as best they can in their true gender with a non-conforming body, and no help or support whatsoever. I may feel robust right now. I am older, maybe tougher, maybe less obvious than some. But I really feel frightened for those who are not. A psychiatric diagnosis with zero psychiatric support? This is a degree of carelessness and dereliction - "First do no harm?" It seems our healthcare system has forgotten. Doing nothing is very harmful. Thank you for sharing your experiences, for a number of us it is a lonely painful path. I am just glad that I have the support and acceptance (if slow to change pronouns =P) support of my family and freinds. I love the powerful pictures here, Sarah. I think it's really important that trans issues are understood at an early age and there's an established and agreed protocol for screening and helping gender varient young people. Things are changing and schools curriculum now includes awareness of LGBT issues which is... wonderful. Primary school understanding of trans issues is particularly poor but this is exactly where sensitive intervention, guidance and support really needs to take place. I think they have a pivotal role to play in the assessment and referral of children before the onset of puberty. They act in loco parentis, they have responsibility as educators and accountable professionals to safegaurd the emotional welfare of trans children... before it gets too late. Lets move the responsibilty from the child (to declare, nay scream, his