Gender Clinic

Gender Care at Yakima Pediatrics Teen Health Clinic

We care for children, adolescents, and young adults who report their gender identity is different from their sex at birth. Our team strives to provide compassionate care for transgender youth, and peoples who do not identify with traditional definitions of male or female.

Our care team includes medical providers, behavioral health consultants, nurses, medical assistants, and social workers – all in one clinic location!

Our Philosophy of Care

  • Treat all persons with dignity and respect
  • Provide a judgment-free zone, where each person is accepted
  • Work with local and state-wide partners in providing evidenced-based care for the whole person
  • Follow nationwide best practices in the care of transgender and non-binary persons for transition-related treatments
  • Partner with you and your family to make sure all are comfortable with the treatment options individually tailored to meet your transition goals
philosophy of care - gender page (1)

Thinking about gender identity, gender concerns, and sexuality:

You will need a letter of support from a therapist for both stages of transition (e.g. hormonal replacement therapy [HRT] and surgery). This can take up to a year depending on your supports, resources, other diagnoses, and medical conditions. Start this process early, even if you are unsure what your long-term goals will be; that way you are prepared.

The SPACE is a great resource here in Yakima to meet other kids going through similar experiences, and get support for free.

Our Gender Care Program

Learn about our gender care program with our Teen Health Clinic Medical Director, Dr. Peter Asante, and our Teen Health Clinic Behavioral Health Consultant, Amelia McClelland, M.Ed.

Para ver este video en español, haz clic aquí

Gender Clinic Roadmap:

#1 - Call Us

Refer yourself directly, or have your provider refer you by calling (509) 575-0114.

#4 - Meet Our Gender Clinic Team

When you are ready, our gender team will call you to schedule your first medical appointment. Here we will talk about your medical history, do a brief exam and talk about treatment options.

#2 - Our Care Navigator Will Reach Out

Once we have your referral, we will schedule a 30-minute intake phone call with our care navigator.

#5 - Begin Gender Affirming Treatment

We can start you on puberty blockers, monitoring, or cross-sex hormones. See treatment options in the links below.

#3 - Mental Health Support

Get connected to mental health support. We will help you get connected before starting treatment.

#6 - Continue Adult Care

We can treat you until age 22. After that, we can refer you to an adult trans healthcare provider.

#4 - Meet Our Gender Clinic Team

When you are ready, our gender team will call you to schedule your first medical appointment. Here we will talk about your medical history, do a brief exam and talk about treatment options.

#5 - Begin Gender Affirming Treatment

We will start you on puberty blockers, monitoring, or cross-sex hormones. See treatment options in the links below.

#6 - Continue Adult Care

We can treat you until age 22. After that, we can refer you to an adult trans healthcare provider.

What You Need:

This section talks about what you need as you prepare to complete the parts of gender care and transition at Yakima Pediatrics Teen Health Clinic.

In general, it is always a good idea to keep all your information in one location (e.g., notes from conversations w/doctors, insurance companies, mental/behavioral health professionals, etc.).

You will need to have started the process of social transition and have parental support. Talk to your doctor or medical provider about what this means. They can help you with having this conversation with your parents and other people in your community.

You will also work on any behavioral health or mental health conditions that may be impacting your overall health (e.g. anxiety, depression, PTSD, weight management, sleep, eating disorders, etc.).

During your first visits with your therapist or behavioral health consultant, please let them know you are looking for a Letter of Support for Gender Transitions, so they can start structuring the time appropriately.

  • Answering the questions to write the Letter of Support can take 6-12 months, depending on your personal circumstances and if you have ever worked with a therapist or behavioral health provider before.

Know that you will be asked to start social transitioning (living as your true gender)

  • For any gender affirming surgeries, you will need to live as your preferred gender for a year before they will do the surgeries.

 

Services We Provide

Mental Health Support and Readiness Discussion

How We Can Help

Our team can help you cope with feelings and concerns related to your gender identity and your transition path. Transgender youth are at high risk for low self-esteem, substance abuse and other emotional and mental health problems. Finding respectful relationships is a challenge for many. We can help. If you want to start hormone therapy or make other physical changes, our team carefully checks that you are ready to begin. This includes treating your mental health, too.

