He has been manipulated to be this way. The best approach to use would be subconscious channeling to deal with the emotional and psychological trauma that is associated with the emerging awareness of his sexuality and gender orientation. This will naturally cause confusion and be a source of increasing concern on his part. It is also coupled to inner awareness of the traumatic events bringing this situation about. The two will be intertwined and both need healing, so there is no reason to wait because the healing can start now and reduce the inner turmoil at least, and help him adjust to circumstances and not be wounded and lead to emotional extremes that could be quite damaging to his development and his ability to fit in with his peers. The approach is ideal also because it will be subliminal and done in a way that is facilitating a self‑healing and repair rather than a manipulation that could easily be misconstrued as attempting to program him or force him into an unnatural state that is simply more palatable to the parents or grandparents, and deny his presumed true nature when, of course, it is actually an aberration induced by outside forces to worsen his life.
So any healing that will help him adjust as best he can to whatever he experiences while healing is in progress will be all to the good. It will come without any labels or pressure, or a hint of judgment by singling this out as faulty or disordered in particular. This can be approached in a more gentle way, and because you are dealing in the healing process with the deep subconscious, the higher layers of awareness that he can perceive consciously will not be disturbed and there will be no challenge to his beliefs about himself or questioning of his identity that could be unsettling and actually worsen his fears. So you are on solid ground to do an intervention to help him simply adjust to his life in whatever way he feels a need and that will be productive and beneficial.
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