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Transgender isn't really a sexual orientation — it's a gender identity. Transgender people may have the body of one gender, but feel that they are the opposite gender, like they were born into the wrong type of body.People who are transgender are often grouped in with lesbian and gay as a way to include people who don't feel they fit into the category of being "straight." Why are some people straight and some people gay? Most medical experts, including those at the American Academy of Pediatrics (AAP) and the American Psychological Association (APA), believe that sexual orientation involves a complex mix of biology, psychology, and environmental factors.

In many communities, youth groups can provide opportunities for LGBT teens to talk to others who are facing similar issues.That can be especially true for people who have romantic or sexual thoughts about someone who is the same sex they are. It's common for teens to be attracted to or have sexual thoughts about people of the same sex the opposite sex.It's one way of sorting through emerging sexual feelings.Some live in communities or families where being gay is not accepted or respected.People who feel they need to hide who they are or who fear discrimination or violence can be at greater risk for emotional problems like anxiety and depression.LGBT teens might feel like they have to pretend to feel things that they don't in order to fit in with their group, family, or community.

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