A different take on affirmation

by Brie Jontry

 Brie Jontry is public spokesperson for 4thWaveNow and the mother of a teen who temporarily believed she was a trans boy. Brie can be found on Twitter at @bjontry.


We appear to be living in an age of heightened ideological dualism and false dichotomies. Nowhere is this more obvious than if you’re the parent of a gender-engrossed young person, and you’re desperate for objective information about how to best support your loved one. But parents who turn to the Internet to learn about the seemingly sudden distress that’s gripped their children are likely to find only one response: “affirmation.”

What does “affirmation” mean in this context? If you thought it meant affirming (as in acknowledging the reality of) a child’s distress and other assorted negative feelings surrounding their expected adherence to sex-rooted gender norms, you’d be mistaken. Increasingly, affirmation means confirming a child’s belief that there is something incongruent between their body and their mind and the belief that their body is afflicted by a kind of birth defect that only appears around puberty. To hear many trans advocates and certain clinicians tell it, the natural development of a sexed body is traumatic, dangerous, and possibly even deadly.

Like just about every other social and political issue currently being debated, the approach to helping kids uncomfortable in their born bodies could be drawn on a spectrum with a wide field of grey between the two opposing ends: blanket affirmation of born-in-the wrong-body rhetoric on one side, and wholesale invalidation of a young person’s feelings and beliefs on the other.

I want to encourage all those concerned with this issue to take a deep breath and try their hardest to assume positive intent on behalf of all parents struggling to help their children. Claims of “child abuse” from both sides against obviously caring parents need to stop. A little empathy will go a long way toward encouraging more productive and meaningful conversations. Most parents, regardless of where they stand on the affirm-or-not spectrum, want the same thing: healthy, actualized, contented children.

For my part, I want to widen the scope of what it means to offer “affirmation” and encourage those who are skeptical of medical interventions to embrace validating their children’s discomfort. At the same time, I want to encourage those researching and caring for dysphoric youth to recognize that a large percentage of parents are already doing that: affirming their children’s distress, fully in support of their gender atypicality, and also, when needed, seeking out specialized mental health care for underlying issues prior to agreeing to hormonal and surgical interventions.

When my now teen daughter was four years old, I happened upon a philosophy of parenting that at once sounded both ludicrous and wonderful. “Radical unschooling,” I read, was practiced by parenting according to principles, not rules, and by nourishing a rich relationship built on trust between parent and child. I decided to forgo punishments in favor of seeing my child’s behavior as communication, which at that age, was often grounded in an unmet need or frustration. I prioritized not only supporting her interests, no matter how odd (road kill), or silly (The Wiggles), or redundant (The Wiggles), but also tried my hardest to understand what was interesting about the things my daughter chose to pursue.

Unschooling is often misunderstood as being “child-led.” It isn’t. According to Pam Sorooshian, one of my parenting and unschooling mentors:

The term, “child-led learning,” does emphasize something very important – that the child is the learner! I couldn’t agree more. However, it also disregards the significant role played by the parent in helping and supporting and, yes, quite often taking the lead, in the investigation and exploration of the world that is unschooling.

So when my 11-year-old daughter revealed to me that she thought she was a boy inside, I approached the news from the framework of partnered exploration. I supported her by listening, by learning about her interest, by doing research she couldn’t do for herself, by talking to others and talking about all kinds of things with others while she was near, by finding specialists who could help, and also by asking:

Why…?

Where do you think that comes from?

What does that mean to you?

How else could this be different?

What can I do?

I had always (already) accepted my kind, curious, creative, quirky, stereotype-bending child. There was never a second when I considered not walking beside her as she struggled with feeling wrong in her developing body. As she sorted through trauma and grief and went through the stages of forming her unique identity, our parental support was critical to keeping her safe.

I told her I would love her no matter what and help her however I could and that I would always have her back. I told her I didn’t care who she loved, how she dressed, or what name she chose to use.

I told her I didn’t think she was really a boy but I understood she wanted to be one. I told her I wasn’t convinced there was enough evidence that hormonal interventions would serve her well long-term.

question markI asked her what boys could do that she couldn’t? Why being a boy would be better? I listened. I affirmed her distress, her confusion, and her desire as valid emotions. I empathized as much as I could. I helped her find ways to feel stronger, to BE stronger, to feel safer, more secure, and better able to manage discomfort and ambiguity. Because I had spent her childhood up to this point prioritizing our relationship and not my position of authority, she trusted me to help her get what she wanted, which was to feel better about herself and her place in the world. I was lucky in one way: My child was still young enough that we both had the luxury of ample time to work on this together (unlike some rapid-onset older teens and their parents).

The vast majority of parents who read and contribute to 4thwavenow may not be radical unschoolers, but they still unconditionally love and accept their children. In fact, it is precisely because they unconditionally love and accept their children that they want more than anything to help them find ways to be at peace with themselves. No parent is perfect; all of us make mistakes, get frustrated, say or do the wrong thing at times. But despite (or even because of) our blunders, we can grow along with our children. We can model empathy, open-minded curiosity, a willingness to apologize when we get it wrong, and acceptance of ambiguity. In other words, we can and we do model a different kind of affirmation.

WPATH & The Advocate aim to suppress new research on adolescent gender dysphoria

by Brie Jontry

Brie is public spokesperson for 4thWaveNow. For more about her, see this interview. For more about Brie’s formerly trans-identified daughter, Maxine, see here.


On February 20, The Advocate, one of the leading LGBT publications in the US, ran an article which attempted to invalidate data collected by physician and researcher Lisa Littman from parents whose children experienced Rapid Onset Gender Dysphoria (ROGD). The author, Brynn Tannehill, immediately posted the article to the WPATH Facebook page.

Tannehill ROGD WPATH post

In the thread,  Tannehill (along with Jo Hirst, author of the Gender Fairy), suggested The Journal of Adolescent Health should be asked to retract and/or apologize for publication of Littman’s preliminary findings. UCSF’s Dan Karasic, MD (moderator of the Facebook page and WPATH official) agreed.

Littman’s abstract had been accepted for poster presentation and the poster was presented at the March 2017 Annual Meeting. (The full paper has not been published yet, and we look forward to its availability).

karasic retract poster

Note: Interestingly, as of this writing, four days after they were written, the last three comments have been deleted from the original thread.

The dismissal of Littman’s work, and the move to suppress it, is unconscionable. For one thing, some young people (like my daughter)  who experienced ROGD have already desisted. Others, who were supported in procuring medical intervention, have already experienced regret. Many more desisters and detransitioners are sure to follow.

This trend has not gone unnoticed by at least some in WPATH. For example, veteran WPATH clinician Rachael St. Claire, in a Facebook post on January 5 of this year, made this comment (notice that commenting was turned off immediately after St.Claire posted):

WPATH jan 5 2018 detrans therapist

This concern is echoed by UCSF clinical psychologist Erica Anderson, herself a transgender woman, in a recent Washington Post article:

“I think a fair number of kids are getting into it because it’s trendy,” said Anderson, who was married for 30 years and fathered two children before transitioning seven years ago.

I’m often the naysayer at our meetings. I’m not sure it’s always really trans. I think in our haste to be supportive, we’re missing that element. Kids are all about being accepted by their peers. It’s trendy for professionals, too.”

In addition, clinics around the world have noted a sharp increase in the number of girls presenting for treatment in the last few years.

increase in girls

A once-rare condition is now increasingly common. It is surely in the interest of all people who care about gender dysphoric youth to investigate the reasons for the increase, and Littman’s work is an early contribution to this effort.

The ostensible reason given for Karasic et al’s desire to have Littman’s abstract retracted is that the data comes from a self-selected group of parents, culled from websites where such parents gather, in an anonymous survey format, and is thus deemed to be worthless. Yet advocates for pediatric transition constantly promote other survey studies, also culled from “self selected” groups (such as the Williams Institute suicidality survey), as well as research conducted by investigators who only recruit subjects from pro-early transition organizations (such as Kristina Olson’s two studies), with no attempt to broaden their samples to children who are not socially or medically transitioned.

