Table S1: DSM IV Diagnostic Criteria for Gender Identity Disorder*
A. A strong and persistent cross-gender identification (not merely a desire for any perceived cultural advantages of being the other sex).
In children, the disturbance is manifested by four (or more) of the following:
1. Repeatedly stated desire to be, or insistence that he or she is, the other sex.
2. In boys, preference for cross-dressing or simulating female attire; in girls, insistence on wearing only stereotypical masculine clothing.
3. Strong and persistent preferences for cross-sex roles in make-believe play or persistent fantasies of being the other sex.
4. Intense desire to participate in the stereotypical games and pastimes of the other sex.
5. Strong preference for playmates of the other sex.
In adolescents and adults, the disturbance is manifested by symptoms such as a stated desire to be the other sex, frequent passing as the other sex, desire to live or be treated as the other sex, or the conviction that he or she has the typical feelings and reactions of the other sex.
B. Persistent discomfort with his or her sex or sense of inappropriateness in the gender role of that sex.
In children, the disturbance is manifested by any of the following: in boys, assertion that his penis or testes are disgusting or will disappear or assertion that it would be better not to have a penis, or aversion toward rough-and-tumble play and rejection of male stereotypical toys, games, and activities; in girls, rejection
of urinating in a sitting position, assertion that she has or will grow a penis, or assertion that she does not want to grow breasts or menstruate, or marked aversion toward normative feminine clothing.
In adolescents and adults, the disturbance is manifested by symptoms such as preoccupation with getting rid of primary and secondary sex characteristics (e.g., request for hormones, surgery, or other procedures to physically alter sexual characteristics to simulate the other sex) or belief that he or she was born the wrong sex.
C. The disturbance is not concurrent with a physical intersex condition.
D. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
*This is in contrast to Gender Identity Disorder NOS, which is reserved for disorders of gender identity that are not classifiable as a specific Gender Identity Disorder, including intersex conditions; transient, stress-related cross-gender behavior; and persistent preoccupation with castration or penectomy without a desire to acquire the sex characteristics of the other sex.
Table S2: DSM-5 Diagnostic Criteria for Gender Dysphoria in Children
A. A marked incongruence between one’s experienced/expressed gender and assigned gender, of at least 6 months’ duration, as manifested by at least six of the following (one of which must be Criterion A1):
1. A strong desire to be of the other gender or an insistence that one is the other gender (or some alternative gender difference from one’s assigned gender).
2. In boys (assigned gender), a strong preference for cross-dressing or simulating female attire; or in girls (assigned gender), a strong preference for wearing only typical masculine clothing and a strong resistance to the wearing of typical feminine clothing.
3. A strong preference for cross-gender roles in make-believe play or fantasy play.
4. A strong preference for the toys, games, and activities stereotypically used or engaged in by the other gender.
5. A strong preference for playmates of the other gender.
6. In boys (assigned gender), a strong rejection of typically masculine toys, games, and activities and a strong avoidance of rough-and-tumble; or in girls (assigned gender), a strong rejection of typically feminine toys, games and activities.
7. A strong dislike of one’s sexual anatomy.
8. A strong desire for the primary and/or secondary sex characteristics that match one’s experienced gender.
B. The condition is associated with clinically significant distress or impairment in social, school, or other important areas of functioning.
Helpful Resources
A. Books for Children
1. 10,000 Dresses; Marcus Ewert, 2008
2. All I Want to Be is Me; Phyllis Rothblatt MFT, 2011
3. Are you a Boy or a Girl?; Karleen Pendleton Jimenez, 2000 4. Be Who You Are; Jennifer Carr, 2010
5. Oliver Button is a Sissy; Tommie de Paola, 1979 6. My Princess Boy; Cheryl Kilodavis, 2010
7. The Boy Who Cried Fabulous; Lesléa Newman and Peter Ferguson, 2004
8. The Sissy Duckling; Harvey Fierstein and Henry Cole, 2002 9. William’s Doll; Charlotte Zolotow and Wlliam Pene Dubois, 1985 10.X: A Fabulous Child’s Story; Lois Gould, 1978
11.Pinky and Rex (part of series), James Howe and Melissa Sweet, 1990.
12.Not Like Other Boys, Fanta-Shyer, M. and Shyer C.
13.Caleb’s Friend, Eric Jon Nones, 1993.
14.Jack and Jim, Kitty Crowther, 2000.
15.Nobody Knew What to Do: A Story about Bullying, 2001.
16.I’m Gonna Like Me: Letting off a Little Self-esteem, JL Curtis and L Cornell, 2002.
17.The Adventures of Tulip, S.Bear Bergman, 2012 18.Be Who You Are, Jennifer Carr, 2010
19.George by Alex Gino, 2015. Age 9+
20.Red: A Crayon’s Story by Michael Hall, 2015
21.I Am Jazz by Jessica Herthel and Jazz Jennings, 2014 22.About Chris by Nina Benedetto, 2015
23.My Favorite Color Is Pink by Nina Benedetto, 2015
24.Morris Micklewhite and the Tangerine Dress by Christine Baldacchino and Isabelle Malenfant, 2014
25.Jacob’s New Dress by Sarah Hoffman and Ian Hoffman, 2014 26.The Story of Ferdinand by Munro Leaf and Robert Lawson, 2011 27.You're Different and That's Super by Carson Kressley, 2005 28.Wonder by R. J. Palacio, 2012. Age 8+
29.Introducing Teddy: A Gentle Story About Gender and Friendship by Jessica Walton, 2016
30.Sparkle Boy by Leslea Newman, 2017
31.Who Are You? by Brook Pessin-Whedbee, 2016 B. Books for Teens
1. Being Emily, Gold, Rachel, 2012. Ages 14 +
2. What I Know Now, Rodger Larson, 1997. Ages 12 + 3. The Misfits, James Howe, 2003. Ages 10 to 14
4. The Secret Fruit of Peter Paddington, Brian Francis, 2005. Ages 12 + 5. Luna, Julie Anne Peters, 2006. Ages 14 +
6. So Hard to Say, Alex Sanchez, 2006. Ages 14 + 7. Totally Joe, James Howe, 2007. Ages 12 +
8. If You Believe in Mermaids … Don’t Tell, A. A. Philips, 2007. Ages 11+
9. Parrotfish, Ellen Wittlinger, 2007. Ages 14 +
10.Gracefully Grayson by Ami Polonsky, 2016. Ages 12 + 11.Lily and Dunkin by Donna Gephart , 2016. Ages 10+
12.Beautiful Music for Ugly Children, by Kirstin Cronn-Mills, 2012. Ages 14 + 13.The Other Boy by M. G. Hennessey, 2016. Ages 10+
14.Beyond Magenta: Transgender Teens Speak Out by Susan Kuklin, 2015.
