A cultural script is a culture's laws, customs, traditions, and presuppositions. Some cultures have high youth suicide rates, for brief periods, some have rarely seen that phenomenon. Youth suicide is rare. But emotions can be high for teenagers, in normal development girls ruminate more than boys, this may be why, in puberty, girls go through a flood of negative emotions. Knowing that this is normal prepares girls for adolescence. There is no single cause for the rise of gender dysphoria in many adolescent females. Instead, it is suggested that multiple pathways create a trans identity in adolescents, with a few common traits. For example, in both anorexic eating disorders and gender identity disorders, relatives, especially parents, are exposed to strong feelings of helplessness and powerlessness in addition to the massive feelings of guilt and failure.[109] Girls are often not taken seriously. The problem is that mom, who often denied her own needs as an adolescent, does not recognize a similar need in her daughter. This problem could be alleviated for girls who are told the truth about the strong feelings they will encounter in puberty and not to suppress those feelings by means of an eating disorder.

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Boys and Girls often have different temperaments; boys are often constricting, while girls are enabling. For this and other reasons, the counselling needs of girls are different than those of boys. *When possible, girls should be counselled by women, and boys should be counselled by men. Extreme emotions will happen for youth in adolescence; the goal is to move the strong emotions into the background.