Cardinal Support Network has put together a set of resources that covers some of the most common issues families and individuals face when coping with a child or family member who has declared a trans-gendered identity, transitioned, or detransitioned.  The information contained in these pages has proven helpful to many of our members, and our aim is to make it easier for those new to the topic to find a wealth of resources all in one location.  The situation you are facing can be very stressful, and to have information readily available provides support and allows you to move forward more quickly .  Check back often as we add new resources and topics regularly.​  Important:  Sweden & Finland End Child Gender Transitions - Read Here

Gender Ideology


Gender ideology is difficult to define, even within the community of advocates.  It was tacked on to the LGB movement and since overtaken it, even pushing out those who campaigned for LGB equality under the law - for protections in employment, housing, and marriage.  Gender ideology goes far beyond these basic legal protections by seeking to change language and force recognition of situations that are patently false.  A new summary written by Genspect, outlines the dangers and offers a printable resource to give to educators, medical professionals and families HERE.

Watch Trans Mission - Our mission is to educate about parent's experiences in Ohio and beyond: WATCH

Read articles in PITT, a parent site on how to manage family dynamics:  HERE

The below articles explain the cultish nature of gender ideology and the legal and social issues it presents. 

Other resources to understand this movement:

This young man has a refreshing take on the subject here and in this PDF:  The Gender Paradox

We strongly recommend that you watch this video series.  Comprising experts in
the field, it’s a great summary of what’s happening in Ohio and beyond.  

Dysphoric: A Four-Part Documentary Series (Part 01)

click here or watch below


Gender Clinic Recommended Steps Can Increase Dysphoria

Social transition (name change, pronoun change, registering the child at school under their new identity, as well as clothing and hair/grooming changes) is often touted by our kids and therapists as perfectly safe, and, compared to medical intervention, social transition certainly is less risky because the steps taken are both noninvasive and reversible.  It can, however, be a "slippery slope" and should be done only after fully assessing your own family situation.

Members here know that every child, family and situation is different. Many parents have found allowing whatever a child desires in the way of clothing, grooming and hairstyles to be a safe way to allow a child some opportunity for "gender exploration."  Some have chosen to use their child's new name and pronouns in order to build trust and show that effort is being put forth to help alleviate the child's distress.  These choices are deeply personal and typically the result of much thought, research, and deliberation on the part of the parent.  Again, every situation is different and every parent must do what they believe is best for their own child and particular situation. 

While social transition is not necessarily permanent, it is not entirely risk free as it can help solidify a child's trans identity (which could eventually lead to medical transition), making it more difficult for them to re-identify as their birth sex in the future.  One gender clinic in L.A. outlines that social transitioning leads to a low if not zero desist rate: HERE

If you are feeling pressured to socially transition your child, below are some resources you can share with your child, therapist, teachers and school administration, sports team coaches, etc., to help dispel the myth that social transition is risk-free. Be sure to review the age of adolescence as recognized by the NIH.


Debra Soh’s concerns that social transition may increase persistence of gender dysphoria in pre-gay youth:

“Thus, sentences such as Soh’s, “We don’t allow children to vote or get tattoos, yet in the name of progressive thinking we are allowing them to choose serious biomedical interventions with permanent and irreversible results” are simply irrelevant to the discussion of social transitions and prepubescent children…Large numbers of transgender adults do not pursue these medical interventions, and we have met adolescents, even ones who have socially transitioned before puberty, who are making that same decision. So even the argument that allowing early social transitions will lead to an inevitable use of hormones and surgery is misleading.

"Social transition risks grooming desisters for unnatural medical treatment the child would have avoided as part of their maturation process. One estimate of desisters is as high as 67% under a DSM-IV [Diagnostic and Statistical Manual of Mental Disorders]. This is higher than the number of persisters. DSM-V is stricter but not altogether different. It is very unlikely so few of these significant numbers of youths would not qualify under current criteria.  There is no proof that social transitions are reversible and some gender professionals fear they won’t be in some cases. Developmental psych. strongly supports reinforcement greatly impacts children. The idea that a child can live a formative 6 years as the opposite sex and just revert back should be treated with skepticism."

