For healthcare providers serving gender diverse youth

Healthcare providers can expect to see young people who are questioning their gender. Other young people may be consistent, insistent, and persistent about their gender identity. These young people may want to make changes in their gender expression.

In 2018, the American Academy of Pediatrics released a policy statement called Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents (PDF). This document recommends the affirmative model of care.

Therapy is usually the first step in healthcare for this population. This is often via referral from a young person’s primary care physician or pediatrician.

Therapy may happen before or during a social transition.

Following therapy and a social transition, some young people may be approved for some aspects of legal or medical transition.


Rafferty J, AAP Committee on Psychosocial Aspects of Child and Family Health, AAP Committee on Adolescence, AAP Section on Lesbian, Gay, Bisexual, and Transgender Health and Wellness (2018). Ensuring comprehensive care and support for transgender and gender-diverse children and adolescents. Pediatrics. 2018;142(4): e20182162 (PDF


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