There is no such thing as “true trans,” and specifically there is no such thing as a transgender child. People who struggle with their sense of personal sex identification suffer from gender dysphoria, formerly called gender identity disorder in the DSM-V, prior to political activists’ pressure on the medical establishment to de-pathologize and normalize what is inherently a psychological condition.
Sex is binary; it is neither tertiary nor on a continuum. Human beings are categorized as females or males based upon their chromosomes, reproductive function, sex gametes, and secondary sexual characteristics such as genitalia. No third type of sexed person is necessary for reproduction, nor does it exist.
The term gender is meaningless, and until the unethical, abusive, and long discredited psychologist John Money first applied it to people in the 1960’s, gender belonged only to the field of linguistics. Whereas gender came to be used synonymously with sex on documentation like birth certificates and drivers’ licenses, gender has today become redefined as one’s inner sense of sex (maleness/femaleness). Advocates understands that what the gender industry refers to as gender is better identified as personality, which is individual and personal, and bears no relation to nor subservience to one’s physical sex.
People who suffer from gender dysphoria—including those on the autism spectrum, people who have suffered prior trauma/abuse, those with comorbid disorders such as depression, those who have been pathologized by saturation with pornography, and men who are autogynephiles—deserve compassion, and should be provided adequate and ethical mental and physical health services in order to restore them to wholeness and healing.
Sexuality and gender identity are not innate, fixed traits, but are most likely a combination of inborn tendencies (nature) and environmental effects and experiences (nurture). Given the numbers of people who have adopted a change in sexual preference or gender identity later in life, or who have successfully given up unwanted sexual attractions or gender identification following appropriate therapy, Advocates believes that attractions and self-identifications can and do change throughout one’s lifetime.
(Source: "Advocates Protecting Children")