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Parents Theresa and Darren Avery, 41, became worried by Zach's behaviour and took him to the doctors. Zach is one of the youngest in Britain ever to be diagnosed with GID - meaning he feels like he's a girl trapped in a boy's body. Five-year-old boy lives as girl in youngest case of Gender Identity Disorder A little boy who decided he was a girl trapped in a boy's body has become one of the youngest-ever children to have his decision backed by the NHS - aged just four. There are people out there but they don't want to talk about it. I assumed he was just going through a phase and just left it at that. We remain in contact with young people often for many years. And Zach's school - Purfleet Primary in Essex - has even turned their toilet block gender-neutral to support him. Some may be boys who prefer activities and role associated with the opposite sex, some may also identify as the opposite sex and vice versa for girls. With his blonde pigtails and purple tutu, Zach Avery, now five, has been living as a girl for more than a year - after he first refused to live as a boy when he turned three.

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