Ages 14 + C. Books for Adults
1. Gender Born, Gender Made: Raising Healthy Gender-Nonconforming Children; Diane Ehrensaft, 2011
2. The Gender Creative Child: Pathways for Nurturing and Supporting Children Who Live Outside Gender Boxes, by Diane Ehrensaft PhD and Norman Spack MD. 2016
3. The Transgender Child: A Handbook for Families and Professionals;
Stephanie A. Brill and Rachel Pepper, 2008
4. The Transgender Teen: A Handbook for Parents and Professionals Supporting Transgender and Non-Binary Teens by Stephanie A. Brill and Lisa Kenney, 2016
5. Transitions of the Heart: Stories of Love, Struggle and Acceptance by Mothers of Transgender and Gender Variant Children; Rachel Pepper, 2012
6. Mom, I Need to be a Girl; Just Evelyn, 1998
7. Transgender Explained To Those Who Are Not; Joanne Herman, 2009
8. This Is How It Always Is: A Novel by Laurie Frankel (a parent of a trans kid), 2017
9. A Boy, Named Jacob by Mimi Lemay, forthcoming from Houghton Mifflin, 2018
10.She’s Not There: A Life in Two Genders by Jennifer Finney Boylan, 2013 11.Some Assembly Required: The Not-So-Secret Life of a Transgender Teen
by Arin Andrews, 2015.
12.My Daughter He: Transitioning with Our Transgender Children by Candace Waldron, 2014.
13.Balls: It Takes Some to Get Some by Chris Edwards, 2016.
14.Transgender 101: A Simple Guide to a Complex Issue by Nicholas Teich, 2012
15.Raising Ryland: Our Story of Parenting a Transgender Child with No Strings Attached by Hillary Whittington, 2016
16.Raising My Rainbow by Lori Duron, 2013.
17.Becoming Nicole: The Transformation of an American Family by Amy Ellis Nutt, 2016
18. Raising the Transgender Child: A Complete Guide for Parents, Families, and Caregivers by Michele Angello and Ali Bowman, 2016
D. Conferences/Camps
1. Gender Spectrum Family Conference: Provides education, training and support to help create a gender sensitive and inclusive environment for all children and teens; hold an annual conference.
2. Camp Aranu'tiq: Weeklong, overnight summer camp for transgender and gender-variant youth ages 8 through 15 (New England and Southern California Locations)
3. Camp Born This Way, for children 5-17 in Arizona
4. Camp Ten Trees, camp in Washington State, multiple camps throughout the year
5. Gender Conference East http://www.genderconferenceeast.org/, with family programs and events for youth (held in NJ)
6. Philadelphia Trans Health Conference https://www.mazzonicenter.org/trans-health
7. Camp Outright through Outright Vermont http://www.outrightvt.org/camp- outright/
8. First Event Conference (held in MA—Waltham or Marlboro)
http://www.firstevent.org/2018/index.html. Has adult track (for adult trans people) but also family and youth programming. Good opportunities for parents to visit some adult presentations and hear about future issues (such as surgery before/after, etc.)
9. Camp Lightbulb in Provincetown, MA http://www.camplightbulb.org/
E. Websites
1. www.welcomingschools.org : A guide to help educators create a safe space for all children
2. CDC resources: http://www.cdc.gov/lgbthealth/youth-resources.htm 3. Parents, Friends and Families of Lesbians and Gays (PFLAG):
www.pflag.org
4. Gay Lesbian and Straight Education Network (GLSEN): www.glsen.org 5. Advocates for Youth:
http://www.advocatesforyouth.org/publications/publications-a-z/727- resources-forgay-lesbian-bisexual-and-transgender-youth-select- organizations-web-sites-videos
6. www.transparenthood.net
7. http://www.stopbullying.gov/at-risk/groups/lgbt/
8. www.aap.org/solgbthw ; click on “education” then on links to webinars 9. www.transyouthequality.org
10.genderspectrum.org resources for working with schools, including templates for meetings with principals, resources for teachers, etc.>>
11.http://www.wpath.org/site_page.cfm
12.Get a good sense of the book Becoming Nicole by listening to this 37 minute NPR clip: http://www.npr.org/sections/health-
shots/2015/10/19/449937765/becoming-nicole-recounts-one-familys- acceptance-of-their-transgender-child
F. Movies
1. "No Bikini" https://www.youtube.com/watch?v=b7zaiUN8tSc
2. Ma Vie en Rose 3. A Place in the Middle 4. Becoming Johanna 5. I’m Just Anneke 6. Tomgirl
7. Growing Up Trans 8. Kuma Hina
9. Next Goal Wins 10.Tomboy
