Content note: This episode references transphobic arguments and objections to gender-affirming health care (GAHC) in our discussion and explanation of the guidelines for GAHC. If you’re unable to engage with these topics right now, you are welcome to skip this episode or come back to it when you feel better resourced.

In this powerful follow-up, host Aurora Brown and Dr Anastacia Tomson, MD, dive deeper into the complexities of gender-affirming healthcare in South Africa. They tackle systemic barriers, debunk pervasive myths, and explore how institutions — from clinics to workplaces — can truly support trans and gender-diverse (TGD) communities. Dr Tomson’s insights blend clinical expertise with lived experience, offering actionable steps towards dignity-centered care.

📸 @anaphylaxus 🌐 anastaciatomson.com / myfamily.gp

🎁 This extended audio is ad-free and includes Patreon-exclusive bonus content.

📄 Download a transcript of this episode on IntersectionalPsychology.com.

00:00:00 Land acknowledgement 00:00:28 Patreon bonus announcement 00:01:31 Title credits 00:01:52 Welcome and introduction 00:03:15 Health disclaimer 00:04:10 The truth about the access to GAHC (Part 2) 00:08:01 Why GAHC is primary health care 00:14:26 Psychosocial support for TGD people 00:19:05 The truth about GAHC for non-binary people 00:21:59 The truth about TGD people in sports 00:29:16 The uniqueness of every transition pathway 00:32:01 How institutions can support gender transitions 00:36:29 The truth about voice therapy in GAHC 00:40:58 A future for everyone (Part 2) 00:45:37 End credits

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Tomson, A., McLachlan, C., Wattrus, C., Adams, K., Addinall, R., Bothma, R., Jankelowitz, L., Kotze, E., Luvuno, Z., Madlala, N., Matyila, S., Padavatan, A., Pillay, M., Rakumakoe, M., Tomson-Myburgh, M., Venter, W., & de Vries, E. (2021). Southern African HIV Clinicians Society gender-affirming healthcare guideline for South Africa. Southern African Journal of HIV Medicine, 22(1). doi:https://doi.org/10.4102/sajhivmed.v22i1.1299 Tomson, A. (2020). Always Anastacia. Jeppestown: Jonathan Ball Publishers.

McKinney, A. Among the Stars, no piano edit. ZapSplat. https://www.zapsplat.com/music/among-the-stars-no-piano-soothing-ambient-choir-portrays-panoramic-space-good-for-landscapes/ Miles, D. Shades of Orange. ZapSplat. https://www.zapsplat.com/music/shades-of-orange-a-serene-relaxing-warm-ambient-piece-with-slow-mellow-chords-perfect-for-relaxation-meditation-etc/ Wall, C.S.J., Patev, A.J., & Benotsch, E.G. (2023). Trans broken arm syndrome: A mixed-methods exploration of gender-related medical misattribution and invasive questioning. Social science & medicine (1982), 320, 115748. https://doi.org/10.1016/j.socscimed.2023.115748

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