Importance of psychotherapy for transgender children and adolescents: a literary analysis




Child; Psychotherapy; Mental health; Transgender.


A transgender person is someone who does not identify with their gender at birth. Such incongruity can occur from child hood in small actions noticed by parents or educators. The relationship between mental health and transgender children and adolescents is a subject that is little discussed, but which is extremely important for understanding the difficulties in order to minimize consequences. Thus, this systematic literature review proposes answer the following question: “What is the importance of psychotherapy for transgender children and adolescents?”. So, the PICO (Acromium for Pacient, Intervention, Comparision and Outcome) strategy was applied and the scientific production from 2016 to 2022 was analysed. It was found that the studies are limited, but the establishment of bonds between transgender patients and psychotherapists allows support in a moment of uncertainty in the lives of the family and children in transition and can be beneficial. It is also worth noting that aggravating factors such as prejudice and intolerance are installed in society even by social institutions, which increases social pressure and internal conflicts in young people who are no longer satisfied with their identity. Despite the lack of discussion on the subject and the low qualification of many professionals on how to deal with the target audience, it is possible to promote family benefits in a better understanding of the theme. Certainly, the article seeks to provide a broader approach to medical and psychotherapeutic aspects that are likely to be implemented and to mitigate the prejudice that society in general has about transgender youth.


Alvares, J. P. et al (2022). Saúde mental de pessoas transgênero: revisão integrativa de literatura. PsiUnisc, 139-157.

American Psychological Association. (2015). Guidelines for psychological practice with transgender and gender nonconforming people. American Psychologist, 70(9), 832–864.

Araújo, E.B. & Theophilo, G. L. M. (2019). Transgêneros: ainda incompreendidos?. Revista Docência e Cibercultura, 3(1), 73-101.

Barboda,T. et al(2020). As contribuições da psicologia social para discussões sobre transgênero. TCC-Psicologia.

Carmo, N. I. & Barros, N.B. (2021). Desenvolvimento psicossexual nos distúrbios do desenvolvimento sexual (DDS) em jovens: a importância da psicologia Psychosexualdevelopment in divergencesof sex development (DSD) in Young people: the importance of psychology. BrazilianJournal of Health Review, 4(3), 11859-11877.

Coleman, E. et al (2018). Normas de Atención para lasalud de personas trans y convariabilidad de género: La Asociación Mundial para laSaludTransgénero. International Journal of Transgenderism, 19(3), 287-354.

Connolly, M.D., et al. (2016). The mental health of transgender youth: Advances in understanding. Journal of Adolescent Health, 59(5), 489-495.

D’Angelo, R., et al (2021). One size does not fit all: In support of psychotherapy for gender dysphoria. Archivesof Sexual Behavior, 50(1), 7-16.

Fleury, H.J. & Abdo, C.H. (2018). Atualidades em disforia de gênero, saúde mental e psicoterapia. DiagnTratamento, 23(4), 147-151.

Golden, R.L. & Oransky, M. (2019). An intersectional approach to therapy with transgender adolescents and their families. Archives of Sexual Behavior, 48(7), 2011-2025.

Gorse, M. (2020). Risk and protective factors to LGBTQ+ youth suicide: A review of the literature. Child and Adolescent Social Work Journal, 1-12.

Gürbüz,F. et al. (2020). Gender identity and assignment recommendations in disorders of sex development patients: 20 years’ experience and challenges. Journal of Clinical Research in Pediatric Endocrinology, 12(4), 347.

Herdt, G., et al. (2020). Third sex, third gender: Beyond sexual dimorphism in culture and history. Princeton University Press.

Lucassen, M., et al. (2021). Computerized cognitive behavioural therapy for gender minority adolescents: Analysis of the real-world implementation of SPARX in New Zealand. Australian New ZealandJournalofPsychiatry, 55(9), 874-882.

Mariano, T.S.O. & Moretti-Pires. (2018). Disforia de Gênero em crianças: revisão integrativa da literatura e recomendações para o manejo na Atenção Primária à Saúde. Revista Brasileira de Medicina de Família e Comunidade, 13(40), 1-11.

McCave, E. L., et al. (2019). Promoting affirmative transgender health care practice within hospitals: An IPE standardized patient simulation for graduate health care learners. MedEdPORTAL, 15, 10861.

Monteiro, F. S. C. T, et al. (2017). Transexualidade infantil na psicologia: uma revisão bibliográfica. Revista Mangaio Acadêmico, 2(3), 61-68.

Nascimento, F. K., et al. (2020). Crianças e adolescentes transgêneros brasileiros: atributos associados à qualidade de vida. Revista Latino-Americana De Enfermagem, 28, e3351.

Page, M. J., et al. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Systematic reviews, 10(1), 1-11.

Peng, K., et al (2019). Self-reported Rates of Abuse, Neglect, and Bullying Experienced by Transgender and Gender-Nonbinary Adolescents in China. JAMA network open, 2(9), e1911058.

Rahilly, E. (2021). Criança Transgénero / The TransgenderChild. Conceitos-chave em Sociologia da Infância. Perspetivas Globais / Key concepts on Sociology of Childhood. Global Perspectives. 171–177

Russell, D.H., et al. (2022). Prevalence of Mental Health Problems in Transgender Children Aged 9 to 10 Years in the US, 2018. JAMA network open, 5(7), e2223389-e2223389.

Santana, M. Cerqueira-Santos, E. (2020). Não conformidade de gênero e infância: revisando a produção científica. Revista Artemis, 29(1), 222.

Santos, C. M. C. Pimenta, C. A. M. & Nobre, M. R. C. (2007). The PICO strategy for the research question construction and evidence search. Revista latino-americana de enfermagem, 15, 508-511.

Shumer, D. E. Nokoff, N. J. & Spack, N.P. (2016). Advances in the care of transgender children and adolescents. Advances in Pediatrics, 63(1), 79-102.

Silva, R. R., et al (2021). Estresse de minoria de gênero e seus efeitos na saúde mental como fator de risco para depressão em pessoas transgênero: Revisão da literatura. Research, Society and Development, 10(3), e51610313693-e51610313693.

Spivey, L. A. & Edwards-Leeper, L. (2019). Future directions in affirmative psychological interventions with transgender children and adolescents. Journal of Clinical Child Adolescent Psychology, 48(2), 343-356.

Strittmatter, E. & Holtmann, M. (2020). GeschlechtsidentitätenimWandel. Zeitschriftfür Kinder-und Jugendpsychiatrie und Psychotherapie.

Turban, J. L., et al. (2020). Association between recalled exposure to gender identity conversion efforts and psychological distress and suicide attempts among transgender adults. JamaPsychiatry, 77(1), 68-76.

Vieira, E. S., et al. (2020). Psicologia e políticas de saúde da população trans: encruzilhadas, disputas e porosidades. Psicologia: Ciência e Profissão, 39.

Zucker, K. J., et al. (2012) A developmental, biopsychosocial model for the treatment of children with gender identity disorder. Journal of homosexuality, 59(3), 369-397.



How to Cite

BUGATTI, A. L.; ARAUJO, G. M. B. .; ARAUJO, L. M. B. .; AMÂNCIO, N. de F. G. . Importance of psychotherapy for transgender children and adolescents: a literary analysis. Research, Society and Development, [S. l.], v. 12, n. 1, p. e6512139289, 2023. DOI: 10.33448/rsd-v12i1.39289. Disponível em: Acesso em: 3 feb. 2023.



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