Alex As Well by Alyssa Brugman

In Alyssa Brugman's thoughtful novel Alex As Well, the teenaged title character often feels like two people - one female, one male - trapped in the same body.

There's nothing like feeling uncomfortable in your own body. For Alex, the struggle is constant. Alex was born intersex, having physical characteristics of both genders. Doctors could not identify Alex as male or female. Alex's parents selected a gender-neutral name for their baby and were made to monitor their child's behavior and report back to doctors, who decided Alex's tendency to be more aggressive than passive indicated the child was more masculine than feminine - and so Alex was raised as a boy.
 
Now Alex is in high school, and she has found the strength within to tell her parents that she would rather identify as a girl. Her father splits; her mother falls apart. Alex stands her ground and starts making decisions for herself. She leaves her all-boys school and enrolls in a new school as a girl. She finds new friends, including a girl she gets a crush on and a boy who gets a crush on her. Though she enjoys their friendship, she cannot bring herself to tell them - or anyone at her new school - the truth about her condition, and fears the day that someone or something will reveal it.

The novel is told from Alex's first-person point of view, which occasionally has her talking to her masculine self, her inner twin, who often taunts her and points out the physical differences between her - them - and her peers. Posts from Alex's mother's blog, placed between chapters every now and then, shed light on her struggle to raise her child, revealing facts about Alex's condition and upbringing and the mom's attempts to assist and accept her. The blog posts help make the mother seem a little less harsh, a little less hysterical, and a little more human than she would be had the blog not been included.

To date, I've read four Alyssa Brugman novels - Finding Grace, Walking Naked, Being Bindy, and Alex As Well - and I've enjoyed them all. Brugman creates protagonists driven by personal matters who have yet to realize something about themselves. Her realistic storylines draw in readers and her frank storytelling takes them straight to the heart of the matter.