Two doctors from the Gender Identity Development Service (GIDS) in England question the procedures followed by the health system to change the gender of people seeking its services.

” This whole area of transgender medicine is very under researched,” said psychotherapist James Caspian, according to a Nov. 26 BBC publication.

Caspian has worked with transgender adults for more than a decade, and lately has been consulted by dozens of detransitioners seeking assistance.

“Quite a lot of them seem to have had a very negative experience of being female in a female body—sexual harassment, even abuse,” Caspian explained, according to the BBC.

Debbie, a woman who became a transgender at the age of 44, acknowledges 17 years later that she was wrong and again identifies with the sex she was born into.

“I thought I was going to be on a journey to becoming a different person … I’d morph into someone else and leave that traumatized woman completely behind,” she said, believing that she changed sex in response to the sexual abuse she suffered as a child, corroborating what Caspian said.

In addition, Anna Hutchinson, part of the Gender Identity Development Service (GIDS) management team from 2013 to 2017, expressed concern about this vulnerable group.

“Many of them are very clear that they want the medical intervention,” she said, adding, “The people for whom that pathway hasn’t worked, in retrospect, will say that what they wished they had was therapy.”

Similarly, psychotherapist Anastassis Spiliadis, who worked at GIDS for four years, said he was concerned that there was not always a proper assessment of the backgrounds of those who reported gender dysphoria.

“I worry how much actually could be explored by clinicians who believe in a three-session assessment model” to diagnose the patient. He noted that the GIDS assessment “usually comprises of three to six appointments,” according to its website.

The most recent GIDS figures show that 2,590 children with gender dysphoria were referred last year, compared to less than 100 in 2009.

On the other hand, Walt Heyer, an author and public speaker, who for eight years wanted to live as a woman, regretted the sex change and returned to the gender he was born with.

Heyer told the U.S. Heritage Foundation on April 4 that the implementation of radical hormonal and surgical interventions for children with gender dysphoria is child abuse.

For this detransitioner sex change can also be used as an excuse to hide an abuse.

“It’s a way to escape, and this is where dissociation comes into play. You don’t want to be who you are, so you try to be someone else, and you don’t want to be who you are because you’ve been hurt, something happened to you,” Heyer said.