Abstract
Youth presenting with gender identity concerns across development require a level of assessment that goes beyond what is typically taught in child and adolescent psychiatry residency programs. These youth increasingly are presenting in clinical practice. The desire for the youth to transition genders is an element that often is raised by the referring source: the youth themselves or the parents/guardians. Complicated family situations (divorced parents, disagreeing parents, parents conforming to societal pressures to transition or not transition their children) often introduce a more difficult element to an already challenging situation. Working to understand the relationship between the youth’s gender presentation and other co-occurring mental health issues often entails navigating these complicated family situations very delicately.
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