Review and Best Practice Recommendations. Transgender health, 7(1), 7–29. DOI: 10.1089/trgh.2020.0165
Bio

Koray Başar is an adult psychiatrist working as associate professor at the Department of Psychiatry, Hacettepe University, Ankara, Türkiye. His main interest is the mental health of sexual and gender minorities, and their families, as a clinician, researcher, and educator. He was trained as a sex therapist in the Society for Sexual Education, Treatment, and Research (CETAD) in Türkiye, served as an executive committee member of the Society from 2018-2020, and still acts as an educator in training programs. He is the past president of the Psychiatric Association of Türkiye (2021-2022), and the current president of the Turkish Association of Nervous and Mental Health (2024-). He is the secretary of the Steering Committee of the European Psychiatric Association Council of National Psychiatric Associations. He is a member of the board of European Professionals Association for Transgender Health (EPATH) and the secretary of the EPA Section “Sexual Orientations and Gender Identities.”