The rate of gender desistance is high in virtually all studies of small children desiring to switch biological sex.  The cause of this must be addressed, such as a child becoming an older sibling and wanting to become the same sex as the younger sibling to gain attention, or more seriously, identify if a child's behavior is the result of sexual abuse.  The child should be treated as an individual, not encouraged to blindly embrace a delusion which contradicts the reality of fundamental genetic biology.  As such, each case should be handled individually.  The healing in therapy is to love oneself for oneself, not to become a new or altered person worthy of love.

"Gender fluidity" is a new term which is untested.  It has never been so widely accepted in the history of this country.  There is no proven or likely outcome of a patient from the time of acceptance of a new sex, to the point where the child grows to middle age, or parents his or her own children.