Is Someone Else Going to Tell Him He Is A Boy? Relatives’ Views on Swedish Transgender Healthcare

Background The increasing incidence of the medical diagnosis Gender Dysphoria has led to public debates in Sweden, questioning an already vulnerable group. This study explores relatives’ views on the Swedish transgender health system, in order to identify factors that can be improved. Methods An interview guide was created together with the Swedish Federation for Lesbian, Gay, Bisexual, Transgender, Queer and Intersex rights. Care seekers with gender dysphoria included in the Swedish Gender Dysphoria Study were asked to give consent for an interview with a relative of their own choice. Eleven interviews were conducted. The material was examined using thematic analysis. Results The waiting times are long without clear information and lacking coordination. This compels the relative to substitute the deficiencies in the system, especially as an emotional shelter and a coordinating function. Stereotypic questions are being asked without motivation and geographical distances hinder participation in family support groups. Conclusions A coordinating function in the transgender healthcare system would be beneficial for both the care seekers and their relatives. The system flaws have negative impact on the mental health of both the care seeker and the relative. It is important that care givers are transparent about the waiting times and motivate all parts of the process.