American Psychological Association Reaffirms Support For Trans Youth Care, Pushes Back Against NYT
A recent article from Jesse Singal in the New York Times seemed to indicate the organization might be quietly retreating from supporting trans youth care.
Yesterday, anti-transgender activist and columnist Jesse Singal published a piece claiming there were "cracks in the wall" around gender-affirming care (which you can find fully fact-checked here). To make that case, he relied heavily on a statement from the American Society of Plastic Surgeons that bypassed the organization's normal scientific review process and was advanced under pressure from leadership aligned with the Trump administration, including a president who is a major Republican donor. Singal also invoked the American Psychological Association, suggesting the organization was retreating from its 2024 position supporting transgender care and rejecting claims that gender identity is "caused" by external factors. But a representative for the APA tells Erin In The Morning that the organization stands firmly by its 2024 guidelines supporting transgender youth care and provided documentation indicating Singal mischaracterized its position.
“No, APA’s position has not changed,” says a representative speaking for the APA, attaching a link to their 2024 policy statement which provided broad support for gender-affirming care. “APA continues to support unobstructed access to evidence-based care for transgender and gender-diverse individuals of all ages.”
The 2024 policy statement is to date one of the most significant supportive stances of any medical organization for gender-affirming care. It states that gender-affirming medical care is medically necessary, opposes bans on gender-affirming care, declares that being transgender is not caused by autism or post-traumatic stress, establishes the organization’s support for combatting disinformation on transgender healthcare, and finds that rejection of a trans youth’s gender identity can increase their risk of suicide and harm their psychological wellbeing. The policy was passed overwhelmingly, 153-9, with each voter representing a large subset of the organization’s 157,000 members. Now, the organization says that it is not accurate to claim that there is any regression on support for transgender youth care from the organization.
The organization also disputes Singal’s portrayal of a 2025 letter written by Katherine McGuire to the Federal Trade Commission. In his piece, Singal claims the APA “cautioned that gender dysphoria diagnoses could be the result of ‘trauma-related presentations’ rather than a trans identity,” and noted that “co-occurring mental health or neurodevelopmental conditions (e.g., depression, anxiety, autism spectrum disorder) … may complicate or be mistaken for gender dysphoria,” framing this as evidence that the organization is retreating from its 2024 policy supporting transgender youth care. That interpretation is incorrect, according to an APA representative, who says the letter does not contradict the organization’s 2024 position and does not represent a regression in its support for evidence-based transgender care.
The FTC letter sent by APA Services was not saying that transgender identity can be caused by autism or depression. Rather, it was describing what any competent psychologist does with any patient: assess the whole person, including whether conditions like depression or anxiety are present. The letter does not say that depression or anxiety or autism cause gender dysphoria; it says that psychologists are careful about not mistaking these conditions for gender dysphoria. Notably, the letter was written in direct response to the Trump administration’s FTC, which had accused gender-affirming care providers of deceiving consumers, and McGuire was explaining that psychologists conduct thorough, individualized assessments—not that the organization’s position on care or “causes” of being transgender had changed. Had McGuire not indicated that psychologists were making these determinations, the FTC would likely then accuse the organization of not investigating its crank theories on gender dysphoria.
You can view the letter here:
“The 2024 policy statement and the 2025 FTC letter are consistent. The 2024 statement reflects the organization’s policy position on access to care. The 2025 FTC letter describes what competent psychologists do in individual clinical practice: they do not make generalized claims to families but instead provide individualized, evidence-based assessment. Both documents reflect APA’s consistent commitment to evidence-based psychological care,” says the representative.
The American Psychological Association's reaffirmation of its support for transgender youth health care is significant. The organization is among several reportedly under FTC investigation as part of a broader effort to pressure medical bodies to retreat from transgender youth care. It is also facing a coordinated pressure campaign from anti-trans activists like Jesse Singal and outlets such as The New York Times, both of which have repeatedly sought to cast doubt on established standards of care. That context makes Singal's portrayal especially consequential. Readers were left with the impression that the APA was backtracking. According to the organization itself, that is false. What Singal presented as evidence of "cracks in the wall" was yet another attempt to manufacture doubt around the professional consensus supporting transgender youth care.
Thank the Goddess we still have the APA on our side. Even though legislators don't seem to take them seriously.
Erin, thank you for covering this, and speaking as a trans-allied member of APA I am proud of this outcome. While not wanting to inflict on the unwilling too much of a description of how sausages are made, I do want to expand on this story to note the tireless efforts of certain members, Divisions, and certain Sections in the APA, such as Section 9 of Div 39, Psychoanalysis For Social Responsibility; as well as many other individuals and groups who have had to persist and resist the attempt to reframe the discussion in terms of trans folks right to exist and exist without being pathologized. All of our colleagues have not gotten on board, and this is not settled in the minds of some at APA.
Of course this has often been spearheaded by trans and nonbinary colleagues, but fortunately some of the work is being shifted yearly to cis mental health professionals and we are seeing progress. The amount of unfortunately necessary discourse around this makes it clear that we are getting better, but are not there yet.
Please rest assured, though, that those of us who who watch for signs of internal hesitancy and equivocation, will continue to "make good trouble" within APA and be full-throated in our support of trans youth, who remain subjected to authoritarianism disguised as "care" far too often. Onwards!