{"podcast":{"title":"You Must Be Some Kind of Therapist","slug":"you-must-be-some-kind-of-therapist-5142473","podcast_index_feed_id":5142473,"rss_url":"https://feeds.transistor.fm/you-must-be-some-kind-of-therapist","website_url":"https://www.sometherapist.com","image_url":"https://img.transistorcdn.com/kKSwO8C4wLrjRyUIWjlyIr2zfV-lqxogMZ4PRqp_ams/rs:fill:0:0:1/w:1400/h:1400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9zaG93/LzI1NzQ0LzE2NDQy/NzA3NjktYXJ0d29y/ay5qcGc.jpg","author":"Stephanie Winn","episode_count":221,"summary":"A podcast at the intersection of psychology and culture that intimately explores the human experience and critiques the counseling profession. Your host, Stephanie Winn, distills wisdom gained from her practice as a family therapist and coach while pivoting towards questions of how to apply a practical understanding of psychology to the novel dilemmas of the 21st century, from political polarization to medical malpractice. What does ethical mental health care look like in a normless age, as our moral compasses spin in search of true north? How can therapists treat patients under pressure to affirm everything from the notion of \"gender identity\" to assisted suicide? Primarily a long-form interview podcast, Stephanie invites unorthodox, free-thinking guests from many walks of life, including counselors, social workers, medical professionals, writers, researchers, and people with unique lived experience, such as detransitioners. Curious about many things, Stephanie’s interdisciplinary psychological lens investigates challenging social issues and inspires transformation in the self, relationships, and society. She is known for bringing calm warmth to painful subjects, and astute perce…","last_synced_at":"2026-07-20T16:18:10.386697+00:00","page_url":"https://stenobird.com/podcast/you-must-be-some-kind-of-therapist-5142473"},"episode":{"title":"210. Why Gender-Referred Youth Went From Bad to Worse: A Psychological Lens on the Finnish Study","slug":"210-why-gender-referred-youth-went-from-bad-to-worse-a-psychological-lens-on-the-finnish-study","published_at":"2026-04-20T08:00:00+00:00","page_url":"https://stenobird.com/podcast/you-must-be-some-kind-of-therapist-5142473/210-why-gender-referred-youth-went-from-bad-to-worse-a-psychological-lens-on-the-finnish-study","show_page_url":"https://stenobird.com/podcast/you-must-be-some-kind-of-therapist-5142473","url":"https://share.transistor.fm/s/f4631bc5","audio_url":"https://pdcn.co/e/media.transistor.fm/f4631bc5/556e46ca.mp3","summary":"In this solo episode, I'm bringing you something a little different. I've been wanting to talk about the recent Finnish register study on gender-referred youth since it came out, and rather than wait until my written article was polished, I decided to open the draft I'd been working on, read it to you, and interrupt myself along the way with the commentary and speculation from a psychological lens. The study followed 2,083 adolescents and young adults who sought gender identity assessments at Finland's two centralized gender clinics between 1996 and 2019, compared against 16,643 age-matched controls. What the data show is sobering: nearly half of gender-referred youth had already required specialist psychiatric care before they ever walked through the clinic doors, and that number climbed to 61.7% two or more years after referral — whether or not they underwent medical transition. I walk through what \"medical gender reassignment\" actually captures (and doesn't), why Finland's gatekeeping model fundamentally changes how these numbers should be read, and what this means for the American informed-consent pipeline. The heart of this episode is a concept I've been trying to articulate for months: the untested hypothesis. It's the psychological trap in which a distressed young person becomes convinced that medicalization is the only path to wellbeing — and in doing so, builds an external locus of control so total that no outcome, approved or denied, actually improves their inner life. I close with a metaphor about a hotel room, an apartment, and why gender ideology actively disincentivizes the one thing these kids need most: getting comfortable in the body they already have. Visit my Substack for the full essay, which is read aloud with additional commentary in this video. […","meta_description":"In this solo episode, I'm bringing you something a little different. I've been wanting to talk about the recent Finnish register study on gender-referred…","key_points":[],"chapters":[],"topics":[],"duration_seconds":2782,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/you-must-be-some-kind-of-therapist-5142473/episodes/210-why-gender-referred-youth-went-from-bad-to-worse-a-psychological-lens-on-the-finnish-study/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/you-must-be-some-kind-of-therapist-5142473/210-why-gender-referred-youth-went-from-bad-to-worse-a-psychological-lens-on-the-finnish-study.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}