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Human Sexuality Psychiatry

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(E) Teach the parents that it is alright for the child to have these interests and help them accept the child as he is. This 8-year-old boy, who has adopted the play, dress, and social preferences typical of a same-age girl, is showing evidence of gender dysphoria. Gender identity is related to early exposure of the brain to sex hormones and is unchangeable. The most effective strategy in dealing with parents of children with gender dysphoria is to teach them that it is alright for the child to have these interests and help them accept the child as he or she is. Presenting only typically masculine toys or preventing use of typically feminine toys will not be effective in changing this child’s behavior. When the child is an adult, he can decide whether or not to pursue sex reassignment treatment and/or surgery. Unlike this child, individuals with homosexual orientations are comfortable with their biological sex and prefer to have romantic and sexual relationships with people of their own sex.

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