Your biological sex means the gender assigned at birth. Gender identity is about how you feel inside.
Some people feel that the sex assigned to them at birth is different to the gender they identify with. When biological sex and gender identity don’t match up, a person sometimes identifies as transgender.
Sexual orientation means who you're attracted to. There are many sexual orientations, including gay, lesbian, straight, bisexual, and asexual. Gender expression is how people show the world their gender, in how they dress or behave.
‘Coming out’ is when someone tells someone else their LGBT+ identity. In relation to sexual orientation and gender identity, this means sharing with others that you are lesbian, gay, bi and/or trans (LGBT).
Coming out is personal and different for everyone, there is no right or wrong way to come out and you must do it when the time is right for you.
Some people are comfortable talking openly about their sexual orientation and gender identity. Others may decide not to be ‘out’ with certain groups or in every context and some people decide not to ‘come out’ to anyone, ever.
Coming out is rarely a once-in-a-lifetime event, as many LGBT+ people may want or need to come out to each new person they meet, or may realise different aspects of their LGBT+ identity over time which they might then choose to tell people about.
Coming out can be difficult and takes courage, as you never know how other people are going to react, but the most important person to come out to first is yourself. When you decide to tell friends and family about your identity, it is important you do not put pressure on yourself to come out.
If you are questioning what sexuality or gender you might be, or know that you are lesbian, gay, bisexual or trans, then download the Proud Trust's Coming Out Guide! It’s a great resource for everyone to read to explore and understand your gender and sexuality and think about how to be a good friend to a LGBT person.
Healthy lives for young people
Brook operates a number of sexual health and wellbeing services across the UK and they are committed to supporting young people.
This is their page on 'coming out'.
The Proud Trust is a life saving and life enhancing organisation that helps LGBT+ young people empower themselves, to make a positive change for themselves, and their communities.
To find out more about their work, as well as all the lovely people and partner organisations that help make all this happen, visit their website.
Coming out can be a stressful experience and here are some of our mental health pages:
Homophobic, biphobic and transphobic bullying are the official terms that describe bullying motivated by prejudice against LGBT+ people.
Thank you to Brook who helped provide content for this page.
Bullying of any kind can include anything from name-calling and spreading rumours to physical, sexual or emotional abuse.
If it’s making you feel upset or threatened, it’s probably bullying. Here are some common signs that you’re being bullied:
Bullying is very upsetting and can really affect your mental and physical health. Bullying can leave you feeling worried or anxious, depressed, lonely, low in self-esteem and even scared. This can result in missing school or college or avoiding the place or places where the bully exists.
You have a right to express your sexuality and your gender and you should not be bullied or discriminated against simply because you are lesbian, gay, bi, trans or non-binary.
Some simple ways you can stop bullying before it gets out of hand include dismissing them, being assertive or challenging them on their remarks.
If you feel like bullying is getting out of control, here are some simple steps you can take:
If you are being bullied and don’t know what to do about it, you can contact ChildLine who are there to help you and provide advice.
Call to speak to one of ChildLine’s counsellors for free on 0800 1111 or use their online chat.
The act of referring to someone as the wrong gender or using the wrong pronouns. This usually refers to intentionally or maliciously referring to a trans person incorrectly, but can also be done by accident.
A person’s individual identity is very important to them, so it can feel uncomfortable to be misgendered.
You should always be respectful of people’s gender identity and expression.
Not everyone identifies with one gender, some people will have a different gender to the one aligned with the sex they were assigned at birth; and others simply don’t present in stereotypical ways. Any harassment or bullying of people because of how they identify or present is wrong.
Sometimes, it can feel difficult or complex to understand gender and you might worry about getting it wrong, but there are actions you can take like doing research on websites like Gendered Intelligence and Stonewall about trans and non-binary identities, talking to people about gender, not making assumptions based on what people look like, and trying to be sensitive and inclusive.
Gender refers to the way in which a person feels and thinks about themselves, and the way they dress, speak or move. This can be different to the ‘sex’ they were given at birth.
The way you feel about your gender is called your gender identity.
Watch this video from the Proud Trust in which young people talk about identity, coming out, language and school.
When people think of “gender”, they often think about body parts, clothes or how a person looks and acts. But we also have a gender identity. This is the gender that we identify with, the gender that we know ourselves to be and it is part of our internal sense of self.
You can’t tell another person’s gender just by looking at them. The only person who can really know your gender is you.
Everyone is unique and has their own style and presentation. This is called gender expression. You don’t have to fit a stereotype of what you think a man or a woman should look like.
Your gender identity is about who you are, your sense of self; your sexuality/sexual orientation is about who you are attracted to.
