Children are not born knowing what it means to be a boy or a girl; they learn it from their parents, older children and others around them. This learning process begins early. But gender does not simply exist in those binary terms; gender is more of a spectrum, with all individuals expressing and identifying with varying degrees of both masculinity and femininity. Transgender people identify along this spectrum, but also identify as a gender that is different than the one they were assigned at birth. Gender identity and expression are central to the way we see ourselves and engage in the world around us. This is certainly true of transgender and gender-expansive children and teens, for whom family support is absolutely critical. In fact, an increasing body of social science research reflects that gender-affirming behavior on the part of parents and other adults teachers, grandparents, etc. The opposite is truetransgender children are more likely to experience anxiety, depression, and at greater risk of substance abuse and homelessness when their immediate caregivers are rejecting or hostile.


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In on-line forums, parents have reported that their children seemed to experience a sudden or rapid onset of gender dysphoria, appearing for the first time during puberty or even after its completion. Parents describe that the onset of gender dysphoria seemed to occur in the context of belonging to a peer group where one, multiple, or even all of the friends have become gender dysphoric and transgender-identified during the same timeframe. Recently, clinicians have reported that post-puberty presentations of gender dysphoria in natal females that appear to be rapid in onset is a phenomenon that they are seeing more and more in their clinic. Academics have raised questions about the role of social media in the development of gender dysphoria.
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By Daniel Trotta. I am a boy. Almost immediately, Patterson embraced the reality that Penelope was a transgender boy, and by age 5 he was going to school as a boy. Today, at age 9, Penelope is happy and healthy as a boy who loves karate and super heroes and decided to keep his birth name. Increasingly across the United States, doctors and parents of transgender children are embracing their identity as soon it starts becoming obvious, sometimes around age 3. Many say they are finding much greater chances of happiness and well-being when children are nurtured in their new gender identity at such a young age. Although there is not a consensus on the issue, some clinicians who work with transgender children have concluded that when children persistently identify as the nonconforming gender, the best course is to socially transition, or live as the other gender, even at age 3. Other specialists in the field advocate a more cautious approach because the long-term psychosexual results for young children can vary widely and unpredictably. Whatever the age, parental support is crucial.
CHICAGO - A small but growing number of teens and even younger children who think they were born the wrong sex are getting support from parents and from doctors who give them sex-changing treatments, according to reports in the medical journal Pediatrics. It's an issue that raises ethical questions, and some experts urge caution in treating children with puberty-blocking drugs and hormones. An 8-year-old second-grader in Los Angeles is a typical patient. Born a girl, the child announced at 18 months, "I a boy" and has stuck with that belief. The family was shocked but now refers to the child as a boy and is watching for the first signs of puberty to begin treatment, his mother told The Associated Press. Pediatricians need to know these kids exist and deserve treatment, said Dr. Norman Spack, author of one of three reports published Monday and director of one of the nation's first gender identity medical clinics, at Children's Hospital Boston. They're out there. They're in your practices," Spack said in an interview.