Identity formation involves the development of self esteem, social skills, and a sense of self. Many gay and lesbian adults have noted that they were aware of their attraction to members of the same sex as early as five- and six-years-old. Reactions they received from parents and others often added to their stress. Following a description of the Diagnostic Statistical Manual of Mental Disorders IV diagnosis of Gender Identity Disorder, this paper offers helping professionals information on counseling families and adults about Gender Identity Disorder. Therapeutic strategies used for treating children can include family therapy, psychotherapy, parental counseling, and behavior therapy. Being a caring and nonjudgmental helping professional can aid in building a support system for the child or adolescent, which is desperately needed during the time they are trying to figure out who they are. Sensitivity and awareness are the two greatest assets the counselor can have when working with these clients. (JDM)