This student just cut her hair short and wore gender neutral clothes. I didn't mention sex reassignment surgery because that didn't happen.
I take issue with people who turn these things into "lefty issues", when it's a personal thing that goes on between a family and close friends. She seemed to have a good head on her shoulders, and I was heartened that whatever she was going through, she wasn't judged, stigmatized, or made fun of. As far as I could tell, she enjoyed school.
With respect, telling a child "you're struggling right now, and we are going to get you help so you won't fixate on this anymore" is the last thing I would say and I hope you never do either.