In fact, Littman’s work is the first to study this new presentation of gender dysphoria, and she collected information from the people who know these children and teens better than any transgender advocate, endocrinologist, psychologist, or therapist ever could — their parents.

But you’re not listening to us.

Littman’s study, according to its critics, is contentious for a few reasons, but most notably for using the term “Rapid Onset Gender Dysphoria” as a descriptor for a new kind of trans-identifying youth, primarily natal females, who during or after puberty, begin to feel intense unhappiness about their sexed bodies and what it means to feel/be/present as a woman.

Let me emphasize: What is “rapid onset” in this population is the dysphoria, not the gender atypicality. What distinguishes these young people from the early-onset populations studied previously is that they may have been happily gender nonconforming throughout childhood (though some were more gender typical), but they were not unhappy (which is all “dysphoric” really means), nor did they claim or wish to be the opposite sex. The unhappiness set in suddenly, in nearly every case only after heavy peer influence, either on- or offline.

This phenomenon has only recently been noted by clinicians directly involved in treating gender dysphoric youth, as well as other mental health professionals. While there is no lack of evidence for adolescent emotional and behavioral social “contagions,” Littman’s research is the first to collect data on this phenomenon as it relates to identifying as transgender.

Even though rapid onset gender dysphoria has been noted by other researchers and clinicians who work with these populations, The Advocate and WPATH’s Dan Karasic consider the descriptor “junk science.” In a swift attempt at censorship, Karasic deleted all but one of my comments on the public WPATH Facebook page and then banned me from the group when I asked him to please consider the experiences of young people, like my daughter, for whom gender dysphoria set in hard and fast after being exposed to the idea that her gender nonconformity was in fact a sign of being transgender.

Interestingly, after I was purged, Karasic posted links to both my and my daughter’s stories on 4thWaveNow, and unfounded accusations were leveled against me and 4thWaveNow; since I was banned, I was not able to respond to them.

Interested readers may refer to these Twitter threads should you want more blow-by-blow details:

It is concerning, given Karasic’s reaction to Littman’s research, that he and others evidently leave no room for a teenager to be incorrect about how they are interpreting their feelings, no room for a clinician to be incorrect when recommending transition, and no room for a parent to understand what is going on with their own child. It is narrow minded and short-sighted, especially considering there is no long-term data supporting the benefits of early medical transition for gender dysphoria or consensus from the medical community about best treatment methods.

This lack of consensus, while well known and acknowledged by the international medical community, has been ignored by many transgender advocates, along with the “gender affirmative” recipients of a $5.7 million NIH grant, who, with the help of the mainstream media, have manipulated the public into believing early social transition, pubertal blockade, and early cross-hormone treatment constitute settled science.

To be clear, in “Early Medical Treatment of Children and Adolescents With Gender Dysphoria: An Empirical Ethical Study,” a 17-clinic international study published in The Journal of Adolescent Health, the authors explain that:

As still little is known about the etiology of GD and long-term treatment consequences in children and adolescents, there is great need for more systematic interdisciplinary and (world- wide) multicenter research and debate. As long as there are only limited long-term data in support of the guidelines, there will be no true consensus on treatment. To advance the ethical debate, we need to continue to discuss the diverse themes based on research data as an addition to merely opinions. Otherwise ideas, assumptions, and theories on GD treatment will diverge even more, which will lead to (even more) inconsistencies between the approaches recommended by health care professionals across different countries. (372)

I am sure some WPATH members, like the treatment teams in Lieke et al., “feel pressure from parents and adolescents to start with treatment at earlier ages.” I know there are others, besides those reported in Lieke et al. who:

[…] wondered in what way the increasing media attention affects the way gender-variant behavior is perceived by the child or adolescent with GD and by the society he or she lives in. They speculated that television shows and information on the Internet may have a negative effect and, for example, lead to medicalization of gender-variant behavior.

“They [adolescents] are living in their rooms, on the Internet during night-time, and thinking about this [gender dysphoria]. Then they come to the clinic and they are convinced that this [gender dysphoria] explains all their problems and now they have to be made a boy. I think these kinds of adolescents also take the idea from the media. But of course you cannot prevent this in the current area of free information spreading.” –Psychiatrist

It is unconscionable that transgender advocates, and the leading international body concerned with transgender medicine, would seek to quash data that address unsettled and mostly unexplored areas of concern. It is incredibly important that ROGD be included as a research point because the main studies used to justify the use of puberty blockers, cross-sex hormones and surgery in adolescents required “persistent gender dysphoria since childhood” and “no serious comorbid psychiatric disorders that may interfere with the diagnostic assessment” before the patients were eligible for medical intervention. In other words, none of the participants in these treatment studies had adolescent-onset of their gender dysphoria and none of the participants had serious psychiatric issues.

It is a huge leap to assume that an entirely different population of adolescents with a different presentation of symptoms will have the same results as the adolescents in the Amsterdam cohort.  An additional gap in the research is that because all the desistence and persistence studies are about adolescents who had childhood onset of gender dysphoria, the persistence and desistence rates for adolescent-onset gender dysphoria are unknown.

In all areas of medicine, best practices come from intense discussion and research into indications and contraindications, and into risks, benefits, and alternatives. Yet, WPATH’s Karasic, along with the trans advocates who have prominent roles in the organization, appear to believe it is in their community’s best interest to shut down all discussion about contraindications, risks and alternatives. This is inappropriate and undermines the very concept of informed consent.

Furthermore, The Advocate article suggests that Littman’s sample is biased because it gathered data from “unsupportive” parents. This framing is both fallacious and dangerous to gender nonconforming and dysphoric youth. It suggests that the only path for gender dysphoric youth, even those with a rapid onset, is full affirmation including fulfillment of requested medical interventions. It also implies that parents aren’t able to be both supportive and cautious.

I have spoken to some of the parents who participated in the study. Few could be described as “unsupportive.” In fact, almost overwhelmingly, these parents supported their children in thinking about their gender identity and helped facilitate their preferences for atypical gender presentation and interests (taking them for haircuts, new clothing, and so forth). Many sought professional mental health consultations and treatment for their children. But what many of these parents did not support for their underage teenagers were hormonal and surgical interventions. This is an important distinction: Littman’s sample were supportive parents who were unsupportive of a particular medical treatment option.

It is entirely possible to be supportive parents invested in our child’s well-being and not agree to unproven medical procedures for which there is no consensus from the medical community of long-term safety or benefit to the majority of dysphoric youth. However, the loudest voices in pediatric transgender medicine often cite Kristina Olson’s descriptive research about early social transition for children which relies on the methods that they decry as “junk” when used in Littman’s research (targeted recruitment and the collection of data from parents). Kristina Olson recruited her sample from support groups and conferences to find parents who have socially transitioned their children, which might consist only of parents who are supportive of early social and medical transition. So is it an acceptable method for both studies, junk for both studies, or are the WPATH activists simply going by whether they like or dislike the findings?

As all parents know, we can tell when our children are suffering. To remain credible, advocates for gender dysphoric youth and the international organization which claims to be concerned with generating best practices in the field of transgender medicine must acknowledge that ROGD exists and there are some trans-identifying youth who arrive at their identity from external social pressures, and at times, internalized homophobia.

Related to this last point, the WPATH Facebook page wasn’t the only place my respectful questions were deleted. In a comment on The Advocate article itself, I asked Tannehill and Advocate readers to consider the recent research into how homophobic name-calling influences (hint: greatly) children’s perceptions of their gender identity.

brie advocate comment

My comment was swiftly scrubbed from existence. For those interested in reading “The Influence of Peers During Adolescence: Does Homophobic Name Calling by Peers Change Gender Identity?” the full text is here.

Finally, the fact that ROGD is being discussed by the conservative media is not, no matter how many “incriminating” links Tannehill dropped in the Advocate piece, a legitimate reason to discredit the data. The irony is not lost on many 4thWaveNow parents that our stories are covered by media outlets we typically avoid. In this politically charged climate, it is important for researchers, clinicians, and parents to work together to “first do no harm” even when those we otherwise disagree with call for the same cautions.