When you are born, it’s decided whether you’re a boy or a girl, based on the way your body looks. But for some people, looks can be deceiving and they’re given the wrong gender.
So ‘gender dysphoria’ is the uncomfortable feeling some people get when their gender is different from the one they were given at birth.
No matter how someone’s body looks, they might identify as male, female or non-binary. Non-binary is an umbrella term for individuals whose gender identity doesn’t sit comfortably with ‘man’ or ‘woman’. Non-binary people can feel that their gender identity and gender experience involves being both a man and a woman, or that it is fluid, in between, or completely outside of that binary.
If your gender identity matches the one you were given at birth that’s called “cisgender”.
The Proud Trust have put together some of the words people may use to describe their gender identity. You should not feel under any pressure to assign yourself a “label”.
A person who feels they have two gender identities – this could be at the same time or at different times.
A person whose gender is the same or mostly the same as they were assigned at birth.
An umbrella term for non-binary identities that have a partial connection to a certain gender. Demiboy: A gender identity that is both male and genderless. Demigirl: A gender identity that is both female and genderless.
A person who feels that their gender is not static and that it changes throughout their life – this could be on a daily/weekly/monthly basis.
A person who does not identify with any gender.
An umbrella term for gender identities which are not confined by the gender binary of “women” and “men”. Non-binary people may identify with no gender at all or with more than one gender.
A person that has several gender identities. This can mean they have them at the same time, or that they often switch between them at different times.
Some people use it as a collective term for LGBT+ people, and some use it to explain their gender, sexual or political identity. Some people still use this word as an insult – this is LGBTphobia and should be challenged.
A person who is uncertain about and/or exploring their own sexual orientation (and/or gender identity).
A person whose gender identity is in some way different to the gender they were assigned at birth.
Pronouns are words used to refer to someone when their name isn’t used. They usually suggest a person’s gender, although some people prefer, or identify with, neutral pronouns such as they or them.
What is your pronoun? You have the right to be called by the pronoun you feel most comfortable with.
You should check with people to ask what their pronoun is and not assume!
These services offer great resources, helplines, support groups, forums and web chats.
Gendered Intelligence is a registered charity that exists to increase understandings of gender diversity and improve trans people's quality of life.
They believe that everyone can be intelligent about gender.
Check out their website here.
Mermaids has been supporting transgender, nonbinary and gender-diverse children, young people, and their families since 1995.
Mermaids supports transgender, nonbinary and gender-diverse children and young people until their 20th birthday, as well as their families and professionals involved in their care. They also currently offer web chat support to students up to the age of 25.
Visit their website here.
The following organisations helped provide content for this page and they will be able provide support and advice on other LGBT+ related topics.
Brook operates a number of sexual health and wellbeing services across the UK and they are committed to supporting young people.
They offer advice on many different areas related to LGBT+ and below you can some example pages:
The Proud Trust is a life saving and life enhancing organisation that helps LGBT+ young people empower themselves, to make a positive change for themselves, and their communities.
To find out more about their work, as well as all the lovely people and partner organisations that help make all this happen, visit their website.
This section has been developed to offer support, information and signpost LGBT+ individuals to advice and support services.
If you know of any LGBT+ support services for young people in your local area across the North East and North Cumbria that you would like us to promote, please send it via the feedback link
The Proud Trust is a life saving and life enhancing organisation that helps LGBT+ young people empower themselves, to make a positive change for themselves, and their communities.
To find out more about their work, as well as all the lovely people and partner organisations that help make all this happen, visit their website.
Telephone number: 0161 660 3347
Email: info@theproudtrust.org
Social Media: Facebook and Instagram
LGBT Foundation exists to support the needs of the diverse range of people who identify as lesbian, gay, bisexual and trans. They believe in a fair and equal society where all LGBT people can achieve their full potential. #EqualityWins underpins much of what they do and they aim to be; ‘here if you need us.’
Each year, they serve over 40,000 people, achieving an average 98% satisfaction rating, as well as providing information to over 600,000 individuals online.
They support LGBT people to increase their skills, knowledge and self-confidence to improve and maintain their health and wellbeing.
Working together, they are changing LGBT lives for the better and securing a safe, equal and healthy future for all LGBT people.
Visit their website here.
Telephone: 0345 3 30 30 30
Social media: Facebook and Instagram
At Stonewall, they stand for lesbian, gay, bi, trans, queer, questioning and ace (LGBTQ+) people everywhere. They imagine a world where all LGBTQ+ people are free to be ourselves and can live our lives to the full.
Visit their website here.
