21. "[D'Angelo] said one [of his patients] identified as male and had a mastectomy, a hysterectomy and ovaries removed. 'When she came to see me she was identifying as male and very depressed,' Dr D'Angelo said. 'She could not understand why as she had done everything she thought that could help (surgery), but she felt worse. It took two years to try and understand her history.
"'She came to the conclusion she was not a man and that other things had led her to take these steps. It was eye opening. It was alarming. She only had a handful of appointments with a psychiatrist before transitioning. There were other more complicated issues that had not been adequately diagnosed and had never been addressed. She is now identifying as a woman. She is happy with her gender now but is dealing with enormous grief and is struggling to rebuild her life.'"
While she's not named, this has to be about #JayLangadinos, a minor celebrity in her own right; it's a very specific backstory, and the probability that D'Angelo has two patients who share it is realistically zero. In that case, it seems apropos to introduce the facts that D'Angelo is leaving out; as Langadinos filed suit against her psychiatrist, Dr #PatrickToohey, and #TheAge and #TheSydneyMorningHerald sneeringly reported on it [1], we're lucky enough to have those facts on hand.
In short, the only "complicated issue" which Langadinos has alleged was unaddressed was social phobia, better known as social anxiety disorder [2]. SAD:
* is not a contraindication to transition;
* does not impair capacity to give informed consent [2];
* is — like everything else — not known to generate an illusory or transient sense of gender incongruence; and
* is known to be relieved by transition [3].
Moreover, Toohey urged Langadinos to seek treatment for her SAD, *and she refused*. By Langadinos' own account filed with the Supreme Court of #NewSouthWales, as reported by the HERALD, not only was her phobia clearly and concretely diagnosed, but the reason it wasn't addressed was because /she didn't want it to be/.
D'Angelo is clearly trying to suggest that Langadinos was failed by a system which allowed her transition, but Langadinos made her own choices at every step. No one had even the hint of an opening to stop her.
SECTION NOTES
[2] https://www1.racgp.org.au/ajgp/2020/july/hormone-therapy-for-trans-and-gender-diverse-patie