[Excerpt] Sitting on the back deck of her home, overlooking the chicken coop on her family’s farm near Ann Arbor, Tiffinny recalled coming out as transgender to her mom at age eight. “I was just like, ‘OK, I don’t really feel like I’m a boy. I feel like I’m a girl. And like, how I look doesn’t represent how I feel. So I want to change that.’” As an honor roll student with a packed schedule, she juggles music, art and sports. Lately she and her parents have wondered whether she might have ADHD.