WPATH Assessments

Dr. David Demmer conducts WPATH assessments for adult clients seeking to medically affirm their gender. Dave is an AusPATH member and a gender affirming practitioner.

What the assessment involves

The assessment is a collaborative, interview style discussion, conducted over several appointments. Dave will discuss with you the number of sessions required as the assessment progresses. It involves completing questionnaires and discussing your experiences of gender, including your gender identity, gender development, gender incongruence, and gender dysphoria*. You will also be asked about your overall psychosocial history and about your mental health across your lifespan. The assessment is conducted in line with the standards of care set out by WPATH and differs depending the type of affirmation being sought (e.g., hormones or surgery). The WPATH standards of care are available here: https://www.wpath.org/publications/soc

Importantly, the assessment does not ‘decide’ your gender identity and Dave will not ‘tell you’ what your gender identity is. Your gender identity is always your personal journey and understanding to reach. In general, the assessment is designed to explore (i) the impact of gender dysphoria in your life, (ii) the impact of other difficulties, psychological and otherwise, that might negatively impact outcomes of affirmation/transition, and (iii) the presence of other difficulties that might present with gender variance (please see the WPATH standards of care above for a full overview). This does not mean that if you have a mental illness or are experiencing psychological distress that you would not meet the criteria for affirmation, it may just mean that your psychologist will work with you to ensure these difficulties are well managed to decrease the chance they will negatively impact your affirmation.

The assessment also explores readiness for affirmation, expectations, and supports. If required, there may also be elements of therapy included in the assessment process as deemed necessary. As part of the assessment, and with your permission, Dave may need to speak to other healthcare professionals involved in your care. Once the assessment is complete, Dave will be required to write a report to whichever medical professional is supporting you in your affirmation (e.g., a GP or surgeon).

Assessment and report costs

Assessment sessions are charged at our standard fee for a clinical psychologist: $210.00 for a 50 minute session. With a GP referral and valid mental health care plan a rebate of $129.55 is available for each session. There are additional costs for the report. Medicare does not provide a rebate for reports.

Availability and access

Assessment sessions can be done face to face at the clinic (dependant on COVID lockdown restrictions) or via Telehealth. As Telehealth is available, assessments can be done Australia-wide. Please contact the practice on 03 7023 4780 or talk@wellingtonstreetpsych.com to check availability.

More information

WPATH guidelines: https://www.wpath.org/publications/soc WPATH are the standards of care for Transgender and Gender Nonconforming People.

Transhub: https://www.transhub.org.au/ a digital information and resource platform for Transgender and Gender Nonconforming People and their loved ones.

*Gender dysphoria is the feeling of discomfort of distress that can occur in people whose gender identity differs from their sex presumed at birth, or sex-related physical characteristics.