Gender-Diverse & Transgender Children

Some children have a gender identity that is different from their gender assigned at birth, and many have interests and hobbies that may align with the other gender. Research suggests that gender is something we are born with; it can’t be changed by any interventions. It is critically important that children feel loved and accepted for who they are.

Accepting your child’s gender-diverse identity

When disclosing their gender diverse identity, some kids might expect immediate acceptance and understanding. However, there is evidence that family members go through their own process of becoming more comfortable and understanding of a child’s gender identity, thoughts and feelings. One model suggests the process resembles the stages of grief: shock, denial, anger, bargaining and acceptance.

Just as gender diverse children do best when their feelings are explored and validated, some parents may need their own emotional supports. They may also have many questions along their child’s journey.

What parents can do

• When your child discloses their identity to you, respond in an affirming, supportive way. Understand that although gender identity is not able to be changed, it often is revealed over time as people discover more about themselves.
• Accept and love your child as they are. Try to understand what they are feeling and experiencing. Even if there are disagreements, they will need your support and validation to develop into healthy teens and adults.
• Stand up for your child when they are mistreated. Do not minimize the social pressure or bullying your child may be facing.
• Make it clear that slurs or jokes based on gender, gender identity or sexual orientation are not tolerated. Express your disapproval of these types of jokes or slurs when you encounter them in the community or media.
• Be on the look out for danger signs that may indicate a need for mental health support, such as anxiety, insecurity, depression, low self-esteem and any emotional problems in your child and others who may not have a source of support otherwise.
• Connect your child with LGBTQ organizations, resources and events. It is important for them to know they are not alone.
• Celebrate diversity in all forms. Provide access to a variety of books, movies and materials—including those that positively represent gender diverse individuals. Point out LGBTQ celebrities and role models who stand up for the LGBTQ community, and people in general who demonstrate bravery in the face of social stigma.
• Support your child’s self-expression. Engage in conversations with them around their choices of clothing, jewelry, hairstyle, friends and room decorations.
• Reach out for education, resources and support if you feel the need to deepen your own understanding of LGBTQ youth experiences.

Gender affirmative care

Gender affirmative care is based on the belief that all children benefit from love and support. The goal of gender affirmative care is not treatment; it is to listen to a child and, with the help of parents and families, build understanding.

Gender affirmative care is most effective in a collaborative system with access to medical, mental health and social services, including specific resources for parents and families.

Mental health support for gender-diverse kids

Support or rejection ultimately has little influence on the gender identity of youth; however, it may strongly affect young person’s ability to openly share or discuss concerns about their identity and feelings. Gender-diverse identities and expressions are not mental disorders, but suppressing gender concerns can harm a child’s emotional health and development and possibly contribute to high rates of depression, anxiety and other mental health issues.

A large proportion of teenage suicide attempts are linked to issues of gender and sexuality, particularly feelings of rejection. Many gay, lesbian, bisexual and transgender individuals unfortunately attempt suicide during their lifetime.

As a parent, even when you struggle to understand and may not see eye-to-eye, your most important role is to offer understanding, respect and unconditional love for your child. This builds trust and puts you in a better position to help them through difficult times.

Excerpted from “Gender-Diverse & Transgender Children” in HealthyChildren.org from the American Academy of Pediatrics. Read the full article online.

Source: HealthyChildren.org | Gender-Diverse & Transgender Children, https://www.healthychildren.org/English/ages-stages/gradeschool/Pages/gender-diverse-transgender-children.aspx | American Academy of Pediatrics Copyright © 2018. Last updated 6/2022.