So, they actually didn't include gender clinic visits in their count of psychiatric contacts. But they also didn't flag that having multiple psychiatric screenings a year will inevitably result in more stuff being caught, which will raise the number of psychiatric contacts.
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And, since they only counted contacts, if a person was sent by the gender clinic to a psychiatrist who said there was nothing wrong except gender dysphoria (something that happened to one of the patients I spoke with) that contact would count.
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thanks for the clarification
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