A woman who transitioned to a man is suing her psychiatrist for professional malpractice after he approved her hormone therapy even though he only saw her once.
Jay Langadinos, then 19, met psychiatrist Patrick Toohey on May 7, 2010, after telling a doctor that “I had always felt that I was a boy instead of a girl”according to a statement of claim filed in the Supreme Court of New South Wales, Australia.
Toohey evaluated Jay to determine if she was suitable for transition treatment, and after only one meeting, Dr. ruled she suffered from gender dysphoria and approved therapy.
The young woman was first referred by her endocrinologist to determine if she was suitable for a gender transition. The specialist indicated that Langadinos was very young and needed “a complete psychiatric examination before embarking on hormonal treatment,” according to the lawsuit, quoted by the ‘Sydney Morning Herald’.
After his first meeting with the girl, Toohey concluded that Langadinos suffered from gender dysphoria and was suitable for testosterone therapy, according to the document.
Toohey approved the double mastectomy for his patient, who underwent the procedure in April of that year, according to court documents. A month later, Langadinos met with Toohey for the third and final time to discuss removing the uterus.
According to the suit, Toohey wrote that she could find no “psychiatric contraindication to proceeding with the hysterectomy as part of gender transition,” paving the way for Langadinos, then 22, to undergo surgery.
Now, almost a decade later, Langadinos, who no longer identifies as male, sues Toohey for professional negligence, claiming he greenlit her hormone therapy even after she told him she suffered from social phobia. She also alleges that he was negligent in not recommending that she get a second opinion prior to her hysterectomy.
Langadinos adds that in 2016, four years after her hysterectomy, she was receiving psychiatric treatment from another doctor when she “realized she shouldn’t have had the hormone therapy or the first and second surgeries.”
In the documents, Langadinos argues that Toohey should have realized he might be autistic. He also maintains that his social phobia should have been treated before hormone therapy was prescribed.
Langadinos says in his statement in the lawsuit that the hormones and surgeries caused him to suffer injuries, disabilities and complications, including early menopause, anxiety and depressionimpaired psychological functioning, and decreased employability.
In an interview with Australian media outlets ‘The Age’ and ‘Sydney Morning Herald’, the 31-year-old said: “Knowing I can’t have children is absolutely devastating.”
Langadinos explained that growing up, felt it was “defective” because he realized that he was attracted to girls. At 17, she read about gender dysphoria. So, “I thought, ‘That’s what I’ve got.’ I decided that I should be transgender because of the discomfort I had in my body », she explains now.
Langadinos has said that as she became increasingly unhappy, she decided that the source of her distress was that she was not a man, “so the response was to change my body even more.”
During her initial meeting with Toohey, she informed the psychiatrist that she had been distressed when she was forced to dress like a girl in primary school, had “tomboyish” mannerisms, was socially isolated, and dropped out of school at age 11.
Toohey allegedly said that when he first saw Langadinos, he noted “a past history of significant social phobia and depression that may have gone beyond gender dysphoria,” according to the lawsuit.