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A guide for parents and carers Gender identity

If your child's experiences around gender identity are affecting their mental health, we've got information and advice on what you can do and where you can get help.

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Gender identity is part of our deep-rooted sense of self. Having a sense of identity in this way, and being seen and accepted by others as who we are, is really important for our mental health, wellbeing and resilience.

If your child is exploring their gender identity, or is transgender, non-binary or something else, you may have lots of questions as a parent – and may be feeling unsure about how you can support them. Here we outline what gender identity is, how it can affect our mental health, and how you can support your child and find professional help if they’re struggling.

What is gender identity?

Gender identity is how a person describes their gender. For example, they might identify as a woman or girl, non-binary, transgender, a man or boy, gender fluid, or something different.

Gender identity is different to sex, which describes physical and biological body parts (like the penis, vagina, different hormones or breasts). A child's sex is usually assigned at birth on the basis of these physical body parts, but their gender may be different to the sex they have been assigned.

These are some words people use when talking about gender identity:

  • Cisgender/cis

    Someone who is the same gender as the sex they were assigned at birth.

  • Transgender

    Someone whose gender is different from their sex at birth.

  • Non-binary/genderqueer/gender fluid

    These are gender identities that sit within, outside of, across or between ‘male’ and ‘female'.

  • Pronouns

    These are the terms we use to refer to someone, e.g. ‘he’, ‘she’, ‘they’.

  • Intersex/differences in sex development (DSD)

    This is an umbrella term for a variety of biological conditions that affect a person’s sex development. This can include differences on the inside and outside of the body, including differences in the development of some hormones or the reproductive organs or genitals. This does not define gender identity. A person who has a DSD/is intersex may identify as male, female, non-binary or something else.

Your child may use different words to describe their gender. For more information about the different terms and gender identities, visit Stonewall.

If your child is questioning their gender and they are being supported by professionals, you may also hear doctors using terms such as gender dysphoria. This term describes the distress a young person may feel if their gender identity is different to their sex at birth.

Questions around gender identity can emerge at any time, and there is a wide range of reported experiences. As a parent, you may have been aware that your child has been questioning their gender identity for a long time, or you may have only found out about this recently. For some people, their gender identity, and the words they use to describe it, can also change or develop over time.

Read Stonewall's guide to LGBTQ+ terms

How can gender identity affect mental health?

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Every individual’s experience of gender identity is different. For some young people, experiences around gender identity may affect their mental health in different ways.

These can include:

  • Finding things confusing, stressful or worrying if they are questioning their gender and feeling unsure at the moment about who they are.
  • Feeling distressed when other people do not recognise their gender identity – for example viewing or referring to them as a gender that doesn’t feel right.
  • Struggling with their body image and how they feel in their own skin if their body does not match their gender.
  • Struggling with difficult feelings, or not feeling able to be who they are, if they have experienced stigma, bullying, rejection or hostility from others – which many people unfortunately do.
  • Not feeling safe to share or express their gender identity in some groups or situations.
A mother comforting her sad daughter

These and other experiences can sometimes lead to feelings of:

How can I support my child with their gender identity?

There are things you can do to help your child and make sure they have the right support around them.

Show your child explicitly that you accept them and want to support them. If they are feeling confused about - or coming to terms with - their gender identity, fear of negative judgement and rejection can be huge obstacles to seeking support and talking to you.

When they are ready to talk, focus on listening and finding out what it's like for them.

If your child is questioning their gender, it doesn’t necessarily mean that they are trans - but they may be. Remember that it's a journey of discovery and expression, and that can take time.

Try to understand as much as you can about what your child is going through, including looking at what support is available at your child's school or from local services. You may need to be their advocate in talking to school, college or health professionals, if and when the time is right.

Communication is everything, and being open-minded is the best approach. Whatever happens, they are still your child.

Whether it's 'he'/'him', 'she'/'her' or something else, address them by their preferred pronouns. If you make a mistake, correct yourself or allow yourself to be corrected, and continue to try. This will show your child that you are making an effort, showing them respect, and doing your best to adapt to their preferences.

Your child will steer you, and it’s a good opportunity to show your support in being receptive to what they say.

If you would like to find out more, have a look at Stonewall's glossary of LGBTQ+ terms.

Read Stonewall's glossary of terms

It may feel uncomfortable for them to be asked very personal, intimate or intrusive questions – so ask if it’s okay to ask, and respect the answer. Think about how you might feel if your own parent asked you something deeply personal about yourself.

Being part of a group may help to reduce your child's sense of isolation - allowing them to meet people with similar experiences and a shared understanding of what they're going through. Groups can offer a safe space and a sense of community, whether in person or online. A good place to start is seeing if there are any LGBTQIA+ youth groups in your local area or at your child's school.

It’s understandable if you are feeling upset, anxious or scared about what your child is going through. Being honest about this with other adults you trust is really important, and it might help to share your experiences with other families in the same situation. There are organisations listed towards the bottom of this page who can help you with this.

Be alert for signs that your child is struggling with their mental health - including withdrawing, seeming low or depressedself-harming or expressing suicidal thoughts. If you are concerned, seek professional support and advice from your GP.

Finding professional help

If your child is struggling with their mental health, and it’s affecting their day-to-day life and relationships, it’s a good idea to get them some professional help.

Depending on what your child is struggling with, and what they feel would be most helpful, these are four good places to start:

  • making an appointment to talk about what’s going on with the GP, who can arrange any needed referrals to specialist gender identity or mental health services
  • seeing a counsellor or therapist
  • seeing if their school can offer any support such as mentoring or a peer support group
  • reaching out to local LGBTIQA+ organisations, who may run things like support groups, drop-ins and mentoring schemes

You can find more information about what different mental health services provide and how you can access them in our guide to getting support from mental health services.

My child needs urgent help

  • If your child is having a mental health crisis and needs urgent help now, find out who to contact on our urgent help page.

    If your child’s life is at risk, or if it does not feel like they’re safe, please call 999 for an ambulance or take them straight to A&E.

Where to get further support

Useful helplines and websites

While we take care to ensure that the organisations we signpost to provide high quality information and advice, we cannot take responsibility for any specific pieces of advice they may offer. We encourage parents and carers to always explore the website of a linked service or organisation to understand who they are and what support they offer before engaging with them.

Whether you love the page or think something is missing, we appreciate your feedback. It all helps us to support more young people with their mental health.

Please be aware that this form isn’t a mental health support service. If your child is in crisis right now and you want to talk to someone urgently, find out who to contact on our urgent help page.

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Please note:

This form is not a mental health support service. We cannot reply to this. If you or your child are at immediate risk of harm, call 999 and ask for an ambulance or go to your nearest A&E. If you are worried about your child’s mental health, call our Parents Helpline on 0808 802 5544, Mon-Fri, 9:30am – 4pm. If you are struggling with your own mental health, call Samaritans on 116 123.

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