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Is It a Trait or a Temperament?
I can tell you of one young relative that I have, very close about. We knew that it was easy to see as soon as they reached adolescence, they just weren't comfortable with the gender. It wasn't trauma doesn't cause anybody to change their genders. What's traumatic is that you're not accepted for who you perceive yourself to be. Now that can be traumatic, but that's a different story.