Mental Health Books

Depression

  • How I Stayed Alive When My Brain Was Trying To Kill Me – by Susan Rose Blauner
  • The Feeling Good Handbook– By David Burns (research backed workbook on strategies to manage and improve mood)
  • When Living Hurts: (for you or someone you care about who feels discouraged, sad, lonely, etc.) – by Sol Gordon
  • The Mindfulness and Acceptance Workbook for Depression: Using ACT to Move Through Depression and Create a Life Worth Living, 2nd Edition by Kirk Strosahl & Patti Robinson

Anxiety

  • The Relaxation & Stress Reduction Workbook by Martha Davis, et al
  • The Stress and Relaxation Handbook: A Practical Guide to Self-Help Techniques by Jane Madders
  • Wherever You Go, There You Are: Mindfulness Meditation in Everyday Life by Jon Kabat-Zinn
  • The Mindfulness & Acceptance Workbook for Anxiety: A Guide to Breaking Free from Anxiety…Using ACT, 2nd Edition by John P. Forsyth & Georg Eifert

Anxiety & Depression

  • Get Out of Your Mind and Into Your Life by Steven C. Hayes
  • In This Moment: Five Steps to Transcending Stress Using Mindfulness and Neuroscience by Kirk D. Strosahl & Patricia Robinson
Mental Health Web Links

Mental Brakes to Avoid Mental Breaks | Steven Hayes | TEDxDavidsonAcademy for “How can we best deal with difficult or negative thoughts?”

Self-Help Resources

Parenting:

https://depts.washington.edu/hcsats/PDF/TF-%20CBT/pages/positive_parenting.html

Yoga & stress relief for kids:

https://www.cosmickids.com/category/watch/

Mental Health Free Apps

What’s Up: The Idea Monk (can search topics to help with motivation, guidance, etc.)

https://play.google.com/store/apps/details?id=com.whats.up&hl=en_US

CBT Thought Record Diary (use CBT to become more aware of/track thinking patterns)

https://play.google.com/store/apps/details?id=com.moodtools.cbtassistant.app&hl=en_US

MindShift (aimed at helping teens & young adults cope with anxiety)

https://www.anxietycanada.com/resources/mindshift-app

Breathr: Mindful Moments (help introduce mindfulness and those new to this practice)

http://keltymentalhealth.ca/breathr

Stop, Breath, and Think (guide people through meditations for mindfulness & compassion)

https://www.stopbreathethink.com/

Puberty Blockers

Puberty Blockers Handout

Starting puberty blockers is a decision that is different for everyone. To make the most informed decision, this handout is meant to help you understand what pubety blockers do, what changes will happen to your body, and what are the benefits and risks associated.

Guide to Puberty Blockers

Puberty Blockers Informational Video

This video explains how puberty blockers work, as well as the benefits and risks associated with this treatment.

Masculinizing Hormones

Masculinizing Hormones Handout

Hormone therapy is an option that can help transgender people feel more comfortable in their bodies. Like other medical treatments, there are benefits and risks. Knowing what to expect will help us partner to maximize the benefits and minimize the risks.

Guide to Masculinizing Hormones

Masculinizing Hormones Informational Video

Masculinizing hormone therapy is an option that can help people who are transgender fulfill their affirmed masculine gender identity and feel more comfortable in their bodies. This video explains how masculinizing hormone therapy works, as well as the benefits and risks associated with this treatment.

Resources for Chest Binders

Good general information about using binders safely

General overview of best binders on the market

Gc2b Transition Apparel: https://www.gc2b.co/

  • Many young people like this brand, adjustable

Shapeshifters: https://www.shapeshifters.co/binders

  • This is a good company for customization and adjustment without extra fees.

The SPACE in Yakima also helps young people with getting customized binders

Safer Binding Practices

The following PDF will exaplin safe chest binding practices, methods for binding, as well as offer some low cost binders:

Safer Binding Methods and Tips

Feminizing Hormones

Feminizing Hormones Handout

Hormone therapy is an option that can help transgender people feel more comfortable in their bodies. Like other medical treatments, there are benefits and risks. Knowing what to expect will help us partner to maximize the benefits and minimize the risks.

Guide to Feminizing Hormones

Feminizing Hormones Informational Video

Feminizing hormone therapy is an option that can help people who are transgender fulfill their affirmed feminine gender identity and feel more comfortable in their bodies. This video explains how feminizing hormone therapy works, as well as the benefits and risks associated with this treatment.

