Send us Fan Mail Disclaimer: The opinions expressed by guests on Living A Life In Balance are their own and do not reflect the views of THE BALANCE or Abdullah Boulad. This content is for general information only and is not medical, psychological, or legal advice. Views shared reflect the guest's individual clinical experience and may differ from mainstream clinical consensus. Always consult a qualified healthcare professional about your own circumstances. Can we explore difficult mental health topics without shutting down the conversation? Dr. Az Hakeem, Consultant Psychiatrist, Forensic Psychotherapist, and Group Analyst, joins Abdullah Boulad for a thought-provoking conversation about psychiatry, gender dysphoria, identity, trauma, psychotherapy, autism, burnout, and the importance of critical thinking in mental healthcare. Drawing on decades of experience in both the NHS and private practice, Dr. Hakeem reflects on his work in forensic psychotherapy before discussing the gender dysphoria psychotherapy service he established in the UK. He shares his clinical approach to understanding gender distress, why he believes psychotherapy should play a central role before irreversible medical interventions, and how his views evolved through years of working closely with patients. The conversation explores the relationship between biological sex and gender, the complexity of identity development, the role of autism and trauma in some patients presenting with gender dysphoria, and why Dr. Hakeem believes curiosity, careful assessment, and open dialogue remain essential in mental health practice. Abdullah and Dr. Hakeem also discuss parenting, supporting gender-questioning children, and the importance of creating space for conversations rather than rushing toward conclusions. Beyond gender, the discussion examines forensic psychotherapy, the lasting psychological impact of trauma, sexual behavior, emotional development, and the realities of treating anxiety, depression, OCD, and burnout among high-performing professionals. Dr. Hakeem also shares practical advice on maintaining balance, protecting mental wellbeing, and avoiding the gradual path toward burnout. Whether you are interested in psychiatry, psychotherapy, mental health, trauma, gender identity, parenting, emotional wellbeing, or psychological resilience, this episode offers an in-depth conversation on some of today's most challenging and widely debated topics through the lens of one clinician's decades of experience. About Dr Az: Dr. Hakeem is a highly qualified Consultant Psychiatrist, Medical Psychotherapist, Group Analyst, and published author with over 25 years of experience. He completed his specialist training in Psychiatry, Forensic Psychiatry, and Psychotherapy at the Royal Free Hospital and the Portman Clinic (Tavistock and Portman NHS Foundation Trust). He also holds an MSc in Group Analysis (Distinction) from Birkbeck, University of London and is a qualified Group Analyst. 00:00:00 - Introduction to Dr. Az Hakeem 00:01:52 - From Art and Literature to Psychiatry 00:03:30 - Inside the World of Forensic Psychotherapy 00:06:24 - Childhood, Identity and Growing Up Different 00:08:13 - The Story Behind the Goth Aesthetic 00:18:08 - Understanding Biological Sex, Gender and Gender Identity 00:24:13 - Regret After Gender Transition: A Psychiatrist's Perspective 00:27:04 - Autism and Gender Dysphoria: Exploring the Connection 00:29:36 - The Tavistock Clinic Debate and Gender Care 00:34:05 - Group Therapy for Gender Dysphoria: An Alternative Approach 00:42:04 - Gender Medicine and the Debate Around Children 00:44:24 - Supporting Gender-Questioning Children: Advice for Parents 00:46:39 - Trauma, Sexual Development and Human Behavior 00:53:18 - The Role of Curiosity in Mental Health Treatment 00:56:42 - Why Every Story Deserves to Be Heard 01:00:45 - Parenting Without Labels or Judgment 01:06:14 - Burnout, Anxiety and Depression in High Performers 01:08:47 - Why 'Mindless TV' Can Help Mental Recovery 01:10:06 - Dr. Az Hakeem's Daily Habits for Balance 01:12:30 - Final Reflections on Mental Health and Human Behaviour Follow Abdullah Boulad: https://www.linkedin.com/in/abdullahboulad/ https://www.instagram.com/abdullahboulad/ Follow Dr Az: https://thebalance.clinic/about/team/psychiatrists/az-hakeem/ You can order Abdullah’s books here: https://www.amazon.com/stores/author/B0BC9S5TCF?ccs_id=c64f2588-7eb1-4592-b4d1-647a0f379b51 Follow THE BALANCE: https://ch.linkedin.com/company/thebalance.clinic/ https://www.instagram.com/thebalance.clinic/