Criteria

International statistical classification of diseases and health related problems (ICD-10)[4]

Dual role transvestism

  • Diagnosed in the context of the wearing of clothes of the opposite sex for part of the time in order to enjoy the temporary experience of membership of the opposite sex, but without desire for something more permanent.

  • No sexual excitement accompanies the cross-dressing, which distinguishes the disorder from fetishistic transvestism.

Transsexualism

  • Described as the desire to live and be accepted as a member of the opposite sex. It is usually accompanied by a sense of discomfort with one's anatomic sex.

  • The desire should have been present for at least 2 years, and must not be a symptom of another mental disorder or be associated with any intersex, genetic, or sex chromosome abnormality.

Gender dysphoria of childhood

  • Persistent and intense distress about assigned sex together with a desire to be of the other sex. Diagnosis requires a profound disturbance of the normal sense of maleness or femaleness.

  • Diagnosis should not be made when the individual has reached puberty.

Diagnostic and statistical manual of mental disorders, 5th edition (DSM-5)[2]

Gender dysphoria in adolescents and adults

  • A marked incongruence between one's experienced/expressed gender and assigned gender, of at least 6 months' duration, as manifested by at least two of the following:

    • A marked incongruence between one's gender and primary and/or secondary sex characteristics (or in young adolescents, the anticipated secondary sex characteristics).

    • A strong desire to be rid of one's primary and/or secondary sex characteristics because of a marked incongruence with one's experienced/expressed gender (or in young adolescents, a desire to prevent the development of the anticipated secondary sex characteristics).

    • A strong desire for the primary and/or secondary sex characteristics of the other gender.

    • A strong desire to be of the other gender (or some alternative gender different from one's assigned gender).

    • A strong desire to be treated as the other gender (or some alternative gender different from one's assigned gender).

    • A strong conviction that one has the typical feelings and reactions of the other gender (or some alternative gender different from one's assigned gender).

  • The condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning.

  • Two specifiers exist:

    • With a disorder of sex development (e.g., congenital adrenal hyperplasia).

    • Post-transition: the individual has transitioned to full-time living in the desired gender (with or without legalization of gender change) and has undergone (or is preparing to have) at least 1 cross-sex medical procedure or treatment regimen (e.g., regular cross-sex hormone treatment or gender reassignment surgery confirming the desired gender).

  • Separate criteria now also exist for the diagnosis of children; however, children with gender dysphoria are not covered by this monograph. Gender dysphoria no longer comes under the category of sexual dysfunctions and paraphilic disorders and is considered a disorder in its own right. The term "gender identity disorder" has been replaced by "gender dysphoria" to avoid stigmatization. APA: gender dysphoria external link opens in a new window

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