What I’ve found over the last 12 years is that these young people are both some of the most challenging and most rewarding clients. Challenging not because they are especially difficult and certainly not because they experience different levels of complex differential diagnosis than any other clients. But, challenging because I find myself walking a tightrope of clinician, advocate, peacemaker, educator and spiritual mediator that I never imagined would be a part of my everyday work. And rewarding, of course, because it’s an absolute privilege to see children as young as 4 years old articulate in no uncertain terms more about themselves and their core identity than many of us are able to do in a lifetime. 

I met Dr Michele Angelo at my first PTHC Conference, and was blown away by her vast and confident knowledge of trans youth. She was one of the first people that welcomed me into the trans world, so to speak.

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