As young people, we have to deal constantly with a variety of health needs, from the ever-changing realities of our physical bodies to all the emotional issues around school, relationships, parents and careers. Sometimes, it seems pretty heavy.

 
But imagine what it's like for young people who identify as "transgender" —those who feel like their physical bodies don't match the gender they really feel inside. The matter gets even more complicated! 

Transgender (or trans) is an umbrella term that includes many gender-different people, including transsexuals, MTF (male-to-female), FTM (female-to male), cross-dressers and drag queens, to name a few. Organizations like the Boston Alliance for Gay, Lesbian, Bisexual and Transgender Youth acknowledge that they don't know how many youth identify as transgender, but they suspect the number of youth who are able to speak more openly about their identities at a younger age is growing.

 
Transgender youth have complicated health concerns and need sensitive primary care providers, mental health support, peer support and education. Unfortunately, there are still numerous roadblocks along the way to their proper health care.

According to the 2001 National School Climate Survey, conducted by the Gay, Lesbian and Straight Education Network, 90 percent of transgender youth feel unsafe in their schools because of their gender expression. Some trans youth begin to hate the feelings that they have inside. They feel shame, disgust and guilt, and find it hard to create a comfortable space for themselves in the world. 

Finding Help

A good therapist can help young people make sense of all the confusion that comes with identifying as trans and encourage them to see that they are okay just as they are. They can also help questioning young people explore "gender adaptation" options, such as cross-dressing or minor cosmetic procedures, before they commit to hormone therapy or surgery.

Diane Ellaborn, a licensed therapist in Framingham, MA , who works with transgender youth, says trans youth have to find a therapist who is knowledgeable about transgender issues, who has worked with young people and their families and who they feel comfortable with. Talking about sensitive areas of one's life requires clients to trust their therapist. Feeling comfortable with a therapist will contribute to the building of trust," she says.

Youth can check with The American Association of Sex Educators, Counselors and Therapists for help in finding a therapist.

It's also important for trans youth to get support. Check out networks like YouthResource and TransProud. There they can read about legal rights, medical options and connect with other young trans people from around the world.

A Sensitive and Caring Doctor is Key

No one really wants to go to the doctor, right? For some transgender youth the desire to avoid all things clinical is pretty strong. Many face ridicule and discrimination in hospitals and clinics as they must deal with practitioners who are often not properly trained to handle their issues, and who may have their own prejudices against transgender identities.

A caring and committed doctor is key for the survival of transgender youth, specifically those who are transitioning to a different gender. The Gay and Lesbian Medical Association can refer youth to health professionals who are sensitive to transgender needs. Also, posting questions to members of the aforementioned websites that deal with transgender issues can produce good results.