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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. I certainly examine these issues in my therapy with the young person, but I also point out to the parents that most children who experience events involving trauma and loss do not become transgender. When such a family arrives at my office, the parents are usually confused, fearful, disbelieving, and angry. A few days later I was talking to [my girlfriend] Erica and she was like, "Why did you delete it? 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. If the teen has been depressed or anxious, as is the case with many transgender teens as they struggle to understand themselves, parents may believe that the transgender identity is a manifestation of mental illness.
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