Parents’ Frequently Asked Questions

It’s very possible. Many parents wish for a medical or psychological test that would succinctly “prove” their child’s gender. Unfortunately, no such test exists. Formerly, guidelines put forth for working with transgender adults seemed to suggest that a person would answer yes or no to certain kinds of questions and a “professional” would make the diagnosis. Having a transgender identity is not something another person can assess. We now know that the only one to make such a determination is that child/person. A transgender person has an internal sense of their identity that is different from how others perceive them to be, which is often based on what is externally visible and what is presumed to be “normal.” Most people have never given a thought to their gender identity—our intrinsic and innate sense of self; it seems to be a given reality. While being transgender is normal, it is not common.

No. Current studies on gender cognition indicate that a transgender child’s awareness of their gender is commensurate with that of non-transgender children. Though they may know that they feel themselves to be different than how others perceive them, a young child generally lacks the vocabulary to express this definitively at an early age. With no images of other children like themselves and with the awareness that this difference is unsettling to adults around them, a child may wait to disclose this information to parents for some time. Some children express this as early as two years old, others do not. “Knowing” from an early age does not make a child any “more or less trans” than an individual who expresses at a later age.

Yes, this could be a phase. A phase may apply to an interest that lasts a few months rather than several years. An adage has been put forth that a transgender child generally expresses their difference insistently, persistently, and consistently. This applies well to some children and not so well to others. A parent sometimes finds themselves wishing a child would express insistently, persistently, and consistently as it would seem to point toward specific next steps of support, and yet their child may express their gender difference in a variety of ways. This may seem as though their child is uncertain or confused. Whether it is or isn’t a phase, what we know now is that supporting a child while they are in an exploratory phase (as one might support an exploration of any other kind) has the best “outcome.” No child has ever expressed disappointment in the fact that a parent supported them in any endeavor whether or not it proved to have any permanence.

With the above thoughts in mind, if during a period of exploration and information gathering, a child “changes their mind”, the act of supporting them has done no harm. A name or pronoun once changed, can be changed again. Hairstyles can be changed “back”. Even certain medical interventions can be discontinued and/or remedied. Having the chance to actually explore and “try things on” is the only way to gain salient information.

Most people have a familiarity with what it means to be gay or lesbian—someone who has a sexual orientation toward persons of their same sex. The term transgender feels like it somehow falls into that definition. However, being transgender is not a sexual orientation. We all have an innate sense of self, our gender identity, that is separate from the people to whom we have an attraction.

No. It’s understandable that parents want to understand the causes of differences in gender identification. Many parents wonder if their childrearing practices had any influence in the formation of their child’s identity. Recent studies shed light on age of gender cognition and new evidence points toward neurobiological origins of gender identity. But ultimately, as we wait for more definitive information and answers, parents recognize that their child needs guidance and support now.