It is important to make distinctions between instances where “kids are being kids” and when they’re asserting things about themselves that are critical to their identity and development – as is the case with gender identity and expression.
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.
As soon as a doctor or other healthcare provider declares – based on observing the newborn’s external sex organs – “it’s a boy” or “it’s a girl,” the world around a child begins to teach these lessons. Whether it’s the sorting of blue clothes and pink clothes, “boys’ toys” and “girls’ toys” or telling young girls they’re “pretty” and boys they’re “strong.” It continues into puberty and adulthood as social expectations of masculine and feminine expression and behavior often become more rigid. 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.) greatly improves mental health and well-being.
The opposite is true– transgender 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.
It is important to know– and quite alarming, that research finds that transgender youth are at greatest risk of suicide (compared to their non-transgender peers) as a result of rejection, bullying, and other victimization.
In other words, for some transgender youth, family support can be the difference between life and death. Parents and caregivers can find resources, peer support, and professional guidance to help along the journey, and to ensure that your child can not just survive, but thrive.
Gender dysphoria is the diagnosis typically given to a person whose assigned birth gender is not the same as the one with which they identify.
According to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM), the term – which recently replaced Gender Identity Disorder – “is intended to better characterize the experiences of affected children, adolescents, and adults.”
To be clear, transgender identity is not a mental illness. The “disconnect” transgender people often experience is a persistent and authentic disconnect between the sex assigned to them at birth and their internal sense of who they are. This disconnect is referred to by medical professionals as “gender dysphoria” because it can cause undue pain and distress in the lives of transgender people. The diagnosis of gender dysphoria is often the gateway to having insurance coverage for gender-affirming care and to allowing trans people to live as their most authentic selves.
Sure, most children and teens go through “phases” – like only wearing all black, dying their hair, being obsessed with a certain band or asking to go by a nickname – but being transgender or non-binary is not a phase – it is a journey, and trying to dismiss it can be harmful during a time when your child most needs support and validation.
Trying to change your child’s gender identity – either by denial, punishment, reparative therapy or any other tactic – is not only ineffective; it is dangerous and can do permanent damage to your child’s mental health. So-called “reparative” or “conversion” therapies, which are typically faith-based, have been uniformly condemned as psychologically harmful by the American Psychological Association, the American Medical Association, the American Psychiatric Association, and numerous similar professional organizations.
The most recent survey of high school students by the Centers for Disease Control finds that roughly 3% of adolescents and teens identify as transgender or non-binary.
While many transgender people say that they knew they were transgender as soon as they knew what “boys” and “girls” were– as young as age 3, for many others, the journey to living openly as their affirmed gender is longer one. For some, understanding their gender identity – whether transgender or non-binary, is a more complex process that lasts into their teens or adulthood.
Stigma, lack of knowledge and fear of rejection by family and peers often keep transgender people from coming out as children or teens. Sometimes a transgender person will come out as gay, lesbian, or bisexual before recognizing their gender identity or coming out as their true gender.
No matter when your child comes out, knowing they have your support is critically important.