Children with gender identity issues 'need help from all sides'
Most are aged 14 to 16, going through puberty, and more than two-thirds are female at birth.
The NHS clinics do not provide hormone blockers until the child has started puberty, and cross-sex hormones are only given from around the age of 16.Dr Polly Carmichael, consultant clinical psychologist and director of the Gender Identity Development Service , said many had complex social and personal histories.
"I think there is sometimes a danger there can be a split - if someone is presenting with issues around their gender identity, that local services perhaps think that's going to be the answer to everything.Dr Carmichael and colleagues had no explanation for the huge jump in referrals to clinics over the past five years, but said it was likely to be down to greater awareness of gender identity issues and greater acceptance of them.
"They are moving into puberty and the young person suddenly faces a kind of wall of reality, and that makes us anxious, we think that's setting up problems."
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