[10][11][12][13] Culturally-specific gender diverse terms include sistergirls and brotherboys, for Aboriginal and Torres Strait Islander people.
[14] Multiple studies have suggested a correlation between children who express gender nonconformity and their eventually coming out as gay, bisexual, or transgender.
There are reportedly no significant generalized effects (except for a few outliers) on attitudes towards children who vary in gender traits, interests, and behavior.
[25] Children who do not conform prior to age 11 tend to have an increased risk for depression, anxiety, and suicidal ideation as a young adult.
[27] Roberts et al. (2013) found that of participants in their study aged between 23 and 30, 26% of those who were gender nonconforming experienced some sort of depressive symptoms, versus 18% of those were gender-conforming.
[28] In the works of Hill, Carfagnini and Willoughby (2007), Bryant (2004), "suggests that treatment protocols for these children and adolescents, especially those based on converting the child back to a stereotypically gendered youth, make matters worse, causing them to internalize their distress."
"[28] Numerous studies confirm that LGBTQ+ students face increased instances of victimization in schools compared to their heterosexual peers, leading to lower well-being and academic performance.
Moreover, school social workers often work in environments that emphasize "heteronormativity" where femininity and masculinity are defined based on heterosexual relationships, making it difficult to address the needs of gender variant children.
Some types of gender nonconformity, such as being a stay-at-home father, may pass without comment whereas others, such as wearing lipstick and skirts, may attract stares, criticism, or questioning.
[32] This is a comparatively recent development in historical terms, because the dress and careers of women used to be more heavily policed,[33] and still are in countries like Iran and Saudi Arabia (where they are regulated by law.
[citation needed] In the Soviet Union, women were allowed to take up traditionally male occupations such as construction work, but were paid less.
For example, in Pashtun tribes in Afghanistan, adult men frequently hold hands, without being perceived as gay, whereas in the West this behavior would, in most circumstances, be seen as proof of a homosexual relationship.
However, in many cultures, behaviors such as crying, an inclination toward caring for and nurturing others in an emotionally open way, an interest in domestic chores other than cooking, and self-grooming can all be seen as aspects of male gender nonconformity.
Studies found a high incidence of gay males self-reporting gender-atypical behaviors in childhood, such as having little interest in athletics and a preference for playing with dolls.
Bisexual and gay male individuals who do not conform to traditional gender norms might experience increased discrimination compared to those who do.
One study found Latino gay and bisexual men that identify as gender nonconforming faced higher levels of homophobia and psychological distress compared to their gender-conforming counterparts.
[42] Furthermore, nonconforming to traditional gender norms may elevate the risk of suicide attempts among gay adolescents, whereas studies on lesbians do not consistently show similar patterns.
[46] In 2015, the American Psychological Association published gender-affirmative practice guidelines for clinicians working with transgender and gender-nonconforming people.
[5] While taking different approaches, each therapeutic modality may prove beneficial to gender-variant people looking to self-actualize, cope with minority stress, or navigate personal, social, and occupational issues across their lifespan.