Dyzforia płciowa
Objawy

Dysforia płciowa to stan charakteryzujący się trwałą (≥6 miesięcy) niezgodnością między doświadczaną/wyrażaną płcią a płcią przypisaną przy urodzeniu, powodujący istotny kliniczny dystres lub zaburzenia funkcjonowania. U dzieci diagnoza wymaga obecności co najmniej 6 objawów, w tym silnego pragnienia bycia płci przeciwnej, natomiast u młodzieży i dorosłych – co najmniej 2 objawów, takich jak pragnienie zmiany cech płciowych czy bycia traktowanym jako osoba innej płci. Dysforia często pojawia się między 4. a 7. rokiem życia, jednak u 80-90% dzieci objawy mogą ustąpić przed okresem dojrzewania. W okresie dojrzewania nasila się dyskomfort związany z rozwojem drugorzędowych cech płciowych, co może prowadzić do poważnych zaburzeń psychicznych, w tym depresji (40-60%), lęku (50-60%), niskiej samooceny (50-70%), a także wysokiego ryzyka myśli samobójczych (48,3%) i prób samobójczych (23,8%). Współistnieją również zaburzenia odżywiania, osobowości oraz nadużywanie substancji psychoaktywnych (28%).

Definicja dysforia płciowa

Dysforia płciowa to stan charakteryzujący się głębokim poczuciem dyskomfortu lub cierpienia psychicznego, które pojawia się, gdy tożsamość płciowa danej osoby nie pokrywa się z płcią przypisaną przy urodzeniu. Innymi słowy, jest to poczucie niezgodności między wewnętrznym doświadczeniem swojej płci a zewnętrznymi cechami płciowymi lub przypisaną rolą społeczną123.

Warto podkreślić, że nie wszystkie osoby transpłciowe doświadczają dysforii płciowej. Niektóre osoby transpłciowe czują się komfortowo w swoim ciele i ze swoją tożsamością płciową, i nie doświadczają dysforii płciowej. Z drugiej strony, nie wszystkie osoby doświadczające dysforii płciowej identyfikują się jako transpłciowe12.

Objawy dysforii płciowej

Objawy dysforii płciowej mogą się znacznie różnić w zależności od wieku, w którym się pojawiają, oraz od indywidualnych doświadczeń danej osoby. Diagnoza dysforii płciowej według Diagnostycznego i Statystycznego Podręcznika Zaburzeń Psychicznych (DSM-5) wymaga obecności wyraźnej niezgodności między doświadczaną/wyrażaną płcią a płcią przypisaną, trwającej co najmniej 6 miesięcy12.

Objawy u dzieci

U dzieci, dysforia płciowa może objawiać się następującymi zachowaniami:

  • Silne pragnienie bycia płci przeciwnej lub upieranie się, że jest się płci przeciwnej (musi być obecne)12
  • Preferencja dotycząca noszenia ubrań stereotypowo przypisanych przeciwnej płci12
  • Silne preferencje dotyczące odgrywania ról przypisanych przeciwnej płci w zabawach wyobraźniowych1
  • Silna preferencja dotycząca zabawek, gier i aktywności stereotypowo przypisanych przeciwnej płci12
  • Silna preferencja dotycząca towarzyszy zabaw płci przeciwnej12
  • Silne odrzucanie zabawek, gier i aktywności stereotypowo przypisanych własnej płci12
  • Silna niechęć do własnej anatomii płciowej12
  • Silne pragnienie posiadania pierwszo- i drugorzędowych cech płciowych płci, z którą się identyfikują12

Według DSM-5, aby zdiagnozować dysforię płciową u dzieci, musi być obecnych co najmniej sześć z powyższych objawów, w tym pierwszy, oraz muszą one wywoływać znaczący klinicznie dystres lub zaburzenie funkcjonowania społecznego, szkolnego lub w innych ważnych obszarach12.

