The 10 year old shown here, was assigned female gender at birth and lives in a very rural area and had been unable to find resources to discuss a feeling of gender dysphoria. Upon hearing this, I created a new concept called "Portrait Therapy for Gender Dysphoria".
The child was given the opportunity to dress as a schoolboy and pose in an abandoned five room wooden schoolhouse near Monroeville, Alabama.
This session confirmed that they felt quite comfortable as a boy, and that there is really no reason to define themselves with any specific gender name or pronoun.