Please do not restrict the options for counseling nor threaten punishment to counselors who respond to clients cry for help with unwanted gender identity confusion or same sex attraction.  Remember the body physically supports the biological birth sex with every cell having male OR female chromosomes (not both nor opposite of external sex obvious gender), and hormones supporting birth gender maintain the matching sex characteristics. When environment interferes (such as sexual abuse, overbearing mother or father, weak role model, illness disrupting hormones, curiosity after hearing about gender change, etc.) then gender confusion can disrupt normal feelings and behavior. There are hundreds of people who have been released from gender confusion and are so thankful for the counseling that freed them. Please don’t restrict counseling to provide this gift.