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  1. Sex Assigned at Birth, as it pertains to the normal spectrum of sexual expression and development of gender identity in humans. Recognize the negative impact of failing to acknowledge LGBTQ identity and sexual orientation, upon achievement of treatment goals, and learn effective approaches to forming a healthy professional relationship with LGBTQ youth and their families. Know the meaning of Sexual Minority, Gender Minority, Sexual Orientation, Gender Identity, Gender Expression, Transgender, Cisgender, Intersex, and Gender Diverse as these terms apply to LGBTQ children and youth, and the possible developmental trajectories of each. Know the various forms of CONVERSION THERAPY to which LGBTQ children and youth have been historically submitted, and the reasons why SAMHSA and virtually all major professional associations have taken a position to halt it. Understand the approved alternatives to Conversion Therapy that are appropriate at various stages of identity development, for support of LGBTQ youth. Know how to present the LGBTQ status of the child or adolescent to the parent, including (1) the inherent neurological and biochemical basis for LGBTQ identity and (2) the physical and emotional development process from childhood to adulthood. Know and understand the appropriate AFFIRMATIVE CARE for TRANSGENDER and Intersex youth which facilitates timely social and medical transition (including surgery and sex-affirmative hormonal regimen), based upon an understanding of the developmental trajectories from very early childhood through young adulthood. Know the most effective approach to assisting the parents in forming a healthy relationship with the child or adolescent despite their difficulty in accepting the child's LGBTQ status.