Changing one’s name and pronouns are powerful affirmations of self for these young people. Being intentionally or unintentionally misgendered can be a significant source of distress.
Russell et al. uniquely highlight that getting the chosen names right matters for transgender and other gender-expansive youth and their mental health.
Advocacy at the local, state, and federal levels to address the aforementioned barriers is necessary to support these young people in the use of their chosen names and gender markers. Furthermore, medical systems can and should adhere to recommendations provided by the World Professional Association for Transgender Health to incorporate demographic fields that document chosen name and pronouns even if the patient has not changed their name legally . Russell et al.  uniquely highlight that getting the chosen names right matters for transgender and other gender-expansive youth and their mental health. Moreover, it reminds us why it is important for providers in all social contexts to advocate for these young people to be treated with the dignity they deserve in all of the social facets of their lives.
Written/research by Stanley R. Vance, Jr., M.D. Division of Adolescent and Young Adult Medicine Department of Pediatrics University of California, San Francisco San Francisco, California
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