Telephone number: 0800 0502020
Social media: Facebook and Instagram
Mental health problems such as depression or self-harm can affect any of us, but they're more common among people who are lesbian, gay, bisexual and trans (LGBT).
This may be linked to LGBT people's experience of discrimination, homophobia or transphobia, bullying, social isolation, or rejection because of their sexuality.
Other things, such as their age, religion, where they live, and their ethnicity can add extra complications to an already difficult situation.
Do not suffer in silence. You should get help as soon as you feel you need it. It's never too late to get help, no matter how big or small your problems might seem.
You could benefit from a talking therapy if you:
If you're struggling to cope right now, contact Samaritans:
Other places which offer support and advice
LGBT+ North East - Waythrough supporting young LGBT+ people aged 11-25 and their families in County Durham, Sunderland and South Tyneside.
A person’s sexuality, or sexual orientation, is the part of their identity that relates to who they find attractive/who they fancy.
Although it’s in the name, the attraction to other people does not have to be sexual, it could be romantic.
Some people are attracted to a particular gender/genders, some people are attracted to who the person is (their morals, values, humour, intelligence, etc.), and for some it’s a combination of the two.
It can feel quite daunting to step back and ask yourself “Am I straight/gay/etc.?”. But you are the only person that is able to answer that question.
Nothing has “caused” you to feel this way and there is nothing wrong or weird about the way you are feeling. However, what you are feeling is completely valid and you shouldn’t put yourself under pressure to figure out your sexuality immediately. Take the time to explore your feelings and reflect on how you are feeling – it will be difficult to understand them if you ignore them.
You might find it helpful to talk to other people who have gone through or are going through the process of questioning their sexuality. You can meet other LGBT+ young people at your nearest LGBT+ youth group or you can talk to a trusted adult using our Proud Connections chat service.
‘Coming out’ is when someone tells someone else about their LGBT+ identity. In relation to sexuality, this means telling someone that you are gay, lesbian, bisexual, queer, or any other sexuality which isn’t straight. See more on coming out here.
Do not feel any pressure to “label” your identity but take the time to explore it. If you do choose to label your sexuality, be aware that later you might choose to change how you describe yourself; this is completely normal, and many other people do this too as they come to better understand their feelings.
The Proud Trust put together some of the words people may use to describe their sexuality as seen below. You should not feel any pressure to assign yourself a “label”.
A person of any gender or sexual orientation who experiences sexual attraction
A person of any gender or sexual orientation who experiences little, or no, romantic attraction. Aromantic people may still experience other types of attraction, such as sexual or physical attraction
A person of any gender or sexual orientation who experiences little, or no, sexual attraction. Asexual people may still experience other types of attraction, such as physical or romantic attraction
A person who experiences romantic attraction to more than one gender but little or no sexual attraction
A person of any gender who experiences attraction to people of their own gender and other genders
A person who only experiences sexual attraction to people they have a close emotional connection with
Traditionally this word has meant a man who is attracted to other men but today, people of other genders use this word too, so the word gay describes a person who is attracted to other people of the same gender
A person who is attracted to people of a different gender
A woman who is attracted to other women
A person of any gender who is attracted to people of all genders
Some people use it as a collective term for LGBT+ people, and some use it to explain their gender, sexual or political identity. Some people still use this word as an insult – this is LGBTphobia and should be challenged
A person who is uncertain about and/or exploring their own sexual orientation (and/or gender identity)
The following organisations helped provide content for this page and they will be able provide support and advice on other LGBT+ related topics.
Brook operates a number of sexual health and wellbeing services across the UK and they are committed to supporting young people.
They offer advice on many different areas related to LGBT+ and below is their page on sexuality:
The Proud Trust is a life saving and life enhancing organisation that helps LGBT+ young people empower themselves, to make a positive change for themselves, and their communities.
To find out more about their work, as well as all the lovely people and partner organisations that help make all this happen, visit their website.
Dealing with your sexuality can be a stressful experience and here are some of our mental health pages:
Acute kidney injury (AKI) is when the kidneys stop working over a short period of time – a few days or a few weeks. It is sometimes called acute kidney failure (AKF) or acute renal failure (ARF).
Learn the basics about food allergies, their symptoms and how they are diagnosed. And if you have itchy eyes, a sneezy nose, wheezy chest or queasy stomach, you might have an allergy: find out more…
Anaphylaxis (pronounced ana-fill-ax-is) is a severe and potentially life-threatening allergic reaction. Learn more about what you can do to avoid having an anaphylactic reaction or what to do if someone else if having a severe allergic reaction.
Arthritis doesn’t just affect the elderly. Find out more about conditions affecting the bones and joints of children and young people; to hear the experiences of a young person with arthritis, click here. The Centre for Adolescent Rheumatology and the Children’s Chronic Arthritis Association provide extremely useful information for young people.
