#Marked definition manual#

In boys (assigned gender), a strong rejection of typically masculine toys, games, and activities and a strong avoidance of rough-and-tumble play or in girls (assigned gender), a strong rejection of typically feminine toys, games, and activities.A strong preference for playmates of the other gender.A strong preference for the toys, games or activities stereotypically used or engaged in by the other gender.A strong preference for cross-gender roles in make-believe play or fantasy play.In boys (assigned gender), a strong preference for cross-dressing or simulating female attire or in girls (assigned gender), a strong preference for wearing only typical masculine clothing and a strong resistance to the wearing of typical feminine clothing.A strong desire to be of the other gender or an insistence that one is the other gender (or some alternative gender different from oneвЂ™s assigned gender).The DSM-5 defines gender dysphoria in children as a marked incongruence between oneвЂ™s experienced/expressed gender and assigned gender, lasting at least 6 months, as manifested by at least six of the following (one of which must be the first criterion): In order to meet criteria for the diagnosis, the condition must also be associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning. A strong conviction that one has the typical feelings and reactions of the other gender (or some alternative gender different from oneвЂ™s assigned gender).A strong desire to be treated as the other gender (or some alternative gender different from oneвЂ™s assigned gender).A strong desire to be of the other gender (or some alternative gender different from oneвЂ™s assigned gender).A strong desire for the primary and/or secondary sex characteristics of the other gender.A strong desire to be rid of oneвЂ™s primary and/or secondary sex characteristics because of a marked incongruence with oneвЂ™s experienced/expressed gender (or in young adolescents, a desire to prevent the development of the anticipated secondary sex characteristics).A marked incongruence between oneвЂ™s experienced/expressed gender and primary and/or secondary sex characteristics (or in young adolescents, the anticipated secondary sex characteristics).

The DSM-5 defines gender dysphoria in adolescents and adults as a marked incongruence between oneвЂ™s experienced/expressed gender and their assigned gender, lasting at least 6 months, as manifested by at least two of the following:

#Marked definition manual#

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) 1 provides for one overarching diagnosis of gender dysphoria with separate specific criteria for children and for adolescents and adults. People who are transgender have the same diversity of sexual orientations as people who are cisgender (people whose sex assigned at birth matches their gender identity). Sexual orientation refers to the types of people towards which one is sexually attracted. Gender identity is also different from sexual orientation. Diverse gender expressions, much like diverse gender identities, are not indications of a mental disorder.

OneвЂ™s gender expression does not necessarily align with their gender identity. Such expectations are culturally defined and vary across time and culture. For example, in much of the U.S., wearing a dress is considered a вЂњfeminineвЂќ gender expression, and wearing a tuxedo is considered a вЂњmasculineвЂќ gender expression. Whereas gender identity refers to oneвЂ™s psychological sense of their gender, gender expression refers to the way in which one presents to the world in a gendered way. It is important to note that gender identity is different from gender expression. Of note, not all people who are transgender will desire all domains of gender affirmation, as these are highly personal and individual decisions. People who are transgender may pursue multiple domains of gender affirmation, including social affirmation (e.g., changing oneвЂ™s name and pronouns), legal affirmation (e.g., changing gender markers on oneвЂ™s government-issued documents), medical affirmation (e.g., pubertal suppression or gender-affirming hormones), and/or surgical affirmation (e.g., vaginoplasty, facial feminization surgery, breast augmentation, masculine chest reconstruction, etc.). Though gender dysphoria often begins in childhood, some people may not experience it until after puberty or much later. Some people who are transgender will experience вЂњgender dysphoria,вЂќ which refers to psychological distress that results from an incongruence between oneвЂ™s sex assigned at birth and oneвЂ™s gender identity. the sex assigned by a physician at birth, usually based on external genitalia) does not match their gender identity (i.e., oneвЂ™s psychological sense of their gender). The term вЂњtransgenderвЂќ refers to a person whose sex assigned at birth (i.e. Gender Dysphoria What Is Gender Dysphoria?