Transgender at five

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She first insisted she was a boy at the age of 2. "I am a boy" became a constant theme in struggles over clothing, bathing, swimming, eating, playing. Eventually, a psychologist diagnosed gender identity disorder. Now Tyler 's parents allow him to live as a boy, and the 5-year-old is reveling in his new identity. (The Post is using the name his parents would have given him if he had been born a boy to protect the family's identity outside their community, where their situation already is widely known.) (Whitney Shefte/The Washington Post)

It was years before Hyde and her husband acknowledged their child’s agony. They finally asked Will if he wanted to take puberty blockers. He said yes. And eventually, a whole new child, now 18, emerged.

All those years of pain, therapy, suffering and strife, that is what Jean wants to avoid.

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She hoped the people at the church would understand. Between cookies and coffee after the presentation, many came over to hug her.

When it came time for Tyler to make the switch at preschool, Jean and Stephen had to write a very uncomfortable letter to all the parents explaining what was happening.

“If I had a child with autism, I wouldn’t have to do this,” Jean sighed.

They struggled with whether to include the words “gender dysphoria.” “I didn’t want them to think there was something wrong with our child. Just something different,” she said.

They kept the medical term in there so other parents wouldn’t think this was just loose and creative parenting. “I don’t want people to think I’m just indulging a phase. That’s not what this is.”

Tyler’s sister, who’s 8, was much more casual about describing her transgender sibling. “It’s just a boy mind in a girl body,” Moyin explained matter-of-factly to her second-grade classmates at her private school, which will allow Tyler to start kindergarten as a boy, with no mention of Kathryn.

Staff members recently had a training session on gender identity disorder to prepare not only for Tyler but also for other transgender kids who may be arriving. This year alone, at least two other families have contacted the school about enrolling their transgender kids, according to its director of admissions.

Not everyone has been accepting of what Jean and Stephen are doing. Some members of Stephen’s family were incredulous when he sent them letters about Tyler’s transformation.

Jean and Stephen got into a huge fight with Tyler’s gymnastics coach, who insisted he keep wearing a leotard to practice because his registration form said “female.”

Tyler was miserable pulling on a leotard when the boys in class all got to wear shorts and a T-shirt.

“Finally, we just got someone to change F to M on the paperwork,” Jean said angrily. “Why does the coach care so much about what’s in my child’s underpants anyways?”

Jean has come home from the gym more than once infuriated because someone was gossiping about her child. Just the other day, she spotted a co-worker and another adult pointing and laughing at Tyler, who finally got to wear just swim trunks at the pool.

Jean marched over to them and said, “I can provide you with a lot of information about transgender children if you like.”

They clammed up.

“You never meant to, but you become this advocate. All day, every day,” she told me, clearly exhausted.

A recent family trip to Disney World raised the issue of how to handle the plane tickets. What if they booked the ticket in Tyler’s name, but the TSA did some kind of a full-body scan and saw that Tyler’s biology is female?

Like a peanut allergy mom with her EpiPen, the transformation of Kathryn to Tyler means the family always travels with a “Safe Folder.” It has birth records, medical records and the all-important diagnosis of gender dysphoria and the doctor recommendation that Kathryn be allowed to live as a boy. Jean never knows when an encounter with Tyler could result in a grown-up freak-out or even a call to Child and Family Services. It’s always a fear looming over the family.

Difficult decisions

Tyler doesn’t really like to talk about Kathryn or even acknowledge she existed.

“I’m not transgender,” he fumes when he hears the word, often spoken by his mom as she explains things. “I. Am. A. Boy.”

During one of my visits a few months ago, he showed me their family picture wall, full of pictures of two girls in lovely dresses.

“No Tyler,” he pouted.

Those are issues that are easy for Tyler’s parents to fix.

But in about five years, they will have to decide whether to put Tyler on puberty blockers to keep his body from maturing and menstruating. Using those drugs represents a leap of faith, psychiatrists said, though the effects are reversible if the puberty blockers are halted.

The much tougher call comes when kids are about 15 or 16. At that age, they can begin hormone injections that will make them grow the characteristics of the opposite biological sex.

That’s a method being pioneered by Norman Spack, the director of one of the nation’s first gender identity medical clinics at Children’s Hospital Boston and an advocate of early gender transitions. Those hormone treatments essentially create a nearly gender-neutral being, making sex-change surgery far less painful and expensive for young adults. But the hormones also make people infertile — a daunting and irreversible decision for parents to make when a child is 15 or 16. Only a handful have opted to do so, Spack said.

Jean e-mailed me an article about the drug controversy late one night, the time that many parents stay up and fret about their kids. “See what we’re facing?!” she wrote.

She acknowledges anxieties about what lies ahead. But Jean and Stephen aren’t harboring doubts about what they are doing now.

“If Tyler wants to be Kathryn again, that’s fine,” she said. “But right now, this works. He’s happy. I just want my child to be happy.”

As for Tyler, he is reveling in his new identity. The constant nagging, fighting, obsessing about being a boy is gone. Tyler is just Tyler, a high-energy kid with a Spider-Man-themed bedroom.

On my last visit, he took a brief break from playing with my boys and their endless supply of space cruisers to show me a new addition to the family picture wall. It now features a prominent photo of Tyler in short hair and a red polo shirt. He is smiling.

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