Some young people feel, sense or know they are a gender different than the one they were assumed at birth. They may live and dress in ways typical of another gender (gender non-conformity), and some may experience the need to live and be affirmed as this gender in some or all settings. This can be an urgent need, or for others, there may be experimentation and exploration. There are also some young people who show gender non-conformity in their everyday behaviors, but may not yet have the self-advocacy skills to discuss their gender identity and their gender-related needs.

The Gender Development Program at Children's National recognizes that each child's gender journey is unique. Our team has been supporting the gender needs of youth and their families for the past 20 years, providing essential care at a time they need it most.


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Our multidisciplinary Gender Development Program team understands that the gender development of a child may be confusing to parents and families, providers and sometimes young people themselves. Parents may wonder:

As one of the earliest founded youth gender programs, we are a multidisciplinary team of specialists who work in the assessment and broad care needs of youth on the gender spectrum and their families. We also conduct cutting-edge research to move forward our understanding of youth gender development and ways to best support gender-diverse and transgender youth. Research findings inform all of our clinical care.

We work with gender exploring, gender non-conforming, gender dysphoric, gender non-binary, transgender and gender-questioning young people, and we see children and adolescents of all ages. We also work with youth who have genetic and other conditions in which gender variation is common.

This includes evaluation of your child's gender development and needs in the real world. Throughout care with us, your child will receive supports tailored to their unique needs, in coordination with an existing community of professionals your child already sees to ensure continuity and consistency of care.

GDI measures gender inequalities in achievement in three basic dimensions of human development: health, measured by female and male life expectancy at birth; education, measured by female and male expected years of schooling for children and female and male mean years of schooling for adults ages 25 years and older; and command over economic resources, measured by female and male estimated earned income.

Being a boy or a girl, for most children, is something that feels very natural. At birth, babies are assigned male or female based on physical characteristics. This refers to the "sex" or "assigned gender" of the child. Meanwhile, "gender identity" refers to an internal sense people have of who they are that comes from an interaction of biological traits, developmental influences, and environmental conditions. This may be male, female, somewhere in between, a combination of both or neither.

Self-recognition of gender identity develops over time, much the same way a child's physical body does. Most children's asserted gender identity aligns with their assigned gender (sex). However, for some children, the match between their assigned gender and gender identity is not so clear.

The point is that all children tend to develop a clearer view of themselves and their gender over time. At any point, research suggests that children who assert a gender-diverse identity know their gender as clearly and consistently as their developmentally matched peers and benefit from the same level of support, love and social acceptance.

All children need the opportunity to explore different gender roles and different styles of play. Parents can make sure their young child's environment reflects diversity in gender roles and encourages opportunities for everyone. Some ideas would be to offer: 


By age 6, most children spend most of their playtime with members of their own sex and may gravitate towards sports and other activities that are associated with their gender. It is important to allow children to make choices regarding friend groups, sports and other activities they get involved in. It is also a good idea to check in with your child to learn about their preferences and to make sure they feel included without teasing or bullying.

While a child's gender-specific behavior (i.e. gender expression) at any time seems to be influenced by exposure to stereotypes and their identification with the people in their lives, the internal sense of being a girl, boy, in between or something else (i.e. gender identity) cannot be changed.

Still, when a child's interests and abilities are different from what society expects, they may be subjected to discrimination and bullying. It is natural for parents to have gender-based expectations for their children and to want to protect them from criticism and exclusion. Instead of pushing children to conform to these pressures and to limit themselves, parents can play an important role in advocating for safe spaces where their children can feel comfortable and good about themselves.

If your child doesn't excel in sports or even have an interest in them, for example, there will still be many other opportunities and areas in which they can thrive. Regardless of gender identity, each child has their own strengths that may not always conform to society's or your own expectations, but they will still be a source of current and future success.

Jason Rafferty, MD, MPH, EdM, FAAP, is a "Triple Board" residency graduate who is pediatrician and child psychiatrist at Thundermist Health Centers, a Patient-Centered Medical Home in Rhode Island. He specializes in adolescent substance use disorders and gender and sexual development, and also practices in related specialty clinics at Hasbro Children's Hospital and Emma Pendleton Bradley Hospital. Dr. Rafferty is an advocate in his local community and on a national level through work with the American Academy of Pediatrics on issues including the emotional health of young men, access to care for LGBTQ youth, and prevention of childhood homelessness.


Gender development services at Lurie Children's are outpatient services aimed at supporting the physical, mental and social health of patients and their families as youth progress through gender identity development. As specialists in pediatric and adolescent gender development, we recognize that when it comes to providing effective care, each patient and family has unique needs. Therefore, our goal is to keep our families informed of their treatment options, supporting them with medical and behavioral health care along the way.

Patients come to our gender identity clinic to receive high-quality, family-centered care. New patients may begin care with us up to age 22. Patients may continue services in our programs until their 25th birthday.

For even the most loving, affirming and resilient families, navigating childhood gender identity development can be confusing. It can become more challenging as our patients and their families encounter difficulties posed by others, including extended family members, school officials and other community members. We help navigate these challenges by providing our families with education, exceptional and affirming clinical care, support, and ongoing consultation to ensure that children and families flourish safely in an environment that is both nurturing and affirming.

Welcome to The Gender and Development Network (GADN)!


We are a diverse and effective network of leading UK-based NGO staff, practitioners, consultants & academics working on gender, development and women\u2019s rights issues. Through the network, our members can share information and expertise, effectively lobby government and international bodies on gender and development issues, as well as providing expert advice and comment on policies and projects. 


Our Mission is to relieve poverty and promote well being. GADN's role is to improve the impact that UK development and donor organisations have on the lives of women and girls in developing countries by ensuring that their international development work promotes gender equality and women and girls\u2019 rights.


The GADN's Members work in partnership with development and advocacy organisations throughout the world. As the national platform for Women In Development Europe (WIDE) in Brussels, we represent the UK gender and development sector at a European level. We also sit on the WIDE Steering Group and lead on the implementation of WIDE\u00B4s yearly plan of activities as well as the sound financial management of WIDE\u00B4s resources. 17dc91bb1f

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