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There are different ways of expressing gender

All tamariki explore different ways of expressing their gender. Many tamariki don't fit their culture's expectations for boys or girls such as:

  • the clothes they wear
  • the toys they play with
  • how they behave

Tamariki and rangatahi (young people) shouldn't feel limited by expectations around their gender. They should be able to wear the clothes they want and choose the kinds of toys they want to play with.

Allow children to do what feels right for them

Most tamariki are comfortable with their sex assigned at birth. But some are not.

For some tamariki, clothing and play are important ways to express their gender. Everyone's gender is unique. Tamariki need to work out what feels right for them. For some tamariki, gender can be fluid. Be open to wherever your child's gender journey leads.

Listen to your child

If your child says their gender is different from their sex assigned at birth, it's important to listen.

Transgender tamariki are usually insistent, consistent and persistent in their gender. These tamariki may show distress or discomfort with their physical body.

Some tamariki are aware of their gender diversity from an early age. Others may take some time to figure it out.

Children are very aware of disapproval

Tamariki can be very aware of the disapproval of those around them. They may try to hide their feelings about their gender if they sense negative responses.

Sometimes children might need to see a health professional

Younger gender-expansive tamariki, including those who may identify as transgender, don't routinely need to see a health professional.

But you may want to talk to someone about how best to support your child or family member, such as:

  • a parent support group
  • a peer support worker
  • your doctor or nurse

Sometimes, your child may need a referral to a specialist doctor or mental health professional. This is really important if your child is distressed about their gender identity.

Some whānau may wish to know about possible future medical intervention. Medical intervention is only considered once puberty has started. Not all gender diverse rangatahi will want or need medical intervention. Your health professional should be able to give advice and information around the different options available in your area.

Supporting your child

Become familiar with the resources that exist

Follow some simple tips

When your child or teen talks to you about their gender, there are some things you can do. These can help support your child or teen as they explore their gender identity.

Give your unconditional love and support

Tell your child they have your love and support, no matter where their gender journey takes them. Family support is very important for your child's mental health and wellbeing.

Encourage your child's exploration of their gender

Encourage your child's exploration of the way they express themselves. Allow them to present in the way they feel most comfortable. This could be through their clothes, hairstyle and creativity. It's important that your child has a safe space to explore their gender.

Use your child's chosen gender pronouns

Use your child's chosen gender pronouns, such as:

  • he/him
  • she/her
  • they/them

Use their chosen name. When your child is ready, support whānau and friends to do the same, if it's safe to do so.

It's not uncommon to slip up or make mistakes when learning to use your child's new chosen name or pronouns. When this happens, simply acknowledge the error, apologise, and move on.

Support your child if they want to affirm their gender outside of their home

Some tamariki will want to have their gender affirmed at school or outside of the home. There are good resources to support schools and parents around this. 

Let your child know they are awesome and brave

Tamariki should never feel they need to hide being trans, nonbinary, or gender diverse. Continue to let your child know just how awesome and brave they are.

Help your child to connect with other trans, nonbinary and gender diverse children

Help your child connect with other trans, nonbinary and gender diverse tamariki, and the rainbow community. This will let them know they are not alone. They can learn about the diversity of gender both in Aotearoa and around the world. They can find out about the fantastic role models out there.

Get in touch with your local rainbow organisation and see what is available for your child in your area.

Resources for takatāpui and whānau

Resources for Pasifika young people

The journey of parenting a transgender child

Helpful resources

Resources for parents of younger children

Supporting trans and nonbinary young people in our lives

Extra tips and resources for parents supporting teens

Use your teen's chosen pronoun

One of the most important things is to use the pronoun they choose to describe their identity.

Caption and credit

A video where young people talk about the best part of people getting their pronouns right, and they give some tips.
Source: InsideOUT

transcribeTranscript

Source: InsideOut

Support their connections

Support your child's connection to:

  • gender diverse peers
  • the community
  • school diversity groups
  • local peer support groups

There are a range of organisations that can help connect your child with peers.

Get the best support around mood and any anxiety present

Encourage your child or teen to connect with whānau, school, friends, activities, and culture. A school counsellor can be helpful. For access to further psychological support in your area, see a health professional.

Make use of online tools and support. Check out the following pages.

What may help if your teen is experiencing gender dysphoria?

Gender dysphoria is the distress that many trans and non-binary rangatahi experience. It's due to the mismatch between their gender identity and their sex assigned at birth.

There's no one way to deal with dysphoria and different things work for different people.

Coping With Gender Dysphoria

Reach out for your own support

Reach out for support if you need to. Connect with other parents. 

Hear young people talk about their experience

Gender Diversity In Children & Young People - Young People's Voices

Gender-affirming medical care

For some rangatahi (young people), feelings about gender identity continue into puberty. Or, they can emerge during puberty. If there is also distress, it's important to see a health professional. You can find out about the medical supports in your area and the best time to access these.

Reversible puberty suppression

Reversible puberty suppression is often known as puberty blockers (GnRH agonists). This is a medicine that can pause the physical changes of puberty. 

Puberty blockers are sometimes used as part of gender affirming healthcare for tamariki and rangatahi who experience significant distress about changes in their body during puberty. 

They are generally considered by experienced clinicians to to be a safe and reversible medicine. They have been used in gender affirming care for around 20 years. They have been used in other areas of healthcare for even longer. But, like all medicines, they are only used where potential benefits outweigh any potential risks. Rangatahi can take them from early puberty through to later adolescence. The aim is to help ease distress and allow time to fully explore gender health options. If they are stopped, puberty will resume. Not all gender diverse tamariki or rangatahi will need or want to start reversible puberty suppression. It's always a considered decision made in partnership with the young person, whānau and a multidisciplinary healthcare team.

Regulations have been introduced to limit new prescriptions of puberty blockers in Aotearoa New Zealand. There is a legal challenge to these regulations. Until the outcome of that challenge is known, the High Court has confirmed that the regulations are not to be enforced and reversible puberty suppression may be prescribed in the setting of a multidisciplinary care team.

The importance of continuing to access health services for support

It's important that rangatahi and whānau continue to access health services providing gender affirming care. These services can help rangatahi and whānau  understand the available medical and non medical interventions that may be beneficial, alongside promoting access to wider supports.

Some rangatahi are keen for medicines to stop periods. Your health professional can give advice around the different options available.

Service providers that can help access gender affirming care include:

  • paediatric services
  • youth health services
  • endocrinologists
  • primary health care teams
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