1.Diagnosis by two Psychiatrists
2. Psychological assessments
This initial workup taken as starting point
3 months of counselling
Monthly visit to primary consultation and behavior assessment (recording ) by primary psychiatrist ..
3rd month : hormonal treatment can be started if patient is well
6 month ( from starting point) : counseling sessions
Behavior assessment and recording by psychiatrist .
repeat psychological assessments.
Minor surgeries can be done which include that of breast etc except sexual organ change
12 months from starting point
Minimum 6 counselling sessions for future adjustment, expectations of patients , behavioral assessment and recording
Certificate to go for sex change surgery
All behavior assessment and counselling sessions record should be with certifying psychiatrist
Patient should continue counselling in follow up for 6 months idealy