This time the causes of stress had to do with three major components of identity problems in late adolescence: career, the opposite sex and philosophy of life (Hetzel & McMichael 1987). (religion-online.org)
Often, she said, parents and school staff may not consider transgenderism, and a delay occurs in having the child assessed by a therapist who is experienced in gender identity problems until the transgender youth is deeply depressed or suicidal. (sciencedaily.com)