"Reinforcing the child’s dysphoria by socially transitioning them merely provides a quick fix to a life-long issue. It presents transition as a panacea and denies the child a chance to learn coping skills for issues like shifting dysphoria or transition failing to solve all problems as research indicates."

"In a 2011 journal article,  Dutch clinician-researchers who first pioneered the use of puberty blockers cautioned that early social transitions can be difficult to reverse:

"As for the clinical management in children before the age of 10, we suggest a cautious attitude towards the moment of transitioning. Given our findings that some girls, who were almost (but not even entirely) living as boys in their childhood years, experienced great trouble when they wanted to return to the female gender role, we believe that parents and caregivers should fully realize the unpredictability of their child’s psychosexual outcome.  They may help the child to handle their gender variance in a supportive way, but without taking social steps long before puberty, which are hard to reverse. "


Even the Endocrine Society, which actively promotes puberty blockers and cross-sex hormones for pubescent children, counseled against social transition in its guidelines.

As recently as last year, a 17-clinic qualitative study reported on doubts some clinicians have about aspects of “affirmative” treatments for children.  "As long as debate remains … and only limited long-term data are available, there will be no consensus on treatment. Therefore, more systematic interdisciplinary and (worldwide) multicenter research is required."

At this moment in time, further research is exceedingly difficult, as exploration of the topic often results in activists insisting on retractions, revisions, or prevention of said research, especially if it is publicly funded.  Nonetheless, the extant data would indicate that holding off on social transitioning may be preferable for keeping your child's options open, and since 85% or more children do not persist with gender dysphoria after natural puberty, why would adults around these children engage in such gaslighting?

Talk Therapy


Therapy or not?  Access to a therapist is often the first thing that parents consider when their child tells 
them about their trans identity. Maybe your child has already been seeing a therapist because of
underlying mental health issues.  Psychotherapy can be a valuable way of helping your child to
explore difficult feelings and to work through the causes of distress.   Talk therapy is more likely to be worth-
while if you are open and realistic with your child's therapist, if you are both clear about goals, and if you inform
yourself about the process.  It is especially important to note that a child who eventually casts off their
transgender identity will do so from their own changed understanding of their situation - they cannot
be talked out of it.  Therapy can help them talk their way THROUGH it.


Most gender clinics view therapy as optional and will put your child on a path to transition, in our experience, without careful consideration of any other existing mental or medical issues. We do not recommend any provider  or therapist  or intake facility that has a connection to a gender clinic or provides gender affirmation surgeries to adults. Adult to a "gender affirming" surgeon is age 18.  The following explains why. 

'Affirmation' and the Memorandum of Understanding

In 2015, the NHS and all leading psychotherapy groups in the U.S. rightly ended talk therapy aimed at changing someone's sexual orientation or to reduce their attraction to others of the same sex - i.e. trying to 'convert' someone from being a homosexual. In 2015, Hamilton County, Ohio, and several other counties passed local “conversion therapy” bans to include “gender identity,” viewing this issue as exactly the same as attempted homosexual conversion. Now, in addition to sexual orientation, these laws forbid therapists from attempting to change someone's gender identity. It is important to understand                          how these conversion therapy bans including gender identity have progressed. 


In Ohio, for example, there are several counties (city of Cincinnati) that have these bans and actively punish psychologists for trying to                                      align a young person’s mind with biological reality, instead forcing therapists to treat healthy puberty and the pangs of being a teenager                                        as a disease.

It is important to understand that the health of children is regulated by the state, not county officials. This false narrative is activist
based  and is in opposition to studies that show that 85% or more of these children would naturally align with their bodies following
puberty.  Some gender clinics even state this fact on their websites, but then proceed to ignore it.  Since children are self-diagnosing
gender identity, often in peer groups, it is of grave concern that these clinics are ignoring the established science on desistance.  It is
also known that many of these children would in fact grow up to be lesbian, gay or bisexual adults, causing many therapists to consider
the medical treatments “gay eugenics.”