Clearly, Brynn Tannehill and Dan Karasic do not speak for all members of WPATH. I know for certain that they do not speak for many professionals currently working with gender dysphoric youth who see in their own practices what can only be described as “rapid onset gender dysphoria” in an increasing number of adolescents, particularly girls. Clinicians are aware of the rapidly growing numbers of young people requesting services and the possibility of social contagion; there are those among you who are concerned by the potential for misdiagnosis and the subsequent harm that will come to some of your patients as a result.

It is time for those with concerns to speak out. Please do not allow your ethical and professional concerns to be held hostage by ideology.

It’s not conversion therapy to learn to love your body: A teen desister tells her story

Maxine [a pseudonym] is the 14-year-old daughter of Brie Jontry, spokesperson for 4thwavenow (see here for more from Brie).

Maxine believed she was male for 2.5 years, from age 11-13, but has changed her mind. In a Skype interview (transcribed below), we asked Maxine to tell us about her journey towards a trans identity, and how she came back home to herself as female.

Maxine, along with her mom Brie, are available to interact in the comments section of this post, as their time allows.

All artwork in this post is by Maxine.


For a couple of years, you thought you were transgender. How did it start? Why did you think that?

It started when I was 11. I thought I might be trans after spending time online where I saw people saying that if you feel dysphoric, you must be a different gender. So many people were saying it, that I came to believe it. At first, I identified as agender and then after thinking about it more, I realized I was a boy because I wanted to be “masculine.”

What did that mean, be “masculine?”

 For me, it meant wanting the physical characteristics of adult males: a beard, being taller and strong. And being masculine was about feeling safe.

Were you dysphoric?

I felt like I didn’t want to be in my body. I didn’t like it. It kinda felt like my body wasn’t mine and I wanted a different one.

What was going on that made you feel like that? What was it about your body that “wasn’t yours?”

A few different things. Mostly, it was previous trauma and being in the early stages of puberty. I don’t know anyone who isn’t uncomfortable during puberty, but at the time, I thought the way I was feeling was something extreme and different.

I used being trans to try and escape being scared about being small and weak. I thought that if I presented myself as a man I’d be safer.

What first got you thinking about being trans?

Things online. First, it was on DeviantArt. It’s an art-sharing website, but the DA communities I was in, which were made up of kids drawing animals and other original characters, went from sharing and commenting on each other’s art to being super dramatic and depressed. It also turned into a disrespectful “call-out” culture.

noor color cat

Some of the people I was watching, whose art I admired, came out as trans. Some people posted about how much they hated themselves and how badly they wanted to transition. Some started to transition and talked about how amazing they felt. Suddenly, a lot of the people I knew on DA were making transgender artwork.

Why do they call it “DeviantArt”?

There are some “deviant” areas of DA but the places I spent time in were for kids sharing art but I don’t think it is the main focus anymore. It was originally a great art site and I made a lot of friends there and everyone was very nice to me. I liked it. It was a friendly art community.

But now it’s mean. And it’s also a place for kids to post about all their self-diagnoses and identity issues. I know lots of kids who post about their self-diagnosed schizophrenia and other mental illnesses.

All these self-definitions, are they real?

I think the kids believe they’re real. But I don’t. If someone calls themselves “schizophrenic,” I believe they believe they have it! But it isn’t a disorder a teen can self-diagnose.

Were there other online places besides DeviantArt that influenced you?

I started to use Tumblr, also because of the art. Reading people’s bios, I learned more about being trans and that what I was feeling is called “dysphoria.” There are a lot of artists there expressing their dysphoria in comics and I identified with some of the things they were saying

From Tumblr, I found YouTube transition videos. When my dysphoria got worse, I started watching a bunch of FTM videos. All of the ones I watched were like, “I feel amazing!” and “I am finally my true self!” I thought it was weird that no one regretted anything but I wanted to believe medical transition would help me too. I started wanting hormones and maybe even surgery later.

I also talked to some of my friends. I was in a homeschool group and lots of the kids there were also trans.

“Lots” of the kids were trans? How can that be, when trans make up a miniscule proportion of the population?

 I wonder how accurate the data is that tells us only a “miniscule proportion of the population” is trans, because most teens I know identify as anything other than “cis.”

Hollow wolfIn my homeschool group, there were only two girls who didn’t have trans identities. Talking about gender identity and sexuality was very popular with my friends and also some of the parents. There was a parent who identified as pansexual and “demi gender” or something like that. She came and talked to all of us about using preferred pronouns and sexuality stuff. She was a facilitator there but not for my group. It was just a bad time even though I had a few really good friends there. There were some kids who were always talking about how oppressed they were and they weren’t. At all. They thought disability and mental illness were cool. They’re not. It was hard for me to hear them talk about all their self-diagnosed issues when I had to give myself insulin every day (I’m diabetic) and I hated my body. Also, my grandfather had just died. My mom started not wanting me to go there because I would get really anxious and have panic attacks and she would come pick me up early.

 Trans activists and some gender therapists insist that some people are “born in the wrong body” and that causes terrible dysphoria. They claim this is very different from not just conforming to gender stereotypes (even though many published accounts of dysphoric people also include stereotypes). Is dysphoria real?

It is definitely a real feeling! But being uncomfortable is part of being human. If you can’t cope with those feelings, then you need help learning better ways to cope. My psychologist understood I had dysphoria and we worked through the trauma that caused it.

Feelings are feelings. Feeling something doesn’t mean it is true or real. I didn’t understand that at first.

noor catAnd I thought that I would feel better as a boy. I wanted to stop my natal puberty because I didn’t want to be female. I thought taking testosterone would make me male. But now, I don’t think it’s healthy to be hurting yourself with hormones. Taking T is a very harmful thing to do to your body. There are YouTube channels where they’re talking about how great T is. But I wonder what they’re going to say in a few years? I wonder what’s going to happen to their bodies? If they say it’s totally safe, they’re wrong. I wanted to medically transition, so I looked up a lot about it. All I found was, “oh this is safe for you, you’re gonna feel better.” But then I found some other articles, that talked about heart disease; things like needing a complete hysterectomy in 5 years if you’re on testosterone because of what it does to your uterus and ovaries. My mom found other things for me to read. But you know what? At first, I didn’t want to believe that it was dangerous. I even thought I could block puberty forever and when my mom said that wasn’t true, I argued with her.

I talked to our friend who is a scientist and she told me more things about blockers and my brain development. I trusted her and I trusted my mom so I knew they were telling the truth but I didn’t want to believe them.

In my homeschool program, I tried to talk to my friends about this stuff but they said it was transphobic and I was wrong.

Do you think there are some young people for whom transition is a good choice ?

I know one person who’s on testosterone, and I believe transition is the only way for him to be happy. At the same time he’s very aware of how it’s going to hurt him.  I think he’s very young to transition, even though he’s 19, it’s very young. But he believes something bad will happen to him without testosterone.

Some people may need to transition but it should always be a last resort.

How is your dysphoria different? Why is medical transition not appropriate for you?

Extreme dysphoria might mean you can’t get out of bed in the morning or function at all.  But thinking about it in a more critical way, what teen doesn’t experience being uncomfortable about their bodies? Dysphoria is just an extreme version of that discomfort.

It was that bad for me for a while, and sometimes it can still be bad, but I’ve learned to move my body when I feel that way and do other things that don’t feed the feeling.

What kind of things do you do to work with your dysphoria?

I draw. I pet my animals and play with my Madagascar hissing cockroaches. I don’t lay in bed doing things that make me feel worse.

I used to watch FTM transition videos when I felt dysphoric. They made me feel even worse and also jealous and anxious that I might not transition soon enough and that I would never be masculine enough.

I know this sounds cliché but you have to find something to love about yourself instead. For someone like me, who thought I was FTM, think about the ways you’re already “masculine.”

Discomfort about your body and sometimes dysphoria are a normal part of being a teenager and having your body change.

I know some people who feel so wrong that they want to mutilate their bodies. That was me for a little while but it isn’t me now. Even when I was wearing a binder, I thought I looked physically better but I still hated my body.

So the image you presented to the world was “better” but it didn’t make you feel any better?

