Holy Cross sisters of Wadali community is engaged in providing counseling services for transgender persons and their family members and conducted workshops for mental health professionals. Family members and the general public often want to know how this happens or why some people are transgender.
The etiology of transgender may be understood as a complex interaction of social/cultural, cognitive and primarily biological factors, consistent with explanations of gender identity in general. Social support is very important for reducing the sense of isolation that many transgender persons experience. Many report that they first sought information and support for themselves on the internet, describing how comforting it was to find out there were other people like them.