Irreversible Damage by Abigail Shrier

Why read the book?

Abigail Shrier's Irreversible Damage examines the rapid increase in teenage girls identifying as transgender. Shrier argues this surge is driven by social contagion, with online platforms like Tumblr and TikTok influencing girls struggling with anxiety or depression to identify as trans.

She describes how schools, therapists, and doctors often rush these girls into hormone therapy and surgeries with permanent consequences. Through interviews with parents, detransitioners, and experts, Shrier highlights concerns about hasty medical interventions. She urges caution in addressing youth gender dysphoria, warning of regret and harm from irreversible choices.

Favourite quote

I can't think of any branch of medicine outside of cosmetic surgery where the patient makes the diagnosis and prescribes the treatment.

What I Loved

Irreversible Damage sheds light on a complex issue through compelling stories from parents and detransitioners who faced rushed medical decisions. Shrier’s interviews with doctors like Paul McHugh and Kenneth Zucker underscore risks in puberty blockers and surgeries. She effectively shows how social media amplifies gender identity trends among teens.

The book calls for stronger safeguards before life-altering treatments. However, some critics argue it overlooks perspectives from trans youth and selectively uses science to support its stance. Despite controversy, it sparks vital discussion on teen mental health and gender care, urging balance between affirmation and caution.

Key Takeaway

Hasty gender treatments for teens risk lasting harm; careful evaluation is essential to protect young people from social pressures.