I remember being 11 and it was the beginning of summer. I was downtown with friends and their parents and one of the men made a joke about the way another little girl was dressed in short-shorts and a tank top. He said something like “I’ll never let you dress that way” to his daughter even though her brother was already dressed just like that! Then, a little bit later in the day, when a woman walked by he said “I love booby season.” That’s the kind of thing that made my dysphoria worse and made me sure that I would be happier as a boy.

noor muralIt made me think of myself a little better when I was wearing a binder but it wasn’t a good solution because it was physically hurting me. They’re not comfortable. I didn’t care then that it hurt to wear it and it didn’t really help wearing it, because I knew I still had boobs. My ribs still hurt and sometimes it is still hard to breathe even though I haven’t worn a binder in over a year.

The kids I know who are trans brag when they’re having a hard time breathing. They act like it is a cute little “trans-relatable” experience when they feel like passing out from wearing their binders for too long.

What made you change your mind?

 I realized that the only reason I was trans was because I wanted to feel big and safe and also, I didn’t conform to what I thought being female looked and felt like. But then I learned that being female isn’t a feeling. It’s a biological reality and I could feel however I feel without it meaning I was male.

Also, I have type 1 diabetes. On my five-year anniversary of going into the hospital to be diagnosed, a friend who was on testosterone injections texted me to complain about her monthly shot (she has detransitioned and uses female pronouns now). When I read her text, I felt anger, but I knew she wasn’t trying to hurt me or be mean. But I was so jealous. She didn’t have to get shots. Why would anyone want to be dependent on medication if not absolutely necessary for a serious medical condition? I saw everything clearly. I changed my mind at that moment. I would never transition medically.

At first, even though I knew there could be side effects with blockers and testosterone, I was okay with going ahead with that. Because if I hurt my body, I was in control of that. When I identified as trans, there was always a way I was hurting myself: wearing a binder, pinching myself, picking at my skin, cutting.

But why should I hurt my body to feel control over things around me that are messed up?

I remember driving to one of my homeschool programs and I was telling my mom that I wanted to transition because I would feel safer. And my mom said something about me turning my back on other women. I also realized that I was wrong thinking transitioning would make me safer. It wouldn’t. And I’d also always be afraid of not passing.

Your mom told us she took you to the Philly Trans Health Conference so you could learn more about trans issues—you even had a pizza party with Jazz Jennings. It sure sounds like your mom was open-minded about all of this.

My mom was always very open minded. She never pushed anything on me or tried to push any ideas away from me, unless it was something dangerous, like crossing the street without looking.

One of our friends posted my mom’s interview on Facebook and one of the comments was “this mom is pushing things on her kid.”  It was never like that at all. My mom wanted me to explore the thoughts I was having. She just didn’t want me to medically transition but even then she was being supportive. She never flat out said “no,” she just said that I needed to think about it and research it.

Do you think if she had been more resistant, if she’d said, “no way we’re going to that conference” or “no way you’re a boy” do you think that may have made you want to do it more?

I definitely think that. You know, as a “stubborn teenager” I would have wanted it more.

What was it like going to that trans conference? Did you feel connected to the other kids there?

All the kids were really friendly. But I did feel some pressure after talking to kids there to “look more masculine.” It was interesting. It wasn’t a bad experience.  But most of them were like Tumblr-SJW trans; I definitely got that vibe from them. When I was identifying as trans, I was what they call “truscum” or “trans-medicalist:” you have to have chronic dysphoria to be trans, and you definitely want to get some kind of help for that problem—not necessarily hormones, but maybe talk therapy if you just want to learn to cope with your dysphoria.

Philly trans health banner 2015

None of those kids were trans-medicalists like I was. I hate saying the word “snowflakes” because it seems rude, but…There was stuff like, “you can’t be a trans boy unless you get your head shaved and dyed.”  It’s like the trans-boy starter pack. They all had the same haircut. I don’t remember if anyone said exactly “you need to cut your hair and take hormones” but I felt that vibe from the other kids who were all talking about their anxiety over passing and being more “masculine.” I wasn’t wearing a binder yet but I was sure I was trans. I had long hair and I loved my hair so I didn’t cut it. Even then, I thought it was silly that all the transboys I knew had the same haircut, shaved on the side and dyed blue or green or some blue streaks, and that they thought boys had to have short hair.

That sort of made me question. I mean, all these kids were following the same exact trend. I never wanted to brag about being trans. Stuff like pronouns was the least of my concerns; I just wanted to deal with my dysphoria.  Because that’s a mental feeling, something people can legitimately feel.

In the banquet hall where they had a pizza party for trans kids and their parents, a few of the moms had their kids pull up their shirts to show off how great their binders worked to flatten their breasts. My mom remembers that a few transboys also showed off their bare chests and people talked about what a good job their surgeons had done. Some of them were like 14 or 15.

So did that event push you more or less in the direction of thinking you were trans?

It pushed me toward wanting to medically transition, but I saw what those kids were doing as trendy. Like, there was a whole line of penis packers there, in different colors and sizes. There was a neon pink one hanging up on the wall. It was horrifying. There were some for 6 year olds. Six year olds shouldn’t be worrying about what’s in their pants unless there’s a problem going on. I think it would make little kids sad to think about having to fake it.

Did you want one?

God, no. During that time I did want a penis, but not a fake one.

So you eventually wanted surgery?

No, I didn’t want bottom surgery. I just wanted to be a biological male.

So the gender therapists and activists might be saying right about now, ok. This kid figured out she wasn’t really trans. No harm done. Mom and dad, chill. Use their pronouns. Take them to a trans conference or a gender therapist. No harm done.

I think if I had gone to a gender therapist, I would still think I was trans now. If my mom had thought that hormones and blockers were the best solution for my anxiety and dysphoria, I would be taking T right now.

I’m glad she didn’t believe I was a boy trapped in a girl’s body. I’m glad she found a psychologist who saw how scared and angry and hurt I was and who wanted to help me with those things first instead of also helping me transition to be a boy.

But parents should be supportive and respectful of their kids. They should take them seriously and learn about side effects of transition and alternative opinions about gender together. Let them break stereotypes and talk about those stereotypes and where they come from and how they hurt people, not just girls, boys too. And kids need good therapists who will ask them questions they never thought of.

Until quite recently, believing oneself to be the opposite sex was considered a mental disorder and treated as such.

It is a mental disorder sometimes. People who feel mild dysphoria are like “I hate this thing about my body” which is different than “I hate this thing about myself and I am willing to hurt myself to relieve the feeling.” The second is a mental disorder. Somebody wanting to hurt themselves is a mental disorder. Dysphoria always has a deeper root.

“Trans” isn’t the right word. We’ve learned to know it as trans but really what I think some people feel is extreme, chronic dissociation, possibly from trauma and PTSD.

And for adults, it is different. Adults can do whatever they want, even if they don’t have dysphoria or other mental health issues. But kids need their parents and sometimes a psychologist to help them think about why they feel the way they do.

I don’t know any trans kids who have gender-critical therapists. And by the way, being gender critical wasn’t pushed on me either, but my mom and my therapist and other friends would gently suggest that I think about things beyond just “being trans.” They’d say I should think about why I felt that way, the reasons for feeling that way, and any other perspectives or reasons someone might feel that way. And that I should also think about my history and my experiences and relationships and why I might feel uncomfortable or not want to be a girl.

Parents who put their kids on hormones are trying to take care of their kids. I know they want to do the best thing. But what if they haven’t heard other ideas and they don’t understand about being gender critical, or about how to see their kids’ identity or presentation without stereotypes?

Most parents just want their kids to be happy, and their kids say “I need hormones to be happy.” Some kids even threaten to kill themselves if they don’t get the treatments they want. I’ve also seen kids say that after they started cutting, their parents took them seriously, and let them take hormones. There are places online that tell you, “This is how you come out to your parents to get hormone therapy.” I always hated those, because it was always … just threaten something to get what you want. That’s just putting so much pressure on your parent to make an impulsive decision and it’s such a terrible thing to say. I know people who’ve killed themselves and also people who have tried to kill themselves. People who are suicidal need help and love but using suicide as a threat is manipulative and cruel.

