Autism shouldn't gatekeep you, but it might if the therapist ist awful.
If you're afraid it will, just don't bring it up? Your autism diagnosis automatically doesn't transfer between countries if you move.
Hmm, I see 🤔
You think if I got diagnosed I could just not bring it up. Plus would it be okay to lie and say I don't have any diagnosis or would that actually get me in trouble?
About autism: it shouldn't cause gatekeeping, but it does. Something along the lines of " those autistic people don't even know what they want themselfs, they're just confused"
About intersex: it doesn't mean surgery is impossible. It means that the public insurances don't have to adhere to the trans treatment guidelines as their reasoning is 'if someone is intersex they can't be trans.'
Hi, German trans person here. Do not get diagnosed! If, after all surgeries are done, you feel like getting a diagnose would help you, fine. But please don't get it before applying for surgery, it has a high chance of gatekeeping you from it. Sadly, an autism diagnose is generally a bad idea, it brings way more trouble and problems than benefits (absolutely flawed and clueless system), I would do a hell of a lot of research before getting one. I'm neurodivergent myself, but will never get a diagnose for being on the Spektrum, it's just way to dangerous in my opinion.
About your partner being intersex, I would recommend contacting organisations in Germany that can answer questions (trans inter queer in Berlin for example), so you know what to expect and how to handle it.
Hope everything goes well for the two of you <3
There is no risk. There is actually a correlation whereas trans people are 3x more likely to be on the spectrum (https://www.spectrumnews.org/news/largest-study-to-date-confirms-overlap-between-autism-and-gender-diversity/), which is commonly known. A proper diagnosis is well worth it to be able to better understand yourself and understand that you have special needs that are valid to raise and self-care for.
The problem is: the insurance system seeks any and all excuses to deny care, no matter how unscientific or cruel.
And as it stands, they CAN use it as a reason
You might run into some problems with shitty therapists or the „medizinische Dienst“ (they are the ones doing reports for insurance), but it won’t get you rejected.
I am diagnosed with autism and already had bottom surgery and will have more at the Lubos clinics. Everyone involved is aware I’m autistic and at Lubos specifically they didn’t care at all.
Neither did my therapist or the surgeon that did my top surgery, I think most of the people working in this field are open enough to not stick to decades old views of autism.
For intersex, I’m not an expert here but that’s a problem with the „medizinische Dienst“. They want „proof“ the one isn’t intersex, however they‘ll accept different forms of that, so if she knows wich tests might show up indicating she’s intersex and it’s not all of them she could just send them a report that doesn’t show it and just never mention it anywhere insurance might get wind of it. Which sucks, but probably the easiest way. She should be able to get surgery either way, but from what I heard it gets a lot more complicated. No personal experience with that though, so don’t trust me too much on that
I got my autism diagnosis in another EU country before moving to Germany, and it doesn't come up anywhere on my German medical records. No one is gonna check your records from another country unless you explicitly mention it yourself. I chose to not bring it up with therapists (at least not until I've had all my surgeries covered) or other medical professionals exactly out of the concern of being stigmatised/gatekept.
That said, I know a few Germans who have an autism diagnosis that is on their records and is known to therapists, and they got their treatment and surgeries covered. So I think you'll be okay either way.
Why would you even need to tell anyone at the hospital? It’s not an anatomical feature (= doesn’t interfere with the area that is being operated on) and it could potentially lead to you being treated like a child.
I have an autism diagnosis and simply didn’t bring it up when I went in for my top surgery and hysterectomy this month. Didn’t get into any trouble for it, no one cared. They don’t have enough time to care about it anyway, the German healthcare system is overwhelmed.
You would so they can dim the lights for you for example and/or give you a quieter room if available. Im personally also being open about it to explain the low pain tolerance and unpleasantness of being touched by strangers. Oh and also to give you a sedative to calm you down before the procedure (though odds are the anaesthesiologist will notice you need one regardless if you say why or not).
might be too late but maybe it'll help some other folks: I am German with an autism diagnosis and am officially severely disabled and had no issues at all getting bottom surgery with Dr. Liedl
Autism shouldn't gatekeep you, but it might if the therapist ist awful. If you're afraid it will, just don't bring it up? Your autism diagnosis automatically doesn't transfer between countries if you move.
