“…Children not allowed these freedoms by agents within their developmental systems (e.g., family, peers, school) are at later risk for developing a downward cascade of psychosocial adversities including depressive symptoms, low life satisfaction, self-harm, isolation, homelessness, incarceration, posttraumatic stress, and suicide ideation and attempts [D'Augelli, Grossman, & Starks, 2006;Garofalo, Deleon, Osmer, Doll, & Harper, 2006;Roberts, Rosario, Corliss, Koenen, & Bryn Austin, 2012;Skidmore, Linsenmeier, & Bailey, 2006;Toomey, Ryan, Díaz, Card, & Russell, 2010;Travers et al, 2012]. While the developmental impact of our approach has yet to be rigorously studied, some evidence suggests that gender-nonconforming children are negatively impacted when given the message by therapists, doctors, or families that their gender expression must conform to traditional gender roles associated with their birth-assigned gender [Hill, Menvielle, Sica, & Johnson, 2010].…”