 Did you see a lot of that online?

 Oh, everywhere. Everywhere. Most ways to come out were like, “say this, you’ll be sure to get them to take you seriously.”

We see this in every news article—“Would you rather have a live daughter or a dead son?” It’s why most parents decide to agree to medical transition. It’s the worst thing that could happen to a parent. It sounds like people are being coached to say they’re suicidal, when they aren’t?

 I think being truly suicidal is rare. Like the true trans thing.  Some trans identified people I’ve known will threaten to cut or hurt or even kill themselves when they would never do any of those things. For the few that are serious, it ties into mental illness: If you are going to kill yourself because of gender roles, or stereotypes, or even dysphoria, that’s a mental illness. And it can’t just be fixed with a bunch of medication. Some of the accounts of boys trying to cut their penises off in the bathtub—that’s clearly a sign of mental illness.

You’re 14. Pretty young still. How do you know you’re not going to change your mind again or want to go on testosterone?

I’ve read a few comments on Facebook about my mom’s interview. One was really insulting because it said that I’m too young to know what I want and that my mom is manipulating me.

But if I had said I am trans, I’m sure that person would believe me and not worry that my mom influenced me. So, can’t I also know that I’m not trans?

How can any thirteen-year-old or their mom know that they’re “really trans” either? That’s why you shouldn’t make any permanent changes to your body at such a young age. I don’t know anyone my age who hasn’t felt uncomfortable about their bodies at some point. Everyone I know wishes there was something different about their bodies.

If it is on your mind 24/7 and you feed that idea, you give that idea power – and you start to feel like you need to do something to your body to feel better.

The idea of gender is harmful. It encourages dysphoria. It locks people into stereotypes.

Some people say that you shouldn’t help kids feel comfortable about their bodies or even feel okay with being a little uncomfortable. They say that’s “conversion therapy” to talk someone out of wanting to hurt themselves. It isn’t conversion therapy to learn to love yourself or at least, feel like you can live in your own body without hurting it on purpose.

That was Dr. Ken Zucker’s goal: to help younger children, especially prepubescent children, come to feel peace about themselves and in their own bodies. He says that in childhood, gender identity is subject to change, and if you can help a child not become a permanent medical patient, that’s a good thing.  It was controversial, but in at least some cases, he discouraged “gender nonconforming” behavior in young kids—things like toys, haircuts, and clothes more typical of the opposite sex. What’s your opinion on that?

 Toys and clothes don’t have genders. Kids should get to play with whatever they want and wear whatever they want. Kids should be allowed to explore the things that they find interesting. When I was little, I didn’t see clothing or toys as gendered. Parents need to keep gender ideas like that away from their kids. “Female” isn’t a way of dressing.

I was shopping with my mom when I was little, before I thought I was trans, and we were in the “boys” part of the store because I liked those clothes better. They’re more comfortable and have better pockets. And a salesperson came up to us and asked my mom, “What is your son looking for?”

I wasn’t offended. But it’s silly that she thought because we were looking at comfortable clothing we were shopping for a boy.

And agreeing with a girl that she is really a boy because she doesn’t like to wear dresses might lead to going to a trans support group or seeing a gender therapist and other things that result in a kid thinking they need hormone therapy. If medical transition wasn’t available,  I don’t think it would matter if a girl thinks she’s a boy for a while, because she wouldn’t be encouraged to do things that are harmful.

Parents should give their kids more choices about more things in life but not about things that will harm them.

What would you say to other girls who think they are boys? Any advice for them?

 There’s nothing wrong with your body. To be straightforward, you will never be male. You will never have a Y chromosome. You will never have a real penis. Stop hurting yourself. Not wanting to be female doesn’t mean you’re really male. Not wanting to be female makes sense when girls are sexualized before we’re ready to even feel sexual, and when people think we’re weak both intellectually and physically, when people don’t take us seriously, when people tell us to smile and be nice.

You weren’t born in the wrong body because that’s not possible.

You were born into a society where looks mean everything. But really our bodies are just what keep us alive. Why don’t we fight back against the idea that any person looks wrong as they are? Your “outside” doesn’t need to “match your inside.” The outside isn’t important enough to hurt yourself over.

Get angry at gender stereotypes. You can dress however you want but that’s called “fashion” or presentation. Your identity should be who you are and the things you do, not what you look like. I have resting grouch face. I don’t need to train my face to look kind or have surgery to make my face look kind, I just have to be a kind person.

You think, how can I act male? There’s no such thing as acting male. Male is a biological sex and you will never be that. Just act like you.

Go outside. Move your body. Make art, do something. Don’t spend time with other people’s stories about self-loathing and self-diagnosis. Stop feeling oppressed when you’re probably not oppressed. I know transitioning can make you feel like you get a lot of control but medically transitioning doesn’t give you power. It just makes someone else money.

Find people to talk to and ask for help if you need it. And find people who will ask you hard questions.

Born in the right body: Introducing 4thWaveNow’s new spokesperson, mom of a teen desister

Brie Jontry is a part-time academic, and a politically liberal mom to an adventurous, wilderness-, insect-, and art-loving teen. She currently lives in the American southwest with her partner and daughter, a huge dog, three cats, and various insects who come and go.

Brie has been a member of the 4thWaveNow community for two years, since her daughter first temporarily identified as transgender. After exploring all kinds of ideas, thoughts, and feelings related to gender identity with her daughter, Brie has decided to speak publicly about her family’s experience.  In particular, Brie agreed to be our public spokesperson to counter the untruth that only religious, anti-LGB conservatives are skeptical about medical transition of gender-atypical young people.

Note: Anyone who has spent time on our site knows we are not a monolith, but a diverse group of parents with varying (though generally congruent) views.  Brie’s experiences and analysis are her own, but are on the whole in line with those of the other gender-skeptical parents in our community.

In a future article, Brie’s daughter, along with a few other teen desisters will discuss their own thoughts about identity, gender nonconformity, desistance, and more. Stay tuned.

As her time permits, Brie is available to interact in the comments section of this interview.


You are the parent of a teenage girl who temporarily believed she was trans, but changed her mind. Can you tell us something about her journey—and yours?

A few months before my then 11-year-old said she might be transgender, she told me she didn’t want to grow up. She had just met her new pediatric endocrinologist (she has type 1 diabetes) and he told us she was in the early stages of puberty. In the car on the way home from the appointment, crying, my daughter asked me how much longer until she’d start bleeding, until her breasts would grow.

A few weeks after that appointment, Leelah Alcorn, a transgender teen in Ohio, committed suicide by walking onto a highway into the path of a tractor trailer. My daughter was gripped by Leelah’s story, by the horrific choice of death over a seemingly endless painful existence, and she agonized (for weeks) over the details in Leelah’s suicide letter. “What is transgender? Was Leelah a girl trapped in a boy’s body?” “How could her parents not see they were killing her?”

A few months later, my daughter told me she thought she might not be a girl. I asked if that meant she was really a boy and she said she thought so. I said something like, “this is a lot to think about” and asked her permission to speak to her grandfather, a psychologist, and another friend, a genetic biologist and a lesbian. She agreed and sheepishly let me know she’d already told her poppa.

I called my dad that night after she’d gone to bed. He reminded me that she’d always “been her own person” and that imagination and sensitivity could have been heightened by almost obsessively reading/thinking about Leelah Alcorn. He explained body and gender dysphoria, and drew a connection to eating disorders. “You wouldn’t help her starve herself if she thought she was too fat,” he said. “Help her just be her, in her own body, whatever that means.”

Next, I spoke to Audrey, our gay geneticist friend who reminded me of her own teen years and cautioned that she certainly would have considered transition had it been readily available. Together, we looked at the few studies we could find about hormonal suppression in adolescents and testosterone use in healthy female bodies. My friend was horrified by the lack of long-term data available for medical interventions being performed on healthy adolescent bodies. Audrey spoke to my daughter about the hormonal responses which occur in puberty, how besides development of secondary sex characteristics, pubertal hormones are needed for brain development, neural pathways, grey matter. If you “pause” that process, she told us, you’ll be stunting the very growth that will make you into the adult you. “You don’t know who you are yet,” Audrey said, “how can you know that’s not who you want to be?”