Don’t let having asthma stop you living your life. Learn more about asthma and find ways to help you stay well.
Click here for videos on inhaler technique.
Brain tumours are quite complex - at present, over 130 different types of 'high grade'(cancerous) or 'low grade' (non-cancerous) brain tumours are known. Find key information about brain tumours in young people including symptoms, diagnosis and treatments, and read advice on living with, or caring someone with, a brain tumour.
7 young people are diagnosed with cancer every day in the UK. You don’t have to face cancer alone - find out about cancer types, treatments and living with cancer as a teen or young adult. This information has been written specifically for you and reviewed by other young people with cancer. Hear the stories of other young people with cancer.
Chronic fatigue syndrome (CFS) is a complicated disorder characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue may worsen with physical or mental activity, but doesn't improve with rest.
For more information on CFS and the Specialist Chronic Fatigue (ME) Service for children and young people anywhere in the UK, please click here.
Chronic kidney disease (CKD) is a lifelong condition. The kidneys gradually stop working as well as they should. This usually happens over many years.
The Pain Toolkit is for people who live with persistent pain and Healthcare teams who support them. It helps people all over the world self manage persistent pain.
There are many young people in the UK who are born with a cleft lip or palate. Some of them have shared their stories about everything from school to surgery.
Growing up with coeliac disease, especially in your teenage years, can have its challenges, especially as you eat out more with friends. Don’t be embarrassed about having coeliac disease; it’s part of you and your friends will understand.
Cystic fibrosis(CF) is one of the UK's most common life-threatening inherited diseases. Cystic fibrosis is caused by a defective gene. As a result, the internal organs, especially the lungs and digestive system, become clogged with thick sticky mucus resulting in chronic infections and inflammation in the lungs and difficulty digesting food. Find out more…
Being a teenager is hard enough, without having Type 1 diabetes. Find out more about successfully living with Type 1 diabetes and getting through your teenage years. Listen to the experiences of young people with diabetes by clicking here. Or, to read a diabetes-inspired comic click here
‘Why do I have eczema?’ is a question asked by a lot of the young people with eczema. Find out more about eczema or listen to the experiences of other young people with eczema.
If you’re a teenager with epilepsy, you probably have all sorts of questions about how epilepsy could affect your life. For example, will you be able to go on holiday with friends, go to concerts and clubs and drink alcohol? Or maybe you have a friend, brother or sister who has epilepsy and you just want to understand more about it. Or you can listen to the experiences of a young person with epilepsy by clicking here. Young epilepsy provides great help and support.
Focal segmental glomerulosclerosis (FSGS) and IgM nephropathy cause nephrotic syndrome. This causes swelling in the body, especially in their face, legs and feet.
Glomerulonephritisis a group of conditions that cause inflammation (swelling) in the kidneys. Children with glomerulonephritis have blood and protein in their urine, and may have swelling in their body, especially in their face and legs. Find out more…
Haematuriameans there is blood in the urine (wee). If there is a lot of blood, the urine may be red or dark brown. In most children, haematuria is not serious. In some children, it is a sign that there is a problem with their kidney and these children may need special treatment. Find out more…
In haemolytic uraemic syndrome (HUS), the small blood vessels inside the kidneys are damaged. There are changes in the blood and the kidneys stop working properly.
By the time you are a teenager, you may already be used to living with a bleeding disorder. However not all people with bleeding disorders are diagnosed earlier on in life, and a bleeding disorder may be entirely new for you. The information here should be able to reassure you about your bleeding disorder, and let you get on with the enjoyment of being a teenager..
If you have a congenital heart condition, you might feel like you don't want to know every detail because it scares you. In fact you're not alone - many adults feel the same way. Find out more…
Henoch-Schönlein purpura (HSP) is a condition that affects different parts of the body. Tiny blood vessels in the body become inflamed or swollen.
It’s difficult being a young person with HIV but you’re not alone. Hear the experiences of other young people living with HIV. Find ways of accessing local support as well as the Body & Soul Beyond Boundaries programme.
Click here to watch a video from the BBC called HIV Positive: Seriously, you can't catch it from kissing.
If you’re a teenager or young adult affected by hydrocephalus, it’s important to remember that you’re not alone. You’ll find useful information to help you overcome the different challenges you may face.
Hypertension means that your blood pressure is too high. In some children, hypertension can be a serious condition. It can increase the risk of getting other diseases, especially if the hypertension continues into their adult years. Find out more…
Crohn’s Disease and Ulcerative Colitis are the two main forms of Inflammatory Bowel Disease, affecting more than 300,000 people in the UK. Yet it is largely a hidden disease, and one that causes stigma, fear and isolation – it’s thought that many people with the condition go undiagnosed and suffer in silence. It doesn’t have to be like this. Learn more….