Most therapists won't be aware of the conversion therapy bans including gender identity.  Clinical freedom to explore a child's gender identity is subject to policy constraints. In the US, for example, some activist clinicians hold that therapists who do not affirm a client's transgender identity are  engaging in "conversion therapy" - this is putting ideology ahead of ethical practice.  As always, the sensible thing is to have a conversation with your child's therapist so that you are clear about the goals, and to seek out a neutral exploration of a child's ideas about their body and gender roles, especially if it is something that has confused or distressed them. It is important to question your therapist on their stance on this issue when your child is not present. Avoid therapists who make coercive statements like this:  “Would you rather have an alive son or a dead daughter?”  Report these therapists to your local state medical board for review - suggesting that suicide is even an option, especially in front of your child, is unethical and coercive and unprofessional practice.

Areas of Therapeutic Expertise

Do not assume that a therapist who advertises a specialty in gender identity or LGBT issues will serve your child’s best interests.  In fact, we have found that those claiming this area of expertise are to be avoided - they are more likely to affirm without question and be unwilling to explore co-morbid mental health issues, past traumas, or other contributing factors to your child's dissociation. Your child may benefit most from therapy with someone experienced in a wide range of child and adolescent issues, who can discuss all factors around an individual's belief that they are transgender. To ensure the best outcome, it is vital to explore other factors at play, such as trauma, internalized homophobia, mental illness, peer influence, or neuro-developmental factors that could create confusion and distress around their sex roles and identity, especially during adolescence.

Parents report that seeing no therapist is better than seeing an 'affirming' therapist in this situation (i.e. one who takes the assumed gender identity at face-value, without exploring the underlying reasons for its adoption), and it is worth bearing in mind that some children will struggle to engage with any therapist who does not affirm them. That is not the same as saying you should be dealing with this alone. Take support wherever possible (parent groups such as Cardinal Support Network, sympathetic social workers, GPs and family and teachers). Some parents have found it useful for their own mental health to get expert support from therapists about dealing with a trans identified child. (Names of therapists can be provided on request to members of the Cardinal Support Network).  There are several good general guides to talk therapies online.  Some excellent public therapists on this website are here and here and here.


Due to safety concerns, we do not openly post trusted therapists' contact information. 

Girl in Therapy
Red Plastic Portrait

Boys and Young Men


Parents of autistic, loving, gender non-conforming males are being told that their sons are really their daughters. Often labeled as “transgirls or transwomen”, these males are being bullied because they are different, may not like sports, and can have what are considered effeminate interests, including dressing differently or preferring long hair.  Transactivists, often working in gender clinics, say these boys' bodies are wrong.  We are alarmed at the blatant disregard for the mental and physical health of these boys. Some parents believe that this is actually gay eugenics.  Some parents may be suffering from Munchhausen syndrome.  The truth is, we don’t know because there is no way to diagnose being “transgender,” the new slang word for transsexualism which doesn’t describe what our young boys are experiencing. One mother describes her alarming experience.  Another parent, here.

“Gender nonconforming people (particularly gender nonconforming boys) are often mistreated in our society. It would not be surprising if this mistreatment had negative consequences with respect to mental health or general adjustment. (The fact that gender nonconforming homosexual people sometimes experience prejudice from other homosexual people cannot help.)” – Bailey

“When young dysphoric males are given hormone blockers at the onset of puberty, it stops genital growth (“micro penis”) and this becomes permanent if the youth go on to cross-sex hormones. There is no evidence available that the effects on sexual function in a pubertal male are “fully reversible,” if the youth stop blockers and resumes a “normal puberty.” If the youth does not want to go through life with an 11-year-old’s penis, the youth will now have to have a portion of their colon or peritoneal lining around the stomach extracted, along with skin from the abdomen, in order to make a “neovagina” (rather than inverting a penis, which is how it is done on adults). " - Gender Health Query.

Parents of boys are sharing their experiences (PITT) with their gifted, socially awkward sons with take on the transgender identity here.

