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To understand even just the small set of stories I encountered in my reporting—stories involving relatively privileged white kids with caring, involved families, none of which is necessarily the case for all TGNC young people in the United States—requires keeping several seemingly conflicting claims in mind. Families with a transgender child living within an intolerant community may face challenging issues. Yes, they want to discern whether a patient actually has gender dysphoria. It also protects against depression, substance abuse, and suicidal ideation and behaviors. Transgender issues manifest at different times in life in different individuals. Anti-transgender bullying in schools has also been found to directly correlate with other negative outcomes, such as homelessness, unemployment, incarceration, and drug use. The leading professional organizations offer this guidance.

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