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Specialty Clinics Centre for Addiction
and Mental Health

Adult Gender Identity Clinic: Typical Journey

Initial Appointment:

As our clients have waited for a long time, our social worker calls all new clients a month or two before we are ready to schedule your first appointment.   This allows us to hear about any updates in your life since the original referral and provides an opportunity to discuss any questions you might have about the clinic.  The social worker also determines if you should see one or two of our clinicians at your first appointment based on your current needs and situation.   If you have a change of address or phone number, please ensure you call our admin staff at 416-535-8501 ext. 30985.

At your initial appointment, you can expect to meet with one or possibly two members of our clinical staff typically from psychology and/or from psychiatry.  CAMH is a teaching hospital and we are helping to train students in the assessment and care for trans clients. You will be informed of any students who are involved in your assessment sessions. If you have concerns about this, please discuss this with clinic staff.

Initial appointments are typically 90 minutes in length. Except for the gender and sexuality-specific questions, this looks much like a general psychiatry consultation.   The clinic follows the standards set out in the World Professional Association for Transgender Health (WPATH) Standard of Care.  We will ask you about your goals related to gender transitioning and any other related goals you may have.  As well, we will assess the stress of gender dysphoria, your history and supports.   You will also be asked about any mental health needs you may have currently or in the past.  If, during your interview, you have any concerns about why a particular question is being asked, please let your interviewer know, and he or she can explain the rationale.

After your initial appointment:

Our team meets for a case conference to review your assessment and we will call you within a few weeks to discuss any recommendations and next steps with you directly.     

A summary report is also sent back to your referring and/ or primary care practitioner, along with our recommendations.  It is helpful to stay connected to your primary care practitioner to assist with recommendations and eventually to assist you with planning for surgical after care.

Following you initial appointment and depending on your goals and stage of transitioning, a follow up appointment  or appointments are made with one of the clinic clinicians.  Sometimes we make recommendations for other referrals.  If our recommendation is to see you next for a possible surgery approval appointment, we will book that appointment with you fairly quickly    We encourage you to ask questions about your care at any time.

Out of town - Telepsychiatry Option

Subsequent appointments  for  clients who live outside of the GTA may be made using TelePsychiatry.  With this technology you can be interviewed by our clinic staff using closed video link to a site in your community, often the local hospital.  While we need to see you in person for our initial assessment, we would be happy to speak with you about the possibility of using this technology for subsequent appointments.

If you live in the north, you may be eligible for a Northern Travel Grant to cover basic travel costs to and from your appointments with CAMH. If you are an ODSP recipient, you may similarly be eligible to have basic travel costs reimbursed. Please ask your local provider for further details.

CAMH Switchboard 416-535-8501
CAMH General Information Toronto: 416-595-6111 Toll Free: 1-800-463-6273
Connex Ontario Help Lines
Queen St.
1001 Queen St. W
Toronto, ON
M6J 1H4
Russell St.
33 Russell St.
Toronto, ON
M5S 2S1
College St.
250 College St.
Toronto, ON
M5T 1R8
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