Gender Dysphoria in Children

In children, Gender Dysphoria manifests as a strong, persistent identification with a gender different from the one assigned at birth.

Gender Dysphoria in Children

In children, Gender Dysphoria manifests as a strong, persistent identification with a gender different from the one assigned at birth. Children may express a desire to live as the experienced gender, prefer clothing or toys associated with that gender, and display distress when forced to conform to assigned-gender expectations. In Saudi Arabia, cultural, religious, and social norms can make the expression of gender diversity highly challenging. Families and clinicians may be hesitant to discuss gender identity openly, increasing the risk of emotional distress, anxiety, and isolation for affected children.

What constitutes Gender Dysphoria in Children?

  • Strong desire to be or insistence on being another gender
  • Preference for clothing, toys, or activities associated with the experienced gender
  • Dislike of primary and secondary sex characteristics
  • Clinically significant distress or impairment

Symptoms and warning signs

  • Consistent insistence on living as another gender
  • Strong preference for peers of the experienced gender
  • Rejection of toys, clothes, or activities associated with assigned gender
  • Distress, anxiety, or frustration regarding body development or social expectations

Causes and risk factors

  • Combination of biological, genetic, and environmental factors (research is ongoing)
  • Family and peer attitudes toward gender
  • Co-occurring mental health conditions (e.g., anxiety, depression)

Treatment approaches

  • Affirmative psychotherapy: supporting the child’s gender identity and reducing distress
  • Family therapy: educating and guiding families on supportive practices
  • Social transition support: changes in name, pronouns, and presentation where appropriate
  • Monitoring mental health: addressing anxiety, depression, or bullying-related stress
  • Medical interventions: puberty blockers may be considered in consultation with pediatric endocrinology for older children

Why Act Center for Gender Dysphoria in Children in Jeddah, Saudi Arabia?


Our experienced therapists in Jeddah, Saudi Arabia offer family-centered support to help children explore their gender identity and reduce associated distress.

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