My daughter agreed to put medical transition, a process she’d been watching with envy in numerous transmasculine teen videos, on hold while we explored these ideas together.

What followed were two years of emotional upheaval and deep exploration. Family and friends agreed to stop using “girl” and worked hard to remember her requested “kid” in its place.

salt-in-the-soup.pngI pestered anyone who was willing, to talk to me about gender, adolescent development, and hormonal modulation. I talked to someone I knew in the midst of her own gender transition and to her partner. I talked to trans people, gay people, other parents of trans and GNC kids, endocrinologists, a Zohar scholar, educators, radical feminists, postmodern theorists, and child and teen psychologists, including those who designated themselves “gender specialists.” I joined large Facebook groups for parents of trans and gender non-conforming kids (and was subsequently thrown out for posting data about Lupron).

I asked my daughter to show me some of the things she was reading and watching online which led to her realization. Together, we explored all kinds of “you might be trans if…” quizzes and “Am I trans?” posts on Reddit’s “Ask a Transgender” subreddit, various Tumblr blogs, and elsewhere. We talked a lot about stereotypes and gender roles.

At my daughter’s request, we went to the Philadelphia Trans Health Conference, where we met Jazz Jennings and ate pizza with hundreds of transgender kids and their parents. Dinner conversations between parents were clearly divided between stories of natal boys who’d “always been this way,” who “always liked pink” or sparkly princess dresses; who liked to play with dolls and wanted to wear nail polish, and born-girls who, on the cusp of puberty, often friendless, suddenly came out as “trans.” My daughter made a lot of new friends that night, some of whom now, two years later, have been on testosterone for a number of years; some have had mastectomies. Of the teens she met that evening, I’m aware of one other who has also desisted.brie pull 2Ultimately, what brought her to the realization that she is not “in the wrong body” (about two years later), were endless, ongoing conversations about sex-based norms, gender roles and expectations, and homophobia, between her and lots of other people, mostly women. NO ONE fits neatly into any stereotype associated with their “identity.” She came to understand that her suffering wasn’t because her body was wrong; she was suffering because growing up is hard! To her, “being trans” explained a lot of her discomfort and anxiety, but she came to realize that it wasn’t actually “being trans” that caused any of it.

She came to see medical transition as physician-assisted self-harm. In a twisted way, it helped that she is already dependent on synthetic hormones for her life. She has zero choice about injecting insulin every time she eats, or when her blood glucose is too high, up to ten times a day, for the rest of her life. When her friends who’d started HRT complained about needing injections, something snapped in her. She saw the stark difference between needing pharmaceutical treatment to live (no choice) and desiring it as treatment for a feeling. Her body IS, actually, wrong. It’s verifiably broken and without synthetic hormonal supplementation numerous times a day, every day, she will die. Quickly and painfully.

She realized that her friends had healthy bodies but that their therapists, their friends online and in real life, and sometimes even their parents, were supporting them in the belief it was their bodies that were wrong because they didn’t match their personalities, their preferences, who they were supposed to love. When she realized this, she got angry. She felt tricked into believing there was something wrong with her because she didn’t want to be ogled by teen boys, or wear dresses, or because one of her favorite things was to talk about the difference between aquatic and terrestrial isopods.

So it sounds like she experienced a “rapid onset” gender dysphoria in adolescence, a phenomenon which is now only starting to be recognized.

Yes. And…no. She told me that prior to Alcorn’s suicide, that she wasn’t aware that being transgender was possible, that it even existed. Once she came into contact with the idea, it captivated her and she quickly identified her “transness” as the reason she didn’t want to go through female puberty. She wasn’t alone. Numerous girls in her various peer groups would come out as trans in the coming year.

I think it is critical to this discussion, though, to talk about all the ways she’d been “gender non-conforming” up to identifying as trans.

As liberal, progressive, feminist parents, we never put energy into making sure our daughter adhered to gender norms. As a baby, she wore all the colors and never had a head-squeezing headband to denote “girl.” I never bothered correcting strangers who thought she was a boy. I insisted she wear a dress once, to a wedding, when she was eight. She cried.

When people asked her if she was a boy or a girl, she’d bark, or meow, or roar.

brie pull 4When she was younger, her favorite toys were stuffed animals, scraps of fabric, cardboard boxes, and small plastic insect, dinosaur, and dragon figures. Then, as she got older LEGO, but never the pink sets. She played lots of imaginative games with her stuffed animals and little figurines and dump trucks; she never wanted a doll and cried once when she was four and someone gifted her one. She couldn’t understand how someone who knew her might think a Mermaid Barbie would be a welcomed present.

Her favorite stuffed animal was a crab named “Crabby” who went almost everywhere with her. When people asked if Crabby was a boy or a girl, she’d answer: “she’s a boy” or “he’s a girl” and laugh. Outside, she liked to pee standing up, like her dad, and somehow figured out how to pee farther than her best friend, a boy.

She mostly preferred “boy’s” clothing: sweatpants and shirts with insects, dragons, monsters, and dinosaurs. We let her choose her own clothing as soon as she wanted to and had no problem with her heading over to the boy’s section of stores.

These are important details because once I turned to trans-affirming websites and books (which were all I could find until I learned the phrase “gender critical”), the gender nonconforming choices she made, her preferences, some of her behaviors, could easily be read as proof that she really was a boy, that she had a “boy brain,” and perhaps, that she was exposed to too much testosterone in utero as evidenced by her relative finger length.

The acute stress she felt over her body (dysphoria) was indeed rapid-onset. However, looking back, there were many incidents which could have been interpreted as signs of an “innate gender identity” that didn’t match her sex.

Trans activists have tried to convince the public that “desistance is a myth”. Yet your daughter did indeed desist. Why do you think activists want to deny the experiences of young people like your daughter?

Because desistance justifies cautious, rational, skepticism. Desistance proves that some people think of themselves as transgender and then come to think of themselves as not trans. Desistance creates doubt.

When I say “desisters,” I’m talking about those who once thought of themselves as trans but do not currently see themselves that way. Desisters like my daughter and the other young people we know, never took steps to medically transition although they considered themselves transgender and in most cases, looked forward to medical intervention of some kind.

Desistance stories are often criticized as being about kids who were never “really trans” to begin with. Brynn Tannehill, a board member of the Trans United Fund, argues that the 84% desistance rate is inflated because it caught up a lot of gender nonconforming kids in place of “true trans” kids–so of course they desisted; they were never trans!

Here’s the thing, neither was my kid. Chances are, most of the kids of parents reading here aren’t trans.

Let’s assume for the moment that there is such a thing as “true trans.” What does that mean? Let’s say there is at least minimal proof that gender identity is innate and biological (there isn’t). Let’s pretend that we have long-term data showing that medical intervention in adolescent development is beneficial to those who don’t fit easily into gendered expectations and norms and to those who suffer from dysphoria.

Now, let’s say that all the previous gender-atypical behavior my daughter exhibited growing up was resultant from a biological abnormality.

So what?

So what if she sits on the far end of the bell-curve’s tail of female behaviors and preferences? How does that make her “other?” Why does that mean she’s in need of medical intervention to “correct” something deeply amiss?

Why can’t she and all other outliers be supported as they are without needing to be fixed? Have we learned nothing from the historical horror show of medical interventions enacted on children with differences in sexual development (“intersex”)? Why does being an outlier mean that she’s “really a boy?” instead of simply, that she’s different than the female norm?

Desistance as a likely possibility gives rise to the “wait-and-see” approach, which according to some “affirmative” gender professionals, is just as dangerous to kids as insisting they’re not trans. This horrifies me, that cautious “wait and see” approaches are discouraged when there is zero evidence that socially and medically transitioning children and teens is beneficial, apart from (parent reported) immediate gratification and short-term validation.

