The first time Sydney woman Jay Langadinos saw psychiatrist Dr Patrick Toohey she was 19, living at home and identifying as male. It was May 2010. Langadinos wanted to start on masculinising hormones and her endocrinologist had referred her to Toohey to assess if she was suitable for the treatment.

According to a statement of claim filed in the NSW Supreme Court in May, the referral letter from Professor Ann Conway said it “seemed likely” Langadinos had “true gender dysphoria”, but she was “very young” and “clearly” needed “thorough psychiatric work-up before embarking on hormone treatment”.

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