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Kids at that age have very clear ideas about whether they're a boy or a girl in my experience. The fact that this child's identity doesn't match his physiology is creating some difficulties. If he was very clear that he was a boy there would be no problem. Unfortunately he is very clear he isn't and that is causing problems. If he was five years olde we would barely question his knowledge of himself, but we assume that boys know they're boys and girls know theyre girls at this early age.
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