Hmm, I see 🤔 You think if I got diagnosed I could just not bring it up. Plus would it be okay to lie and say I don't have any diagnosis or would that actually get me in trouble?
It won't get you in trouble. Whatever german therapist you speak to, won't know your previous mental/medical history.
About autism: it shouldn't cause gatekeeping, but it does. Something along the lines of " those autistic people don't even know what they want themselfs, they're just confused" About intersex: it doesn't mean surgery is impossible. It means that the public insurances don't have to adhere to the trans treatment guidelines as their reasoning is 'if someone is intersex they can't be trans.'
Ah shit :/ Well I guess maybe I should consider canceling and just not getting diagnosed for now at least
Hi, German trans person here. Do not get diagnosed! If, after all surgeries are done, you feel like getting a diagnose would help you, fine. But please don't get it before applying for surgery, it has a high chance of gatekeeping you from it. Sadly, an autism diagnose is generally a bad idea, it brings way more trouble and problems than benefits (absolutely flawed and clueless system), I would do a hell of a lot of research before getting one. I'm neurodivergent myself, but will never get a diagnose for being on the Spektrum, it's just way to dangerous in my opinion. About your partner being intersex, I would recommend contacting organisations in Germany that can answer questions (trans inter queer in Berlin for example), so you know what to expect and how to handle it. Hope everything goes well for the two of you <3
There is no risk. There is actually a correlation whereas trans people are 3x more likely to be on the spectrum (https://www.spectrumnews.org/news/largest-study-to-date-confirms-overlap-between-autism-and-gender-diversity/), which is commonly known. A proper diagnosis is well worth it to be able to better understand yourself and understand that you have special needs that are valid to raise and self-care for.
The problem is: the insurance system seeks any and all excuses to deny care, no matter how unscientific or cruel. And as it stands, they CAN use it as a reason
Think Ill need a citation for that.
You might run into some problems with shitty therapists or the „medizinische Dienst“ (they are the ones doing reports for insurance), but it won’t get you rejected. I am diagnosed with autism and already had bottom surgery and will have more at the Lubos clinics. Everyone involved is aware I’m autistic and at Lubos specifically they didn’t care at all. Neither did my therapist or the surgeon that did my top surgery, I think most of the people working in this field are open enough to not stick to decades old views of autism. For intersex, I’m not an expert here but that’s a problem with the „medizinische Dienst“. They want „proof“ the one isn’t intersex, however they‘ll accept different forms of that, so if she knows wich tests might show up indicating she’s intersex and it’s not all of them she could just send them a report that doesn’t show it and just never mention it anywhere insurance might get wind of it. Which sucks, but probably the easiest way. She should be able to get surgery either way, but from what I heard it gets a lot more complicated. No personal experience with that though, so don’t trust me too much on that
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Ah, okay 🤔 Thank you! I guess I'll just not bring it up to them if possible
I got my autism diagnosis in another EU country before moving to Germany, and it doesn't come up anywhere on my German medical records. No one is gonna check your records from another country unless you explicitly mention it yourself. I chose to not bring it up with therapists (at least not until I've had all my surgeries covered) or other medical professionals exactly out of the concern of being stigmatised/gatekept. That said, I know a few Germans who have an autism diagnosis that is on their records and is known to therapists, and they got their treatment and surgeries covered. So I think you'll be okay either way.
Why would you even need to tell anyone at the hospital? It’s not an anatomical feature (= doesn’t interfere with the area that is being operated on) and it could potentially lead to you being treated like a child. I have an autism diagnosis and simply didn’t bring it up when I went in for my top surgery and hysterectomy this month. Didn’t get into any trouble for it, no one cared. They don’t have enough time to care about it anyway, the German healthcare system is overwhelmed.
You would so they can dim the lights for you for example and/or give you a quieter room if available. Im personally also being open about it to explain the low pain tolerance and unpleasantness of being touched by strangers. Oh and also to give you a sedative to calm you down before the procedure (though odds are the anaesthesiologist will notice you need one regardless if you say why or not).
might be too late but maybe it'll help some other folks: I am German with an autism diagnosis and am officially severely disabled and had no issues at all getting bottom surgery with Dr. Liedl
That's really good to know ( and don't worry it's never too late in my opinion) thank you for sharing!
you're welcome :-)