How do I install the Es Assist Social Transition Decision Prepubertal skill?

Run npx skillmds@latest add dromlakhani/es-assist-social-transition-decision-prepubertal in your terminal (requires Node.js), paste this page's agent-chat prompt into Claude, Cursor, or any MCP-connected agent, or download the SKILL.md file and copy it into your agent's skills directory.

Is Es Assist Social Transition Decision Prepubertal safe to use?

This skill has not completed SkillMD's automated safety review yet. Independent scanners report: SkillSpector: PASS, Skill Scanner: PASS. Capability flags: makes network calls. SkillMD never runs a skill's scripts for you; review the SKILL.md before installing.

Which AI agents work with Es Assist Social Transition Decision Prepubertal?

This skill is tagged as working with Claude Code, Claude.ai, OpenAI Codex. SKILL.md is an open format, so most agents that read a skills directory can load it too.

Is Es Assist Social Transition Decision Prepubertal free to use?

Yes. Installing skills from SkillMD is free, and the skill stays under its author's original license.

Who published Es Assist Social Transition Decision Prepubertal?

dromlakhani (@dromlakhani) published this skill. Their other Agent Skills are listed on their SkillMD profile.

Es Assist Social Transition Decision Prepubertal by dromlakhani

Name: Es Assist Social Transition Decision Prepubertal
Rating: 4.2 (5 reviews)
Author: dromlakhani

Es Assist Social Transition Decision Prepubertal

Assists clinicians in determining whether to proceed with social transition for prepubertal youth experiencing gender dysphoria or gender incongruence. Triggers include prepubertal youth with GD/gender incongruence and discussions about initiating social transition.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Assist in social transition decision for prepubertal youth with GD/gender incongruence

STEP 1 — Gather Information

Collect age, Tanner stage (confirm prepubertal, stage 1), duration of GD/gender incongruence, expressed desire for social transition (name, pronouns, clothing, role), parental/guardian views, any coexisting psychosocial or psychiatric concerns, and confirmation that no pubertal suppression or hormone treatment is being considered.

STEP 2 — Rule In / Rule Out

Rule in: Prepubertal youth (Tanner stage 1) with GD/gender incongruence expressing desire for social transition. Rule out: Youth who have entered puberty (Tanner stage ≥2) or those without GD/gender incongruence.

STEP 3 — Classify or Stratify

Classify as requiring MHP or experienced professional assistance for the social transition decision; no further stratification needed per guideline.

STEP 4 — Decide

Decision: Involve a mental health professional (MHP) or another experienced professional in making the social transition decision; do not proceed without their input.

Clinical Guardrails / Mimics / Pitfalls

Do not allow social transition to proceed without MHP or experienced professional involvement. Avoid basing decisions solely on youth or parental request without professional assessment. Do not confuse social transition with medical intervention; hormone therapy is not recommended for prepubertal youth.

Concrete Clinical Example

A 7-year-old assigned male at birth consistently insists on being called a girl, prefers female clothing, and expresses distress when misgendered; parents seek guidance on allowing a full social transition (name change, school presentation). Clinician confirms prepubertal status (Tanner stage 1) and GD/gender incongruence, then refers to an MHP experienced in pediatric gender identity to assist in the decision-making process.

Source: Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2017, https://doi.org/10.1210/jc.2017-01658

---name: es-assist-social-transition-decision-prepubertaldescription: Assists clinicians in determining whether to proceed with social transition for prepubertal youth experiencing gender dysphoria or gender incongruence. Triggers include prepubertal youth with GD/gender incongruence and discussions about initiating social transition.---# Assist in social transition decision for prepubertal youth with GD/gender incongruence## STEP 1 — Gather InformationCollect age, Tanner stage (confirm prepubertal, stage 1), duration of GD/gender incongruence, expressed desire for social transition (name, pronouns, clothing, role), parental/guardian views, any coexisting psychosocial or psychiatric concerns, and confirmation that no pubertal suppression or hormone treatment is being considered.## STEP 2 — Rule In / Rule OutRule in: Prepubertal youth (Tanner stage 1) with GD/gender incongruence expressing desire for social transition. Rule out: Youth who have entered puberty (Tanner stage ≥2) or those without GD/gender incongruence.## STEP 3 — Classify or StratifyClassify as requiring MHP or experienced professional assistance for the social transition decision; no further stratification needed per guideline.## STEP 4 — DecideDecision: Involve a mental health professional (MHP) or another experienced professional in making the social transition decision; do not proceed without their input.## Clinical Guardrails / Mimics / PitfallsDo not allow social transition to proceed without MHP or experienced professional involvement. Avoid basing decisions solely on youth or parental request without professional assessment. Do not confuse social transition with medical intervention; hormone therapy is not recommended for prepubertal youth.## Concrete Clinical ExampleA 7-year-old assigned male at birth consistently insists on being called a girl, prefers female clothing, and expresses distress when misgendered; parents seek guidance on allowing a full social transition (name change, school presentation). Clinician confirms prepubertal status (Tanner stage 1) and GD/gender incongruence, then refers to an MHP experienced in pediatric gender identity to assist in the decision-making process.**Source:** Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2017, https://doi.org/10.1210/jc.2017-01658

Frequently asked questions