Amber was born a boy. When she was 10, she stopped going by her given name, Aaron, and began dressing as a girl. Last year, she started taking medication to keep her from going through puberty. “I can be who I am,” Amber said. “I can be a girl.” An increasing number of children like Amber are realizing they are transgender and seeking care at clinics around the nation. Because of their age, the complex and emotional journey is as much their parents’ as their own. Families are forced to make tough decisions about therapy and medication, and about what to tell friends and relatives. They are trying to give their children a normal upbringing with summer camps and sleepovers while protecting them from harm and embarrassment. “How do you move through society with a gender-variant child?” said Nancy Quay, a psychotherapist at the University of Michigan gender services program. “What do you tell your neighbors? How do you keep your child safe?