Identity Development

Exploring identity can be a difficult experience, especially when you feel like you have to figure it out alone. More specifically, exploring gender identity can be a difficult experience to navigate. The process can lead to feelings of isolation and loneliness, anxiety and shutting down, or low self-worth and depression. For most people, gender identity aligns with the sex assigned at birth, but for others it can be confusing and even scary when you feel like your mind and experiences don’t fit the body you are in. 


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Gender identity is one’s internal sense of self and their gender, and is not outwardly visible to others. Therapy provides a judgement free space to talk about and explore gender experiences, identity and expression. These conversations can lead to recognizing what aspects of gender expression feel best. Gender expression is how a person presents gender outwardly, through pronouns, behavior/mannerisms, clothing, or other perceived characteristics. 

Some people might experience gender dysphoria, a substantial distress associated with a mismatch between one's sex assigned at birth and one's gender identity. This can lead to emotions that feel really big and difficult to manage. Having a space to talk about it and practice coping skills is crucial. Not everyone who has a gender identity different from sex assigned at birth experiences dysphoria. 

Sexuality is also part of identity, but is different from gender identity. Sexuality is who you are attracted to emotionally, romantically and/or physically, and is separate from gender identity. Learning more about your sexuality can be confusing and isolating at times, therapy provides a safe space to reflect on experiences with sexuality and learn more about labels than can be validating. 

What should you do as parents do if your child shares that their gender identity is different from what was assumed at birth?

It is an understandably scary situation, as transgender or gender non-conforming kids can experience issues with safety at school and other settings with peers or adults. You may need to step in and advocate for their safety in those settings. 

It is not helpful to encourage or force them to act in a more gender-conforming way as that will likely lead to them feeling shame or anger, and an unwillingness to further discuss gender identity with you. They need you to provide them with space to talk more about it, engage with non-judgemental curiosity and ask what they would like for support. 

For many, it is most helpful to consult with mental health and medical professionals familiar with gender issues in children to decide how to best address these concerns. Parents are also recommended to seek out their own therapy or find a group of parent peers who are supporting gender non-conforming kids. Individual or group therapy for parents provides an appropriate space to talk about your concerns and/or fears. 

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