I have worked with over a hundred children and their families who believed that ‘being transgender’ provided ‘the’ explanation for high levels of distress and poor mental the health the child was experiencing.
When the new name and pronouns didn’t cut it, the belief that all would be well once puberty was blocked and cross hormones administered often kicked in. When this wasn’t the magic bullet, the lack of acceptance from others was often blamed. It was unusual for parents to say ‘hold on a moment, this was all meant to be sorted by transition’.
Many parents are between a rock and a hard place. Firstly, the magic bullet of ‘transitioning’ is enticing - the thought of all the distress and turmoil just disappearing delivers the hope that their child will be happy and well adjusted again, and soon. Then, when they see that social transitioning and/ or hormones aren’t removing the distress, they can either (I) blame everyone else (lack of acceptance) (ii) accept the cause of the distress was not ‘being born in the wrong body’, and go back to the drawing board to find the real underlying causes for the distress. However, if they do this, this reveals to their child that they don’t actually believe they are the opposite sex, and this is often inconceivable to them.
I think many parents feel completely trapped by the situation - whether they acknowledge this or not. It’s a travesty that they are not able to access psychological services to help them navigate this. It is absolutely possible for parents and children to express different views/ beliefs and for alternative explanation for distress to be safely explored. It’s a travesty that families aren’t educated, prior to ‘transition’ that not everyone will perceive or accept the new identity and that’s something that the transitioned child needs to be able to tolerate - and if they can’t, this should be worked on prior to transition. Of course, this takes away the ‘magic bullet’ answer that they so desperately want to escape in to - so as long as they think transition will bring happiness, it may be difficult to engage them in other approaches which don’t offer miracle solutions.