Psychiatrists working with gender identity disorders shall have a degree recognised by the Medical Council of India and have special training on handling gender dysphoria cases.
A psychiatrist shall assess patients and has the following responsibilities:
- To accurately diagnose the individuals gender dysphoria
- To accurately diagnose any co-morbid psychiatric conditions and to ensure their appropriate treatment
- To counsel the individual about the range of treatment options and their implications
- To engage in psychotherapy
- To ascertain eligibility and readiness for hormone and surgical therapy
- To make formal recommendations to the endocrinologist and surgeons
- To document all relevant findings and recommend or reject the process, giving reasons
- To educate family, employers and institutions about gender identity disorders
- To be available for follow-up as prescribed
The assessment and continued support shall be done for a period of 18 months. Thereafter, the report either recommending or rejecting the case, citing reasons, shall be prepared. The opinion of another psychiatrist shall be obtained.
Either two separate letters or one letter with two signatures is acceptable. One is from the treating psychiatrist, the other can be from a psychiatrist who does a document review of the process and does one final patient assessment and thereafter signs the form. All counselling sessions need to be video recorded. If one of the psychiatric opinions is conflicting, then the patient shall be referred to a third psychiatrist and the majority decision shall prevail.