Padded Hips and/or Bras

Talk to your medical team and The SPACE, if you have questions about getting padded hips or bras

Safer Tucking Methods and Tips

This is a useful PDF to help teach safer tucking methods: HOTT-Safer-Tucking-PDF

Resources 

From the American Psychological Association

Know Your Rights

A good resource for knowing your resources and facts around trans rights

transequality.org/issues/youth-students

From the CDC

Good informational websites, articles, and resources for teens, parents, and schools

cdc.gov/lgbthealth/youth-resources.htm

From Gender Spectrum

Gender Spectrum is a non-profit whose mission statement is to create a social environment of inclusivity around gender. They have an amazing list of resources for all ages of children and all family types.

genderspectrum.org/resources/parenting-and-family-2/

Blog for Parents

Stories

A site from a group in the UK, features some great stories from parents and teens

mermaidsuk.org.uk/

Frequently Asked Questions

Does my insurance cover hormone replacement therapy (HRT)?

Medicaid:

Private Insurance

  • You will need to call your insurance, and ask exactly what they will cover, and who is in your network that can prescribe/oversee this
    • Call the number on the back of your insurance card
    • If you don’t know your insurance you can call the clinic to get this information

****Ask about prior authorization and what specific information they need before they will cover these services****

Does my insurance cover top or bottom surgeries?

Medicaid:

Private Insurance:

  • Call and ask what they cover, and who is in network to provide these services

****Ask about prior authorization and what specific information they need before they will cover these services****

More F.A.Q.’s

Hear some common questions with our Teen Health Clinic Medical Director, Dr. Peter Asante, and our Teen Health Clinic Behavioral Health Consultant, Amelia McClelland, M.Ed.

Para ver este video en español, haz clic aquí

gender group flyer

The Transgender and Gender Non-Conforming Support Group 

WHAT:  This group is a place for patients to get support with issues related to their gender journeys regardless of where they are in their journey. Topics may include overview of the transition process, proper use of binders and packers, navigating the coming out process, steps in the legal process (e.g., changing your name and gender markers), how to advocate for yourself in public spaces (e.g., PE, bathrooms, sports, schools, etc.), resilience and values work, health topics (e.g., acne with hormone changes, weight gain, healthy eating, sleep, etc.) and any other areas that might be of interest for the group.

WHO: Patients of CHCW (e.g. Teen Health Clinic, Yakima Pediatrics, Central Washington Family Medicine, Naches, Highland, Davis Health Clinic) who are 13-21 years old, and identify as trans or non-binary

WHERE: Yakima Pediatrics, 2nd Tuesday of the month from 3:30p – 4:30p

HOW: Ask your medical or behavioral health provider about group at your next visit, or call Kari VerSteeg (509-424-4288) to be added to the list

gender group flyer

Cuidado de Género en Español

Yakima Pediatrics El Camino Cuidado de Género – Introducción

Yakima Pediatrics El Camino Cuidado de Género – Preguntas Frecuentes

Our Gender Clinic Team

dr peter asante

Peter Asante

MD

I am passionate about forming partnerships with youth and families that improve health and well-being, both inside and outside of the doctor’s office. As a child health advocate, I believe that through supportive relationships, we can make the world a better place for children.

Dr. Asante received his Doctorate of Medicine from the University of Pittsburgh School of Medicine, and did his residency with the University of Washington at Seattle Children’s Hospital.

DaniellE Correia

MD

I aspire to support my patients’ wellness through patient- centered medical care, inclusion and cultural humility. I am passionate about pediatric health at all ages, especially adolescent health, immigrant rights advocacy, and community health. I am excited to work together to provide patient and family-centered care for all children and teens!

Dr. Correia got her Masters in Public Health at Yale University, her Doctorate of Medicine from the University of Arizona and did her residency with the University of Washington at Seattle Children’s Hospital.

ginny shelton headshot

Ginny Shelton

MD

I want all my patients to feel supported and understood, whatever their gender identity. My goal is to provide a safe and supportive environment for you to address all aspects of your health needs. One of my favorite parts of my practice is helping teenagers address their physical, mental, and emotional health. I am passionate about encouraging my patients to learn how to advocate for themselves and their well-being.

Dr. Shelton received her Doctorate of Medicine from Louisiana State University, and did her residency with the Virginia Commonwealth University.

Amelia McClelland

Amelia McClelland, M.Ed

Behavioral Health Team Lead

I strive to create a space of inclusivity, respect, compassion, and support in my practice. I love working with all ages especially adolescents. I am passionate about gender care, school-based health, and social justice. I believe that with compassion and understanding we can improve outcomes for our teens in Yakima.

Amelia completed her undergraduate training at Gonzaga University, and went on to her graduate training at the University of Utah School Psychology Program. She then completed her internship and doctoral fellowship through the National Psychology Training Consortium Cascades Region.

ginny shelton headshot

Kari VerSteeg, MSW

Social Worker & Care Navigator