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Counseling, Ethics, and the Protection of Youth



The American Counseling Association (ACA) emphasizes the ethical principle of do no harm. While this directive may seem straightforward, in practice it is often vague and highly subjective. Determining what constitutes harm can vary widely among professionals, creating a dangerous gray area, particularly in cases involving minors exploring gender identity.


Recent trends in the counseling and medical fields show increasing pressure on clinicians to affirm a client’s self-declared gender identity without thorough evaluation, especially for teenagers. Alarmingly, some adolescents receive hormone injections within a single consultation, often without fully understanding the permanent physical and psychological consequences. Research and clinical observation indicate that a significant portion of these young individuals later regret irreversible interventions, including hormone therapy and surgeries. Regret rates vary, but studies suggest that 20–30% of individuals detransition or later reconsider these decisions. Moreover, the mental health toll can be severe: individuals who undergo early gender-affirming medical interventions face elevated risks of depression, anxiety, self-harm, and suicide compared to peers.


From a Christian ethical perspective, such practices are profoundly troubling. Life is sacred, and each individual is created in the image of God (Genesis 1:27). This sacredness includes both physical integrity and mental well-being. Therefore, interventions that carry irreversible consequences for minors, who cannot fully comprehend or consent to such decisions, violate both natural law and God’s design for human flourishing. Affirmation without discernment or careful guidance can inadvertently contribute to physical harm, emotional suffering, and spiritual confusion.


Christian counselors and professionals are called to uphold truth and act with moral courage. The principle of do no harm requires protecting vulnerable populations, especially children, from decisions that may have lifelong negative consequences. Ethical, faith-informed care must prioritize guidance, education, and careful assessment over acquiescing to societal pressures or client demands alone.


In light of these realities, it is imperative to advocate for policies and practices that protect minors from irreversible medical interventions, provide holistic support for questioning youth, and honor God’s design for human life. True compassion does not mean simply affirming choices without discernment; it means walking alongside young people, offering guidance, and safeguarding their physical, emotional, and spiritual well-being.




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