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Online Dating: I heard a similar story from a quirky year-old theater kid who was going by the nickname Delta when we spoke. Whether trans people in this country can access treatments such as hormones and surgery depends on a variety of factors, ranging from where they live to what their health insurance will cover if they have any to their ability to navigate piles of paperwork. After coming out to her mother and father, she says they had a lot of questions and had to do their own emotional work about her decisions, but that they were also consistently supportive of her. He would like to see further research into the possible effects of blockers on bone and brain development.

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The couple has kept in touch with us both over the years, sending pictures and updates on their daughter.

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The plot thickens again: A rich new language has taken root, granting kids who might have felt alone or excluded the words they need to describe their experiences. It was a mild February day, so we sat in one of the pine booths outside the restaurant. Even some of the clinicians who have emphasized the need to be deferential to young people acknowledge the complexities at play here.

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For an hour, she let me pepper her students with questions about their experiences as clinicians-in-training in what is essentially a brand-new field.

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