Glinner Podcast:  Grooming, It's Different for Boys

Girls and Young Women and ROGD


ROGD stands for “Rapid Onset Gender Dysphoria comprised of mostly teenage girls coming out as “transgender” in friend groups without having early onset gender dysphoria, a traditional requirement of gender dysphoria diagnosis.  Parents are reporting that their daughters appear to not be helped by transition, many youths have serious mental health issues prior to trans identification, and therapist and doctors are immediately affirming their self diagnosed "transgender" identification, including medically. Ohio parents of ROGD kids reports that most of their daughters self-identified as “transgender”, then began making demands for treatments.  Some ran away from home and are being housed by transactivists.  At 18, not much can be done to stop them. Many have co-morbid mental health challenges such as ADHD.  This describes 98% of our Ohio parent experiences with our vulnerable daughters who are often academically gifted, artistic and have depression diagnosis and social anxiety. We are concerned for our atypical girls, who could be or are autistic that are taking on the transgender identity, especially because they are being diagnosed in the same hospitals that house gender clinics.  We believe our girls who have experienced traumas, either physical or mental are being maltreated.  We also believe there are other issues at play such as dissociation.

Autistic Girls - Read the attached about the special case of autistic girls 


The internet has many websites giving adolescents’ tips on how to get the diagnosis of “transgender”.  In Lisa Littman's study, parents have indicated their daughters were heavily coached online. There were 256 parent-completed surveys that met study criteria. The children described were predominantly natal female (82.8%) with a mean age of 16.4 years at the time of survey completion and a mean age of 15.2 when they announced a transgender-identification. Per parent report, 41% expressed a non-heterosexual sexual orientation before identifying as transgender. Many (62.5%) had been diagnosed with at least one mental health disorder or neurodevelopmental disability prior to the onset of their gender dysphoria (range of the number of pre-existing diagnoses 0–7). In 36.8% of the friendship groups described, parent participants indicated that the majority of the members became transgender-identified. Parents reported subjective declines in their mental health (47.2%) and in parent-child relationships (57.3%) since they “came out” and that they expressed a range of behaviors that included: expressing distrust of non-transgender people (22.7%); stopping spending time with non-transgender friends (25.0%); trying to isolate themselves from their families (49.4%), and only trusting information about gender dysphoria from transgender sources (46.6%). Most (86.7%) of the parents reported that, along with the sudden or rapid onset of gender dysphoria, their child either had an increase in their social media/internet use and belonged to a friend group in which one or multiple friends became transgender-identified during a similar time frame, or both.

Parents describe a process of immersion in social media, such as “binge-watching” YouTube transition videos and excessive use of Tumblr, immediately preceding their child becoming gender dysphoric [12, 9]. These types of presentations have not been described in the research literature for gender dysphoria [110] and raise the question of whether social influences may be contributing to or even driving these occurrences of gender dysphoria in some populations of adolescents and young adults.

Abigail Shrier, Irreversible Damage Author Describes this ideology among girls HERE

Legal and Legislative Issues


As a parent, you may encounter some legal issues or be concerned about legislation that is currently in place or that is coming.  We have included some relevant articles and links that will help guide you as you navigate this aspect of your child or loved one's situation.  Once your child is 18, they can legally do whatever they want to themselves, however ill-advised you may find it.  Until then, you are your child's parent and must make decisions that you think are best.

Cardinal Support Network supports House Bill 454, in fact some of our parents plan to testify.  Please write to your local representative and ask him/her to support this important bill! LINK

In Cincinnati, the director of the trans clinic stated it court that 100% of children are being medically treated.  In 2015, a “gender identity inclusive conversion therapy ban”, in Hamilton County seals the fate of children being treated by that clinic.  Every child/teenager/young adult is treated the same because the ordinance will punish any provider who attempts to try to align a child with their natal sex.  These laws intentionally confuse the public by putting sexual orientation next to gender identity, conflating the two terms. It is based on one public suicide in Cincinnati. The family of this child was crucified for trying to stop the medical interventions planned by the clinic. Families like us are indeed crucified by the media.  All local channels are sponsors of the trans lobby on their website, alongside banks and other local businesses.  In addition, one council member who polices the ban was the director of the the big trans lobby funding the gender clinic. Conflict of interest? The same lobby has a deep friendship with the Children's Hospital President and are in the process of transitioning their own biological son since age 3.

