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If the risk of FND is increased in TGNC youth, then identifying which youth are at increased risk, and the particular times when risk is increased, may allow for earlier diagnosis and treatment of FND. Better awareness of functional symptoms among clinicians who care for TGNC youth may prevent disruption of gender-affirming care if FND symptoms emerge. Patients diagnosed with FND who are TGNC may require different forms of intervention than other youth with FND. We present 4 cases from our multidisciplinary pediatric FND program of TGNC youth who developed FND. In all individuals for whom follow-up information was available, access to gender-affirming health care was associated with marked improvement or resolution of FND symptoms.<\/jats:p>","DOI":"10.1177\/08830738231200520","type":"journal-article","created":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T01:43:28Z","timestamp":1694396608000},"page":"631-641","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["A Case Series of Transgender and Gender-Nonconforming Patients in a Pediatric Functional Neurologic Disorder Clinic"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8282-7586","authenticated-orcid":false,"given":"Alison","family":"Wilkinson-Smith","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Children's Medical Center, Dallas, TX, USA"},{"name":"Department of Pediatrics, Division of Psychiatry, University of Texas Southwestern, Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mackenzie P.","family":"Lerario","sequence":"additional","affiliation":[{"name":"Fordham Graduate School of Social Service, New York, NY, USA"},{"name":"Greenburgh Pride, Greenburgh, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey N.","family":"Klindt","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Children's Medical Center, Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff L.","family":"Waugh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Psychiatry, University of Texas Southwestern, Dallas, TX, USA"},{"name":"Department of Pediatrics, Division of Pediatric Neurology, University of Texas Southwestern, Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,9,10]]},"reference":[{"key":"bibr1-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"bibr2-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1016\/j.nicl.2019.101798"},{"key":"bibr3-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1016\/j.nicl.2021.102623"},{"key":"bibr4-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1097\/01.chi.0000242235.83140.1f"},{"key":"bibr5-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-017-0760-3"},{"key":"bibr6-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1177\/0009922819857541"},{"issue":"9","key":"bibr7-08830738231200520","first-page":"436","volume":"96","author":"Leary PM","year":"2003","journal-title":"JRSM"},{"key":"bibr8-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1017\/S1092852921000833"},{"key":"bibr9-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15538"},{"key":"bibr10-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2020.3753"},{"key":"bibr11-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1038\/s41390-020-0945-z"},{"key":"bibr12-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1016\/j.seizure.2015.07.017"},{"key":"bibr13-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1111\/epi.12773"},{"key":"bibr14-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1016\/j.seizure.2022.04.006"},{"key":"bibr15-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2014.04.009"},{"key":"bibr16-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1016\/j.seizure.2022.03.021"},{"key":"bibr17-08830738231200520","doi-asserted-by":"publisher","DOI":"10.3109\/13651501.2015.1117110"},{"issue":"1","key":"bibr18-08830738231200520","volume":"23","author":"Coleman E","year":"2022","journal-title":"Int J Transgender Health"},{"key":"bibr19-08830738231200520","first-page":"1","volume-title":"IACAPAP E-Textbook of Child and Adolescent Mental Health","author":"Turban JL","year":"2018"},{"key":"bibr20-08830738231200520","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecl.2019.01.001"},{"key":"bibr21-08830738231200520","unstructured":"The United States Census Bureau. 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