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This learning process begins early. They anticipate that I will then be able to process the loss or trauma with the child in therapy and undo the transgender identity or find it to be false in the first place. These are supportive, engaged parents who want to protect their kid from potentially dangerous and possibly unnecessary medical intervention. The puberty blockers and hormones that are currently being used to treat gender dysphoria are being used off-label, and there is some evidence that we may not understand the long-term effects of these medications. They had driven nearly four hours to come to a consultation with me, but that was not the reason for their exhaustion. Stigma, lack of knowledge and fear of rejection by family and peers often keep transgender people from coming out as children or teens. If they ask, I do acknowledge that most teens who have come out to parents and others as transsexual are truly transsexual so as not to give them any false sense of the likelihood of their child having a change of heart. More than , people answered the question each year.
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