Category: Treatment Expectations

• Expected improvements in mental health after medical transition are not observed at the population level.

  In a large-scale nationwide Finnish cohort, adolescents who underwent medical transition continued to require high levels of specialist psychiatric care during follow-up. Group-level analyses did not show a decline in psychiatric treatment needs after transition, suggesting a mismatch between commonly assumed treatment benefits and observed long-term mental health outcomes.

  Ruuska, S.-M., Tuisku, K., Holttinen, T., and Kaltiala, R. (2026). “Psychiatric Morbidity Among Adolescents and Young Adults Who Contacted Specialised Gender Identity Services in Finland in 1996–2019: A Register Study,” Acta Paediatrica: 1–9. https://doi.org/10.1111/apa.70533.

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  • Expectation Failure
  • Treatment Expectations