The vast majority of youth with gender dysphoria are recognized as suffering from unresolved traumas, mental illness, and/or being on the autism spectrum. Ethical medical treatments restore normal development, health and function, and relieve suffering. Our guideline shares fundamental principles in the context of child development and evidence based psychotherapeutic interventions with children and adolescents. We will provide background information into child psychology based on the research and case studies and the testimonies of experts in child development. Studies and outcomes referenced provide recommendations from which to have further discussion regarding child development. Children mirror the behaviour of the adults they encounter, so it is everyone’s job to help the children around them by monitoring their own behaviour. This psychodynamic paper was written to be understood by a layman by using diagrams that make it easy to grasp psychotherapy. Understanding psychological development, and common problems that arise in development, will help parents and teachers help kids who are confused during identity formation. 

Authors, Michelle A. Cretella, MD. (Chair of the Adolescent Sexuality Council of the American College of Pediatricians, and past executive director of American College of Pediatricians); Linda Blade, PhD in Kinesiology, Professional Sports Coach and former Canadian Champion in the Heptathlon; and Lara Forsberg M.Ed., mother of middle-school children; together we provide an evidence based guideline for supporting dysphoric youth.