Week 10: Gender Dysphoria

What is Gender Dysphoria?

In English “sex” is thought of pretty must as both male & female and as sexuality. Refers to an individual’s affective/cognitive discontent with the assigned gender. Typically is more specifically defined when as a diagnostic category.

What is Sex?

tend to refer to the biological indicators of male and female such as - in sex hormones, and nonambiguous internal and external genitalia

What is Gender?

the public lived role as a boy or girl, man or woman.

What is Gender assignment?

the initial assignment as male or female.

What is Gender-atypical?

somatic features or behaviors that are not typical of individuals with the same assigned gender in a given society and historical era. Gender-nonconforming: an alternative term to gender.

What is Gender reassignment?

an official change of gender - legally they can identify as the preferred gender

What is Gender identity?

an individual’s identification as male/female/some category other than male or female.

What is Transgender?

the broad spectrum of individuals who transiently or persistently identify with a gender different from their birth gender.

What is Transsexual?

an individual who seeks or has undergone a transition from male to female or female to male typically involving a somatic transition by cross-sex hormone treatment and genital surgery.

What are the DSM diagnoses?

(4) Gender dysphoria in children 302.6 (F64.2), Gender dysphoria in adolescents and adults 302.85 (F64.1), Other specified gender dysphoria 302.6 (F64.8), Unspecified gender dysphoria 302.6 (F64.9).

What is Gender dysphoria 302.6 (F64.2) [in children]?

We see a marked divergence with one’s gender and assigned gender of at least 6 months duration. Six of the following: (A strong desire to be of the other gender or insisting that one is of the other gender. In boys, a strong preference for cross-dressing or simulating female attire; in girls a strong preference for wearing only typical masculine clothing and a strong resistance to wearing typical feminine clothing. A strong desire for cross-gender roles in make-believe play. A strong desire for the toys, games, or activities stereotypically used or engaged in by the other gender. A strong preference for playmates of the other gender. In boys, a strong rejection of typically masculine toys, games, and activities and a strong avoidance of rough-and-tumble play; or in girls a strong rejection of typically feminine toys, games and activities. A strong dislike of one’s sexual anatomy. A strong desire for the primary and/or secondary sex characteristics that match one’s assigned gender.

What are specifiers in Gender dysphoria 302.6 (F64.2) [in children]?

Specify if - With a disorder of sex development. An example: would be congenital adrenal hyperplasia or androgen insensitivity syndrome. “Occurs when the adrenal glands, while trying to make cortisone, may make an unusually high level of other hormones that are ‘virilizing.’ That is, they can make XX embryos have larger than average clitorises, or even a clitoris that looks rather like a penis, or labis that look like a scrotum.”

What is Gender dysphoria 302.85 (F64.1) [in adolescents and adults]?

A marked incongruence between one’s experienced/expressed gender and assigned gender, for at least 6 months duration, as manifested by at least 2 of the following: (A marked incongruence between one’s experienced/expressed gender and primary and/or secondary sex characteristics (or in young adolescents, a desire to prevent 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).

What are specifiers Gender dysphoria 302.85 (F64.1) [in adolescents and adults]?

With a disorder of sex development, post transition 

What is 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 one cross-sex medical procedure or treatment regimen – namely, regular cross-sex hormone treatment or gender reassignment surgery confirming the desired gender.

What is Other specified gender dysphoria 302.6 (F64.8)?

This category applies to presentations in which symptoms characteristic of gender dysphoria that cause clinically significant distress or impairment in social, occupational, or other important areas of functioning predominate but do not meet the full criteria for gender dysphoria.

This category is used in situations in which the clinician chooses to communicate the specific reasons that the presentation does not meet the criteria for gender dysphoria. This is done by recording “other specified gender dysphoria” followed by the specific reason (e.g., “brief gender dysphoria”). - The symptoms meet criteria for gender dysphoria but the duration is less than 6 months

What is Unspecified gender dysphoria 302.6 (F64.9)?

This category applies to presentations in which symptoms characteristic of gender dysphoria that cause clinically significant distress or impairment areas predominate but do not meet the full criteria.

This category is used in situations in which the clinician chooses not to specify the reason that the criteria are not met for gender dysphoria, and includes presentations in which there is insufficient information to make a more specific diagnosis.