For the vast majority of children acquiring speech and language skills is an effortless process

James Barrettis a consultant psychiatrist and lead clinician at the CharingCross Gender Identity Clinic. This is the oldest and largest gender identity clinic inthe world.He has worked in this field since 1987, and since that time has dealt withapproximately two and a half thousand patients.

Second opinions. Part 1: The referral process and screening. Referrals. Diagnosis. Categorisation and differential diagnoses. Dealing with the differentials. Challenging patient types and circumstances. Part 2: The real life experience. Common issues. Challenging patients and circumstances. Part 3: Non-surgical treatments. Speech and language therapy. The practical management of hormonal treatment in adults with gender dysphoria. Part 4: Surgical treatments for born males. Feminisation of the larynx and voice. Breasts. Genital surgery. Advice for patients undergoing vaginoplasty and vulvoplasty. Part 5: Surgical treatments for born females. Breasts. Phalloplasty. Part 6: Post-op psychological follow up. Relationships. Reversion to former gender role after GRS. Part 7: Legal issues. The Gender Recognition Act. Military service. Religious matters. Fertility issues.