Dr. Diane Ehrensaft, child psychologist and author of the acclaimed book “One Pill Makes You Boy, One Pill Makes You Girl,” describes “a growing cohort of children who, at ages as young as three or four, announce they do not accept…the gender assigned to them at birth.” Similarly, a leading expert on medical treatments for childhood/adolescent gender dysphoria at Harvard Medical School, Dr. Norman Spack, describes that his patients, as young as eight years old, “have been digging in their heels for five years or longer about their gender identity and gender role.”
According to the “Diagnostic and Statistical Manual of Mental Disorders” (DSM-5), gender dysphoria, previously classified as gender identity disorder of childhood (GIDC), is characterized by a marked difference between the individual’s expressed gender and the gender assigned to him or her at birth. Gender dysphoria is manifested in children in a number of ways, including strong desires to be treated as the other gender or to be rid of the characteristics of the child’s birth sex. The child may also embrace a strong conviction that he or she has feelings and reactions typical of the other gender.
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