Supporting mental health in children with gender issues. Young people who are transgender feel powerfully that they are not the gender assigned to them at birth. Sometimes, the difference between their assigned gender and their affirmed gender causes extreme distress called gender dysphoria. But most do. They have a strong dislike of their sexual anatomy, a strong desire to be a different gender, and a strong desire to be treated as that other gender to relieve their discomfort. Many of them have anxiety or depression, which may be made worse by bullying, isolation from their peers or rejection by their families or community. Treatment for gender dysphoria focuses on treating anxiety or depression, and helping kids reduce their distress about their gender identity. That might mean changing their name getting accepted as a different gender by their family and community. Not all transgender kids are interested in those options, so treatment should always be tailored to their specific goals and needs. For young people who are still deciding whether they want to make a physical transition, hormone treatments to delay puberty are an option.
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How children and teenagers express gender
Adolescence is a time of radical transformation. Teens develop physically, emotionally, intellectually, and socially. They form their own identities, distinct from their parents. They engage in an evolving, instinctive process of trial and error to learn about themselves and find their place in the world.
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Your child might identify as cisgender. Or your child might use another term to identify their gender. And your child might discover or understand more about their gender identity over time. This might mean they express this identity in new or different ways. Gender expression is how your child shows their gender. This might be through their name, clothes, behaviour, hairstyle or voice. Almost all children begin expressing their gender identity at around years old. They do this in the way they talk about themselves and through the clothes they choose. Children can be very firm about their gender from an early age. Many gender-diverse children also express their gender identity at around years old.
Most people are told they are a boy or a girl male or female based on the genitals they were born with. This is the sex you are assigned at birth. For some people, that male or female label may not feel right. Someone born female may feel that they are really a male, and someone born male may feel that they are really a female. People who feel this way are called transgender. Others may feel that they belong to neither gender or to both genders. The ways people express their gender can vary. Some people who are transgender decide to change how they dress.
