To Whom It May Concern:
This letter is being provided to (my name) for the purpose of rendering an opinion regarding his current mental health functioning and readiness for hormone therapy in support of his expressed masculine gender identity. I have seen (my name) on 6 occasions since 4-22-2003. I have also examined two prior psychological evaluations/opinions of his treating psychologist (her name) and evaluating neuropsychologist (his name).
It is my considered opinion that (my name)'s primary diagnosis is DSM-IV Axis I 302.85 Gender Identity Disorder in Adolescents or Adults. Some of his previous diagnosis may have been driven by his appropriate wish to transition from female to male.
I believe that hormone therapy to support transitioning to a male gender presentation is the next step in (my name)'s treatment for the current diagnosis of Gender Identity Disorder. (My name) should continue to be monitored for psychological distress; however, it is most likely that the hormone therapy will support his continued positive psychological adjustment particularly since (my name) has been living as a male for over two years.
Contact me if you require more information.
______ _______ , Ed.D., Ph.D.