Don’t let a medical condition change your life. Change the way you deal with it – by living as best you can with the security of a Medi band or Medic alert medical ID bracelet or wristband.
Climb is the leading patient organisation for Inherited Metabolic Disorders, supporting thousands of families worldwide.
Mitochondrial Disease is a chronic, genetic disorder that can be inherited in a number of ways. Because there are many forms of mitochondrial disease and therefore Mitochondrial disease presents very differently from individual to individual.
When a person has Mitochondrial Disease the mitochondria in the cells are not producing enough energy. Sometimes they are not very efficient or they do not work at all. Depending on which Mitochondria are affected will depend on which organs are affected.
Activities like running, swimming, cycling or even simple ones likes walking or breathing can be difficult or completely impossible if you are suffering with Mitochondrial Diseases.
For help and for more information, visit the Abel Foundation website by clicking here.
Bladder problems are not a subject that is openly discussed, hence there is a general lack of public knowledge on what it is like to have Mitrofanoff. Mitrofanoff Support offers emotional support and reassurance to anyone who may be about to have, or already has a Mitrofanoff and the people closest to them.
A multicystic dysplastic kidney (MCDK) is a kidney that has not developed normally in the womb. Instead of a working kidney, there is a bundle of cysts, which are like sacs filled with liquid. Find out more…
Living with a neuromuscular condition can be a steep learning curve, but support is available. Find out more…
In nephrotic syndrome, the kidneys leak too much protein into the urine, leading to a drop in the levels of protein in the blood. This causes swelling in the body, especially in the face, legs and feet. Find out more… About half of children with steroid-sensitive nephrotic syndrome (SSNS) have frequent relapses. This means that although the nephrotic syndrome gets better with steroids, it keeps coming back in a short space of time. Learn more about frequently relapsing nephrotic syndrome.
Neurofibromatosis type 1 is a condition that causes lumps called neurofibromas to grow on the covering of nerves. Although doctors sometimes call the lumps tumours, they are not cancer. This information sheets offers you some facts and advice to help you.
PIGN causes inflammation (swelling) in the kidneys. Young people with PIGN have blood and protein in their urine, and may have swelling in their body, especially around their face and legs. Find out more…
If you are a young person with a primary immunodeficiency, there are probably loads of questions you’d like to know the answers to, things you maybe feel a bit embarrassed to ask about or you simply don’t know who to ask. Learn more here…
Proteinuria means there is an abnormal amount of protein in the urine (wee). Normally there is very little protein that is lost in the urine. Find out more…
Renal dysplasia (or kidney dysplasia) means that a kidney does not fully develop in the womb.The affected kidney does not have normal function – which means that it does not work as well as a normal kidney. It is usually smaller than usual, and may have some cysts, which are like sacs filled with liquid. Find out more…
Renal hypoplasia (or kidney hypoplasia) means that part of a kidney does not fully develop in the womb. The kidney may only be slightly smaller than usual or it may be tiny. Because of its size, it may not work as well as a normal-sized kidney. Find out more…
Advice on what you can do if you have scoliosis or if you have just been diagnosed with it. Find out more…
Advice for young people living with sickle cell disease. You are not alone. Click here for more information.
Spina bifida literally means ‘split spine’. A fault in the development of the spinal cord and surrounding bones (vertebrae) leaves a gap or split in the spine. The spinal cord has not formed properly, and may also be damaged. Find out more…
Syncope (pronounced sin-co-pee) is a medical term for a blackout that is caused by a sudden lack of blood supply to the brain. Reflex syncope is one of the most common forms of syncope. Find out more…
Thalassaemia is a complex condition affecting the blood that requires constant monitoring and treatment. However, it is no longer just a disease of childhood; with our current level of knowledge, of treatment, of support and care there is no reason for a young person with thalassaemia to not reach their full potential.
An estimated 1 million people worldwide have TSC. Some will be diagnosed with TSC very early in life whilst others may not be diagnosed until later childhood, adolescence or adulthood. Find out more…
A urinary tract infection (UTI) is a common infection that may cause you pain when you pee. Sometimes it can result in a kidney infection. Find out more…
Von Willebrand disease is the most common type of bleeding disorder: it’s estimated that around 1% of the world population may be affected. It affects the blood’s ability to clot and can cause symptoms such as easy bruising, nosebleeds, and heavy periods. It may also be hard to stop bleeding after injury or surgery. Find out more…