The affirmation model used widely in the US is actually highly controversial. In the UK, a doctor is under investigation for providing cross-sex hormones to children as young as 12—a situation being normalized at pediatric gender clinics in the US.  Under-18 surgeries take place in the US, while they are prohibited in the UK—and even Thailand, once known as a go-to place for underage procedures.  US “affirmative” clinicians behave as if the debate on child transition is over, even though leading researchers at 17 worldwide locations cautioned in a 2015 journal article that “in actual practice, no consensus exists whether to use these early medical interventions.”

brie pull 3And still, WPATH argues in favor of lowering age limits for medical and hormonal treatment and easing access to transgender medicine. In the US, some pediatric gender practitioners and their advocates act as if this course of treatment is settled science. It isn’t. Even the gender specialists in the Netherlands who pioneered the use of puberty blockers in “trans kids”  caution against socially transitioning younger children, because kids who don’t socially transition seem to mostly work it all out by themselves, and some socially transitioned youth who changed their minds found it very difficult to desist later.

Desistance stories also add weight to recommendations for cautious approaches that focus on first treating underlying mental health issues. That’s problematic in a climate where trans activists want to completely depathologize transgenderism. I know a lot of families whose children currently think they’re trans. In almost every instance, there are prior mental health diagnoses or family experiences of trauma.

Parents like you—many of whom are contributors on 4thWaveNow—are castigated as “transphobes” or (at best) “unsupportive.” What do you say to these charges?

Supporting children in desiring and procuring plastic surgery, synthetic hormonal suppression and supplementation is not healthy, supportive, enlightened, or progressive.

Authentic selves do not require surgical and hormonal treatment unless there is underlying pathology, like for my daughter’s autoimmune condition which requires daily hormonal supplementation.  Medical transition should be a last resort for those whose suffering cannot be ameliorated otherwise.

Becoming a life-long medical patient is not liberating; it is enslaving. Being critical and cautious is not hatred, it’s being a good parent.

Gender dysphoria is real and it causes real suffering. My daughter was in deep, profound, pain.

After initial hesitation, I knew my child was not “born into the wrong body” and that as her parent, I would be doing more long-term good (and also less long-term harm) by offering her the time and tools she needed to see herself as whole, capable, and “authentic” as she was instead of affirming that there was something wrong with her.

I think that the most supportive thing we can offer our children is to take apart all our preconceived ideas about gender and identity alongside them. I was told by parents of trans kids and gender therapists that the only expert on my child’s gender identity was my child and that asking “why?” “what does that mean?” “How did you arrive at that conclusion?” “Who are your sources?” and a thousand other questions which would lead down a thousand other rabbit holes, was transphobic, unsupportive, and harmful to her well being.

They weren’t. Those are exactly the questions that helped her make sense of herself, helped her feel whole instead of in need of corrective treatment, helped her be resilient in the face of disappointment and learn to manage both real and perceived limitations.

The stories we’ve been telling aren’t enough. They don’t go far enough. Deep enough. They’re too easy. The answer isn’t a pill or plastic surgery. How many children were prescribed Ritalin simply because their bodies couldn’t stay still? I mean, come on. An entire industry has risen up around trans kids. Careers are being made, not just in the medical field but in education, policy, fashion, the media, all because normal, developmentally appropriate childhood behaviors have been repackaged as (often homophobic) pathologies. We’ve seen this before.

Being “trans” is too easy. It’s an identity picked off a shelf and inside the packaging, there’s a list of other necessary components one must procure before reaching authentic selfhood. “Being trans” to girls like my daughter is like a quest in a video game with each “affirming’ “medical procedure acquired is an “epic win” bringing you one step closer to having all your problems solved. Except no video game exists that suppresses development or leads to the removal of healthy body parts. Being trans isn’t a video game, it’s real life. Real, painful, confusing, life and being trans was the defining aspect not only of identity but also the root of all her suffering.

I supported my child in her journey. What I didn’t do was accept the first and easiest answer. I helped my daughter know that disagreement or unacceptance of any gendered norm was more than okay. I fully supported what my generation quaintly called ‘gender bending” in all ways, but I didn’t agree to let her subject herself to significant bodily harm in an attempt to treat her dysphoria. From the very first announcement, I let her know that she could cut her hair however she wanted, wear whatever clothing she wanted, and use whatever name she chose.

I supported her in her discomfort, to the best of my ability, and I also let her know that discomfort and confusion are legitimate aspects of a meaningful, deeply explored life.

 There are two rationales given for the urgent need to medically transition young people: the risk of suicide, and “passing” better as the opposite sex if puberty is blocked. Do you think these reasons are valid, and if not, why?

Major life moves made from a place of fear and lack of choice are rarely successful. Kids don’t kill themselves because they’re trans. Suicidality needs to be treated as a dysfunctional response to unhappiness, not as a symptom of being trans. Anxiety needs to be treated as anxiety and not as a symptom of being trans. Depression needs to be treated as depression and not as a symptom of being trans. And suicide should not be used as a strategy to manipulate vulnerable parents desperate for “expert” advice or to prime kids to take their own lives. Stop already. That stuff’s contagious.

Most of the parents who’ve agreed to support medical transition for their children and the various gender “experts” I’ve talked to over the past few years argue that children who transition young will pass easier. That’s a problem, because prioritizing “passing,” like much of the surrounding ideology, actually reinforces binary perceptions of gender by suggesting there is only one way to be/to look like a man or a woman. I know gorgeous women with broad shoulders. I know handsome men who can’t grow a beard. So what? The effects of testosterone on a natal female are rapid, and some, like the growth of facial hair, male pattern balding, and changes to one’s voice are irreversible. Besides, it’s recommended that natal females taking testosterone for more than a few years have a full hysterectomy to minimize increased risks of some cancers. Therefore, early transition does not limit later medicalization. Sometimes, it even increases the need for more intensive and painful procedures later.  I think it would be far healthier for those who are gender-atypical and for society to get rid of the idea of “passing” completely.

Until recently, the only critics of pediatric transition seemed to be people primarily from the conservative right.  They tend to conflate transgenderism with gay rights, and are opposed to both. What is your own political affiliation and viewpoint?

Oh, I’m left-of-left. Another reason I want to speak out is because most opposition to trans advocacy comes from the conservative right and IS deeply entrenched in sexist and homophobic beliefs.

Most on the left are too afraid to speak out for fear they’ll be labeled as transphobes, bigots, TERFs, bio essentialists, and just plain old shitty, hateful, shallow-minded people.

Sigh.

Look, if an adult decides after careful and hopefully well researched, in-depth exploration into why they want to undertake surgery and/or HRT, and they fully understand–to the extent it is possible to understand given the lack of long-term data—what their medical choices could mean 5, 10, 40 years down the line, I believe they should be free to make whatever medical choices they and their support team believe to be best. I think insurance policies or better yet, a national health insurance policy (I can dream), should pay for all services related to transgender care.

I believe trans people should be protected against discrimination in education, healthcare, employment, and housing. I want trans people to feel safe walking down the street. I want them to be safe walking down the street.

What do you hope to achieve as public spokesperson for parents of trans-identified young people?

I want to make the conversation larger; I want it to go deeper; I want the medical community to keep their ‘corrective treatments’ away from our children’s bodies. It’s not okay to offer them life-long patienthood without first giving them tools and support to explore the “why?” the “what next?” and a myriad of other possibilities and conclusions.

Currently, the only voices in the discussion are those involved with the industry that’s risen up surrounding transgender medicine. I want to take the discussion beyond the self-declared “experts” who are making entire careers off of the notion that it’s possible to be born into the wrong body.

Many advocates of medical transition for youth claim that there are “true trans” kids who are very different from merely “gender nonconforming” youth. Do you agree?

No. I think almost every human on earth is gender non-conforming in some ways. I was listening to Georgia Warnke recently. She’s largely responsible for getting the medical community to stop performing surgeries on young intersex children, and she helped people learn to be more comfortable with ambiguity in sex and gender presentation. She cautions that we don’t want identities to “go imperial,” a phrase she borrows from Kwame Anthony Appiah who writes that some identities “risk becoming the obsessive focus, the be-all and end-all, of the lives of those who identify with them,” and they “lead people to forget that their individual identities are complex and multifarious.” I’m concerned that’s what’s happening with many of our youth.

