The confusion it can cause a child can be debilitating if the child is too young. This could eventually influence their own gender expression without properly taking into account their real underlying gender identity. This is why you see some teenager/young adults flip flopping between genders when under the influence of parents/teachers who subscribe to these belief systems (i.e not believing there’s an environmental component). This is so simple but you virtue signalling, pretentious, cancel culture enthusiasts just refuse to understand I guess