Victor Davis Hanson: In His Own Words Life’s Not Perfect. Transitioning to a Boy Won’t Make It Better | Stella O'Malley
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Mar 21, 2026 
Stella O'Malley, Irish psychotherapist, author and founder of Genspect, advocates non-medicalized approaches to sex and gender. She discusses why youth transitioning surged, common traits among those seeking transition, the pathways to medicalization, the realities of detransitioning, family impacts, online influences, and policy ideas to reduce needless medical interventions.
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Why Most New Trans Identifications Are Female
- The sex ratio flipped from male-dominant to about 70% female in the last decade.
- Stella links this shift to social contagions (anorexia, self-harm) and girls fleeing sexualization by adopting male identity as a coping mechanism.
From Lonely Teen To Trans Identity Through Online In-Groups
- Typical arc: an autistic, lonely girl finds validation online, channels general distress into a clear trans narrative and seeks medical affirmation.
- Stella recounts the secret, bewitching in-group dynamics that make trans identity feel like rescue for isolated adolescents.
Prioritize Assessment Over Child-Led Medicalization
- Avoid child-led immediate medicalization; prioritize assessment of autism and other mental health issues first.
- Stella warns that affirm-only clinics may silence parents and push medical steps before addressing underlying problems.