Course Certificate
(75% of quiz marks)
Credit Hours6
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Significant physical, cognitive, and social development occurs during adolescence. Sexual minority adolescents face the same developmental tasks that accompany adolescence for all youth, including sexual identity development. Unlike
those with a heterosexual orientation, however, adolescents with a minority sexual orientation
must navigate awareness and acceptance of a socially marginalized sexual identity; potentially without family, community, or societal support.

Various factors affect the trajectory of development related to sexual orientation, and there is not a single or simple trajectory experienced by all individuals (Diamond, 2006, 2008; Diamond & Savin-Williams, 2000; Dube & Savin-Williams, 1999; Horowitz & Newcomb, 2001). In a large prospective cohort study of adolescents living throughout the U.S., 12 percent of males and 22 percent of females at one point indicated a minority sexual orientation identity (i.e., mostly heterosexual, bisexual, mostly homosexual, or completely homosexual; Ott, Corliss, Wypij, Rosario, & Austin, 2010)

Compared to earlier cohorts, today’s sexual minority adolescents are developing an awareness of their sexual orientation and disclosing their sexual orientation to others earlier than previous generations, frequently disclosing their sexual orientation or “coming out” as lesbian, gay, or bisexual in middle or high school (Diamond
& Savin-Williams, 2000; Floyd & Bakeman,
2006; Grov, et al., 2006; R. C. Savin-Williams, 2001; R.C. Savin-Williams, 2005). This earlier disclosure means that adolescents are now often coming out while still dependent on their families and communities for emotional and instrumental support.


1. A gender identity that is incongruent with assigned sex at birth, as well as a gender expression that diverges from stereotypical cultural norms for a particular gender, are normal variations of human gender

  • True
  • False

2. Gender development begins in infancy and continues progressively throughout childhood

  • True
  • False

3. Gender diversity or signs of gender dysphoria does not emerge in a child’s preschool years.

  • True
  • False

Course Description:

This 6 CE home study course discusses the presents research, clinical expertise, and expert consensus on therapeutic practices related to children’s and adolescent’s sexual orientation and gender identify, and makes the case for eliminating the use of conversion therapy among this population. This course helps providers understand sexual orientation and gender identity in children and therapeutic efforts with sexual and gender minority youth.

Learning Objectives:

  • Discuss gender identity and gender expression in childhood.
  • Describe clinical issues of gender minority individuals face in childhood.
  • Discuss sexual orientation and gender in adolescence.
  • Explain risk factors for health and well being faced by sexual or gender minority youth.
  • Describe the influence of religion and spirituality on sexual minority adolescents.
  • Describe the appropriate interventions for distress in children, adolescents, and families.
  • Discuss the therapeutic efforts with sexual and gender minority youth.
Section 1
Section 2
Final Quiz