Transgender youth are children or adolescents who do not identify with the sex they were assigned at birth. Because transgender youth are usually dependent on their parents for care, shelter, financial support, and other needs, and because most doctors are reluctant to provide medical treatments to them, transgender youth face different challenges compared to adults. There is a broad consensus among experts and professional associations that appropriate care may include supportive mental health care, social transition, and puberty blockers , which delay puberty and the development of secondary sex characteristics to give children time to make decisions about more permanent courses of action. In many parts of the world, being transgender  is not widely accepted by the public and as for transgender youth, they not only face discrimination but also can encounter family exclusion. To "come out", according to Merriam-Webster,  means to openly declare something about oneself previously kept hidden or to openly declare one's homosexuality.
Transgender Children & Youth: Understanding the Basics
Outbreak: the explosion of transgender teens » MercatorNet
New research on gender identity disorder also known as gender dysphoria, in which a person does not identify with their biological sex questions how best to handle the condition when it arises in children and adolescents. Should biological treatments be used as early as possible to help a young client transition, or is caution required, in case of complicating psychological issues? He also placed more emphasis on the costs that transition may bear upon an individual. To say that he considered transition a last resort would be as much of a caricature as saying the gender affirmative approach considers it a first resort, but they clearly represent different points on this spectrum. The recent article that he co-authored with Bechard and others puts into the scientific record one of the concerns of his clinic, that gender dysphoric youth are a psychologically vulnerable population. The paper examines the case files of 17 people assigned a male gender and 33 people assigned a female gender, at birth, based on their biological sex. Sixty-four per cent of the clients were homosexual with respect to the gender they were assigned at birth.
Health Care for Transgender Teens
This is the sex you are assigned at birth. For some people, that male or female label may not feel right. Someone born female may feel that they are really a male, and someone born male may feel that they are really a female. People who feel this way are called transgender. Others may feel that they belong to neither gender or to both genders.
Unite for equality. Like never before. Children are not born knowing what it means to be a boy or a girl; they learn it from their parents, older children and others around them. This learning process begins early.