Dynamic Gender Identities and Expressions: Detransition and Affirming Non-linear Gender Pathways Among Transgender and Gender Diverse Youth.

Child Adolesc Psychiatr Clin N Am

Member of the Faculty, Harvard Medical School Child and Adolescent Psychiatry, Cambridge Health Alliance/Cambridge Hospital, Macht Building, 1493 Cambridge Street, Cambridge, MA 02139, USA. Electronic address:

Published: October 2023

For some transgender and gender diverse (TGD) youth, exploration of gender identity and expression may be non-linear. Some TGD youth elect to detransition, broadly defined as the cessation or reversal of an already-initiated social and/or medical gender affirmation process. Youths' experiences with detransition appear to be highly heterogeneous, and rates of detransition appear to be quite low. Nevertheless, it is essential that providers facilitate non-judgmental, open-ended discussions about the possibilities of gender identity and gender expression evolution, with a focus on how clinicians will support young people and their families regardless of how their gender trajectory may evolve.

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http://dx.doi.org/10.1016/j.chc.2023.05.002DOI Listing

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