Legal Issues and News

Legal News:  3,000 + Pediatricians & Medical Professionals Sue Biden Admin Over Transgender Mandate HERE

Custody Concerns and Legal Analysis of the Cincinnati Children's Transgender Clinic Custody Case:

Part 1: 

Part 2: 

Legal challenges to the push for transgenderism

Child Parent Rights Campaign Defends Parent's Rights and offers resources for schools, parents and physicians. 

“The fact that somebody wants something badly, does not mean that a health care provider should do it for that reason; a medical doctor is not a candy seller.”— Professor of health care ethics and health law

Medical Harms

Puberty Blockers

The damage to children is known, so why are gender clinics pursuing this without being 100% positive that the result will be positive into adulthood? The fact is they don’t know, and they admit this openly. We are concerned about children’s long-term health into adulthood, not about money to be made. “Little is known about the long-term side effects of hormone or puberty blockers in children with gender dysphoria. " Although the Gender Identity Development Service (GIDS, UK) advises this is a physically reversible treatment if stopped, it is not known what the psychological effects may be.

It’s also not known whether hormone blockers affect the development of the teenage brain or children’s bones. Side effects may also include hot flashes, fatigue and mood alterations.” – Transgender Trend A full discussion can be found here.

2022 Biggs Review The Dutch Protocol for Juvenile Transsexuals Origins and Evidence

“Lupron may not just block hormonal puberty; its use may also block a process of self-acceptance.” – Gender HQ

Lupron, being used OFF LABEL on children with gender dysphoria has a long history of lawsuits, deception regarding its safety in adult women.  It’s off label use for gender dysphoria is considered medical malpractice by many doctors. Lupron history of abuse and medical harms is known by gender clinics, or their directors are incompetent ideologues.  Our children are being experimented on, especially, the most vulnerable. 

Puberty blockers have an often reported side-effect of negatively impacting bone density and joint health.  Read the latest information here

Lupron Guinea Pigs: Two Decades of Experimentation on Autistic Children (Part One)

Testosterone Drug Risks

Testosterone a common gender clinic treatment for females, is dangerous and full of risks.  It is a steroid, no longer approved for males.  So, we ask, why are little girls being offered these treatments? It is a class 3 controlled substance.

Hardly “lifesaving”, they offer life threatening long-term risks include liver cancer, depression, and birth defects in children of mothers who once used steroids. These have been denounced in years past due to the long term complications. Females are dying from the complications of testosterone treatments.

Surgeries on Minors

Young girls are receiving bilateral mastectomies and being marketed to as “top surgery”.  Surgeons try to tell themselves and parents that these health bodied teenage girls are “abnormal” when in fact their healthy body breast are removed.  Surgeons have performed mastectomies on females as young as 13, opening the study to girls as young as 8 years old in Olsen Kennedy’s study.  


The results of the bilateral mastectomies, ages illustrated below,  on these 68 little girls:  Temporary loss of nipple sensation 40 (59) Loss of sensation of other areas of the chest 29 (41) Long-term loss of nipple sensation 22 (32) Keloid (excessive) scarring 10 (15) Unequal chest appearance 9 (13) Postoperative hematoma 7 (10) Postoperative pain beyond normal healing time 6 (9)  Nipple/areola(s) too large 5 (7) Complications related to anesthesia 5 (7)  It should be quite obvious that these young girls will never breast feed.

Bilateral Mastectomy Renamed as "Chest Reconstruction"

Kelsey Coalition reported in 2019, “Taxpayer dollars have been used to fund the $5.7 million NIH observational study. (1)  The Impact of Early Medical Treatment in Transgender Youth, which is treating children with puberty-blocking drugs and hormones for a non-medical condition. Those as young as eight are eligible for cross-sex hormones. The Kelsey Coalition filed a formal request with the Office for Human Research Protections (OHRP) on April 5 calling for an immediate moratorium pending an investigation. This grant money has also been used to fund a study on mastectomies in teen girls. Yet the grant application makes no mention of using this money for surgeries.