Their lives are boring, they’re isolated, the earth is dying, the economy is dying, their families are disintegrating, they’re carrying so much. I can’t imagine a more difficult age to come into ‘ideological’ adulthood than this one. I think a great many young people identifying as trans are doing so because it’s the only life-shaking, meaning-bringing area of their lives they have any control over. Being trans is an answer, a solution, and a meaningful marginal identity during a time in history when being a member of an “oppressed class” also begets greater social currency in some circles.

We’ve given them surfaces. Reflections of reflections of copies. The Mirror Stage mirrored and misidentified. A rose wet with Photoshop dew on a handheld screen that’s the first thing they touch when they wake up and the last thing they touch before they go to sleep. We parents didn’t realize what was happening. We couldn’t predict how digital lives would bleed into reality, that we’d need to clarify what we mean when we say the word “cloud.” Another mom going through this says, “online worlds seep into life like too much salt in a soup.” Curated personas, best friends you’ve never smelled or touched, avatars brought to life.  The Junior Oxford Dictionary removed the words “acorn, ash, buttercup, dandelion, fern, ivy, nectar, pasture and willow” to make room for: “blog, broadband, celebrity, chat-room, mp3 player and voicemail.”

Huge, meaningful and exciting swaths of our kids’ lives have played out in digital worlds while their material worlds have become smaller, more isolated, and disconnected. In many cases, our kids were already disassociated from their bodies, even before they became aware of trans identities. Running, jumping, dancing, wrestling, all these things happen primarily in controlled spaces now. The only remaining place for many young people to gather away from adult-controlled, contrived, and protected spaces, are digital worlds. It follows, in this climate, that “authentic selves” might also be technologically-mediated products to consume. My god, talk about planned obsolescence. This is planned obsolescence of the body from the moment of its birth and our kids are early test subjects in transhumanism. For real. No tinfoil hat needed. Google “postgender.”

No. I don’t believe that there’s such a thing as “true trans.” I believe we’re all mosaics of hormonal, skeletal, emotional, personal, etc. traits and that identity is being commodified in dangerous ways.

Your daughter is only 14. The “affirmative” clinicians will say, see? She just wasn’t really trans. No one can be “made” to be trans, so your daughter just figured out she wasn’t. No harm done.

The only reason my daughter figured out she isn’t trans is because I gave her space, time, and access to diverse people to talk to. I did not, as was advised, immediately affirm her new trans identity. Had I done so, had I said, “oh, yeah, that makes sense” she would most likely, she says, be taking testosterone now. She thanks me regularly for not believing she was a boy trapped in a girl’s body.

Related to the previous question, how do you know your daughter won’t change her mind again and realize she actually is trans? Again, the activists/affirmative clinicians will say maybe she’s just staying “in the closet” about being trans to please you.

I don’t know that my daughter won’t change her mind. How could I? What I know is that she spent the past two years interrogating her dysphoria: where it came from, what purpose it served/didn’t serve in her life; what triggered/increased/decreased its intensity. For the most part, she faced her dysphoria, anxiety, and past trauma head-on and learned ways to live in her body more comfortably.

Is she just waiting until she leaves home to come out again? Best to ask her [Note to readers: We will!] but I don’t think so. She’s angry that she wasted two years of her childhood worrying about her gender identity. She sees her non-conformity with gender roles and her non-compliance with “femininity” as aspects of her individual personality, not as pathology in need of corrective medical care. To her, and she can explain this better than I can, being “trans” means accepting that males/females can only be one way, that some aspects of identity/personality/self-essence beyond biological functions belong to only males or females. She doesn’t believe that’s true.

Do you oppose medical transition for all youth? Why or why not?

No. I believe that for some youth, pharmaceutical treatment might bring the most relief. I do not believe that surgery to remove healthy body parts should ever happen on children or adolescents.

Physically altering (and sterilizing) bodies as a “corrective measure” is nothing new. The history of medicine overflows with horrors enacted on dark skinned and disabled bodies, the bodies of women, and of homosexuals. Doctors in the Netherlands, where homosexual males used to be surgically castrated, were the first to suppress natal puberty in trans identifying children. I think that history, of medically-supported and induced harm on noncompliant bodies, is important to keep in mind when thinking about transgender medical treatment. I mentioned Ritalin earlier. But let’s remember lobotomies, cures for hysterical women, female genital mutilation. Let’s remember that puberty suppressants followed by cross-sex hormones will sterilize a body for life. Gender specialists are sterilizing and greatly increasing the risks of cancer and other debilitating medical conditions in children, many of whom would simply have grown up to be gay in earlier times.

Caution. We have to be more cautious, not open the gates wider. Puberty suppressants, cross-sex hormones, and surgery, all have life-long consequences. Shouldn’t the focus be on helping people learn to accept themselves, in all their messy, unmatched, contradicting, and possibly limiting, glory? We contain multitudes, right? Let’s contain them in the healthiest of possible bodies, with the least amount of dependency on chemical and specialized medicine.

We all want to thank you for stepping forward as public spokesperson for 4thWaveNow. As you are well aware, many parents feel they cannot go public because of the current political climate.

I want those of us who live with and care for young people investigating their gender identities to think more critically and carefully about the idea that humans can be born into “wrong bodies,” and that “authentic selves” are dependent on medical consumption. I want to push the conversation beyond “because I am trans” answers. That’s not good enough. There’s more here and we owe it to our kids and future societies to ask harder questions and to wait, patiently, for more meaningful answers.

I want to speak out because I know others can’t. The risk to one’s livelihood and to the peace of their families and communities is immense. Nothing I am saying is hateful or bigoted but questioning the dominant narratives of innate gender identity and affirmative models of treatment are dangerous moves when even philosophical questions are considered “epistemic violence” against trans people.

This is unacceptable. We cannot think rationally or make well-informed choices if half the conversation is muted. The voices of desisters are important contributions to any discussion focused on dysmorphic adolescents and kids who don’t easily conform to gender norms. I want parents to know that it’s okay to say, “hang on, lets think all this through together.”

You know, if “being trans” simply meant I am who I am who I am and it didn’t often come with a side of medical necessity, I wouldn’t be here insisting we need to talk about this stuff more thoughtfully, more thoroughly.

If sex is socially constructed, like trans advocates argue, why does anyone need to alter their sexed bodies to match their gender identities? It doesn’t make sense. Transgender medicine is being marketed to our young people under the guise that their gender-atypical behavior and/or their developmentally normal bodily discomfort is a sign of incongruity, of imbalance. Normal, healthy teen angst, the challenges of independent identity formation in adolescence, these processes have been pathologized. Instead of helping kids be resilient, many aspects that fall under “gender identity exploration” enable self-perceived and socially-inflicted oppression, hardship, isolation, and malaise.

But, too, in many ways, what’s happening with awareness about gender identities is meaningful and I’m thankful to young people for pushing the rest of us to think about what being “masculine” and “feminine” means in this day and age. Thanks to young people, many are noticing how toys are more gendered now than they were thirty years ago and lots of parents are questioning why boys can’t wear sparkles and why we tell girls to smile. This is all good stuff! But all the good stuff is coming at the cost of our children’s long-term physical and emotional health.

I’m adding our story to the mix because it offers an alternative trajectory to the one that currently dominates the press. In addition to the “courageous trans kid” who lets everyone know that she is a he, I want to highlight young people who’ve come to terms with their sexed bodies and courageously move forward in life without feeling there is something wrong with them, that they’re disabled in some way, that their bodies or other’s perceptions of them are in need of correction.

Both my daughter and I want other parents and young people to know it is possible to work through some/most/all aspects of dysphoria without removing healthy body parts or injecting off-label cancer drugs and cross-sex hormones.

I want parents to know it’s okay to ask questions, to dig deep, to be skeptical. To push your children and those who oversee their care to go beyond “just because” answers like “because that’s how I feel” or, “that’s who I am,” to deeper levels. Push through to “why?” and “what does that mean?” to “where does that feeling come from?” and bravely explore what’s uncovered. What does it mean to “feel” like a woman or a man? Why do those feelings mean healthy bodies are in need of medical intervention? I mean, really, how can it be that so many have suddenly been born “wrong?”