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How to Treat Gender Dysphoria: Ditch the Hormones, Address the Trauma

Therapist Taraleigh Stemler exposes how profit-driven care ignores childhood trauma in transgender treatment—opting instead to accelerate transition through dangerous hormones and irreversible surgery

Taraleigh Stemler is a Licensed Marriage and Family Therapist (LMFT), trained in EMDR (Eye Movement Desensitization and Reprocessing) and certified as an Integrative Mental Health Professional (CIMHP). With nearly a decade of trauma-focused experience in private practice, Stemler emphasizes systemic, evidence-based care that supports healing, self-regulation, and personal agency.

Key Points from the Interview:

  1. Rise in Transgender Identification
    Stemler suspects a social contagion effect is partly responsible for the rapid increase in transgender identification across generations.

  2. Overlooked Trauma in Gender Dysphoria
    Cites a 2018 Italian study by Giovanardi et al:

    • 56% of participants with gender dysphoria had experienced four or more forms of trauma by adolescence.

    • In contrast, only 7% of the control group reported that level of trauma.

    • Trauma types included emotional/physical neglect, abuse, exposure to violence, separation, and loss.

  3. Contradictions & Lack of Trauma Focus
    A 2022 study on gender dysphoria treatment claims that the only treatments are:

    • Psychosocial therapy (to SUPPORT transition)

    • Hormone replacement therapy

    • Non-genital and genital surgeries

    • Stemler notes none of these options address childhood trauma or attachment issues.

    • None of these “treatments” attempt to reaffirm biological sex.

  4. Commercial Incentives Behind Gender Transition Care

    • Hormone therapy is a $1.6 billion industry in the U.S. (2023), projected to grow steadily.

    • Sex reassignment surgery reached $2.1 billion in 2022 with 11.25% CAGR through 2030.

    • Stemler criticizes the “lifetime client” model, where individuals require ongoing support, generating long-term revenue for providers.

  5. Parallels with COVID-19 Response
    Draws a comparison to early COVID-19 treatment narratives—limited options, suppression of alternatives, and pharmaceutical profit motives.

  6. Alternative, Trauma-Informed Approach
    Stemler suggests exploring:

    • EMDR (Eye Movement Desensitization and Reprocessing)

    • Somatic therapies (e.g., trauma-informed yoga, breathwork)

    • Assessment of early attachment wounds and dissociative coping

  7. Clinical Insight: Gender Dysphoria as Trauma Response
    Suggests gender dysphoria may often represent a dissociative escape from the body in which trauma was experienced.

  8. Case Example of Detransitioner
    Shares the story of Max Lazzara: multiple traumas, suicide attempts, emotional abuse, and eating disorders preceded the decision to transition. Stemler underscores that trauma treatment might have been a more appropriate intervention.

  9. Final Message to Parents & Clinicians

    • Don’t panic.

    • Prioritize trauma-informed alternatives to reaffirm biological sex over dangerous medical transitions.

    • “Let’s stop funding the industry profiting from pain. Explore healing first.”

To find out more, you can visit Taraleigh’s website and Instagram page:

Website: www.tscounseling.com

Instagram: @ts_counseling

Nicolas Hulscher, MPH

Epidemiologist and Foundation Administrator, McCullough Foundation

www.mcculloughfnd.org

Please consider following both the McCullough Foundation and my personal account on X (formerly Twitter) for further content.

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