In the early years it was predominantly young boys who were seeking treatment.
It's now mostly teenage girls who want to change. One third of the whole have autism or other types of neurodiversity, and a large percentage are looked-after children.
Walker was shot 46 times in a hail of gunfire that lasted just under seven seconds and roiled yet another city amid heightened tensions with police over the killing of a Black man that started with a routine traffic stop.
The battle for Kyiv is now underway as Russian tanks this morning pushed to within just a few miles of the city outskirts, analysts and witnesses said, though initial assaults to the west and east were repelled as Putin's forces face a long and bloody campaign to try and take the capital.
Study after study says American youth are in crisis, facing unprecedented mental health challenges that are burdening teen girls in particular.
Among the most glaring data: A recent Centers for Disease Control and Prevention report showed almost 60% of U.S. girls reported persistent sadness and hopelessness. Rates are up in boys, too, but about half as many are affected.
Kyiv mayor Vitali Klitschko said today that Ukraine's capital city has been 'turned into a fortress' ahead of the Russian assault, with about 2 million people - half the residents of the metro area of the capital - having fled as Putin's troops draw ever closer.
The Russian defence ministry said: 'Unmanned aerial vehicles of the Aerospace Forces carried out missile strikes on a self-propelled artillery battery of 122mm howitzers and military hardware of the Ukrainian armed forces.
Kremlin troops launched two attacks on Kyiv late Wednesday and earlier today - one via the besieged western city of Irpin and another through the eastern district of Brovary, with video showing the moment Russian tanks and armoured vehicles were bombarded with artillery in a devastating ambush and forced to turn back.
Which is what happened to Keira.
At 16, far too young to give informed consent, she was referred to GIDS. After just three appointments she was prescribed puberty blockers to stop her periods and breasts developing before starting to take the male hormone testosterone a year later.
As for the boys who want to be girls, how often have they been teased because they're effeminate?
How often have their dads wished they could kick a football? How many of both sexes are gay and should be allowed to grow up as such?
Meanwhile, Democratic Gov. Gavin Newsom has promised to deliver 500 units of temporary housing to the city, while the Biden administration has sent the city and county more than $200 million for homeless programs, she added.
The government has announced that the owner of Chelsea FC will also be prohibited from transactions with UK individuals and businesses.
The government could still grant him a licence to sell the club, but will need to be assured that he will not benefit financially and any proceeds would remain frozen.
Russia's announcement of the missile strike came as Kyiv's army high command claimed to have killed a fifth Moscow general since the war in Ukraine began. Lieutenant General Andrey Mordvichev (pictured) was one of Vladimir Putin's most senior commanders, in charge of the 8th All-Military Army of the Kremlin's vast Southern Military District
"I got on my knees and he was laying face down. And that´s when I grabbed him. I turned him over, I was holding him," Dowdell said, recalling the moment she found her brother with the life ebbing out of him.
"I wasn´t crying at the moment because I was trying to be strong instead of panicking. And so I said, 'You´re going to be all right. You´re a fighter, you´re strong."
'The Kinzhal aviation missile system with hypersonic aeroballistic missiles destroyed a large underground warehouse containing missiles and aviation ammunition in the village of Deliatyn in the Ivano-Frankivsk region', the Russian defence ministry said Saturday.
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