Parents Coerced with Suicide Threats

Parents are often told that if they do not go along with social transition, follow the automatic path to medical treatments that their children will commit suicide.  This is false.  For a comprehensive review, we recommend this document. 

A beautiful reflection on these claims can be found here:

Another summary of the dangers of transgender medicine "Impacts on the Brain from PITT:  HERE

Figure. Mastectomies By Olsen

Detransition & Recovery


Gender Detransition A Path Towards Self Acceptance HERE

October, 2021 New Detransitioner Survey by Lisa Littman HERE

We wish you well, Elle!  Click on HOPE   
The majority of detransitioners are female support groups. 
Click HERE
In an online survey, those detransitioners reported co existing 
issues were unaddressed HERE

Susan and Marcus Evan's work with 2 case studies HERE

​In Ohio, if a parent/teenager disagrees about these treatments, the 18-year-old can seek them and attain them with financial assistance from Ohio’s powerful trans lobbies and other means. If they regret them doesn’t this mean they were harmed?  What happens to those that just stopped going to the clinics?  How is their health protected?  Regret rates average 5-10 years post transition (Swedish Study) which these "professionals" know and understand.  Ohio's has SIX gender clinics, Cincinnati's began operation in 2013, some not requiring mental health assessments. 

Brain development is not complete until age 25+.  

Protections are currently not in place for children, adolescents or vulnerable young adults.


Detrans survey chart.jpg

“Angus is in his late 50s now, his idea led him to think it was fine to transgress, wear the dress, and pretend to be a “woman.” He did this for 13 long years, taking the synthetic estrogen drug every day, self-absorbed and entirely content. He was so convinced that he would carry on as a fake “lady”, he decided to have some surgery. Not the more drastic option, it’s true, but most men would do anything to avoid the one he got. Quite unexpectedly one morning Angus snapped out of his transfugue trance state and felt compelled to examine his life. He rapidly ceased his masquerading and mimicry and re-engaged with material reality. Full Article

"2 days off of Testosterone after 10 years on + all surgeries. I put on makeup like I used to wear all the time and wanted to capture it. This will be a hard Detransition having gone so far.... but I’m finding peace." - anonymous, reddit/detrans

No, transition regret is not like regretting a tattoo.

Dysphoric Part 3: Detransitioners

Garret Describes His Journey Here

A letter to my 15 year old, gender questioning self-Genspect

Dominic Lauren's Story of Detox & Detransition

Hormone Hangover

Videos & Books


We have included some videos that we believe are helpful to parents to navigate through this with their children.  We hope they shed a light on this issue and give some comfort to know that you are not alone. Please check back often!

HOLIDAY SPECIALS:  When Gender Hits the Holidays;  Sasha Ayad's Newsletter

GENSPECT Guides for parents and families HERE AND HERE

Puberty Blockers

Dr. Michael Laidlaw, an endocrinologist helps us understand the harms of puberty blockers on healthy children here

Dr. Will Malone, another endocrinologist here.

Explanation of I Am JAZZ

Recovered Identities
Helena: Teen Transition and Social Media

Challenging the Gender Mythos | with Stephanie Davies-Arai
Books We Recommend:
Sex Scandal.jpg

Want to recommend other resources?

Teen Gender Dysphoria (ROGD)

Lisa Littman describes her work here and with Sasha Ayad here 
We highly recommend watching all four parts. Part 1, Part 2, Part 3, Part 4
Lisa Marchiano
Teen Transition and the Search for Meaning
2021: Stella and Sasha Ayad: Gender: A wider Lens
Surgeons - Ethical Surgeon, explains the ethics of surgeries  - FIRST DO NO HARM

Pediatric Endocrinologist Explains History of The Transgender Ideology here

The Trans Deception, Jon Uhler here