Objawy u młodzieży i dorosłych

U młodzieży i dorosłych, dysforia płciowa może objawiać się następującymi objawami:

  • Wyraźna niezgodność między doświadczaną/wyrażaną płcią a pierwszo- i/lub drugorzędowymi cechami płciowymi12
  • Silne pragnienie pozbycia się własnych pierwszo- i/lub drugorzędowych cech płciowych12
  • Silne pragnienie posiadania pierwszo- i/lub drugorzędowych cech płciowych innej płci12
  • Silne pragnienie bycia traktowanym jako osoba innej płci12
  • Silne przekonanie o posiadaniu uczuć i reakcji typowych dla innej płci12

Aby zdiagnozować dysforię płciową u młodzieży i dorosłych, muszą być obecne co najmniej dwa z powyższych objawów oraz muszą one wywoływać znaczący klinicznie dystres lub zaburzenie funkcjonowania12.

Progresja dysforii płciowej

Początek i rozwój

Dysforia płciowa może pojawić się w różnym wieku. Niektóre osoby doświadczają jej od wczesnego dzieciństwa, podczas gdy u innych może się ona rozwinąć dopiero w okresie dojrzewania lub nawet w dorosłości12.

Badania sugerują, że wiele osób doświadcza pierwszych objawów dysforii płciowej między 4 a 6 rokiem życia. Według jednego z badań, do 7 roku życia większość uczestników pamiętała już doświadczanie pewnych uczuć dysforii płciowej1. Inne badanie wykazało, że 73% kobiet transpłciowych i 78% mężczyzn transpłciowych doświadczyło dysforii płciowej po raz pierwszy do 7 roku życia1.

Ważne jest jednak, aby zauważyć, że nie wszystkie dzieci, które doświadczają dysforii płciowej, będą nadal jej doświadczać w okresie dojrzewania i dorosłości. Niektóre badania sugerują, że tylko 10-20% dzieci z dysforią płciową będzie nadal doświadczać jej w okresie dojrzewania12.

Wzorce występowania

Istnieją dwa główne wzorce występowania dysforii płciowej:

  • Wczesny początek: Objawy są widoczne już w dzieciństwie. Może to czasami ustąpić tymczasowo, prowadząc osobę do identyfikowania się jako gej lub osoba homoseksualna przez pewien czas, a następnie dysforia płciowa może powrócić1.
  • Późny początek: W tym przypadku nie ma widocznych objawów we wczesnym dzieciństwie. Niektóre osoby mogą jednak zgłaszać, że miały wcześniej pragnienia bycia płci przeciwnej, ale nie dzieliły się nimi z innymi12.

Według Amerykańskiego Towarzystwa Psychiatrycznego, „osoby, które doświadczają dysforii płciowej w późniejszym życiu, często zgłaszają, że w młodszym wieku potajemnie ukrywały przed innymi swoje uczucia dysforii płciowej”1.

Nasilenie w okresie dojrzewania

Dysforia płciowa często nasila się w okresie dojrzewania, kiedy pojawiają się drugorzędowe cechy płciowe, które dodatkowo podkreślają niezgodność między fizycznym ciałem a tożsamością płciową12.

Dojrzewanie może być szczególnie trudnym okresem dla młodych osób z dysforią płciową. Dodatkowe oczekiwanie na dojrzewanie może być źródłem niepokoju, dlatego równolegle z psychoterapią należy rozważyć leczenie hormonalne1.

Dla niektórych osób z dysforią płciową, fizyczne dojrzewanie i rozwój drugorzędowych cech płciowych niezgodnych z ich tożsamością płciową mogą być źródłem głębokiego dyskomfortu, obrzydzenia, a nawet mogą prowadzić do samookaleczenia1.

Konsekwencje psychospołeczne

Wpływ na zdrowie psychiczne

Dysforia płciowa może mieć znaczący wpływ na zdrowie psychiczne osoby. Często prowadzi do lub współwystępuje z:

  • Depresją i lękiem123
  • Niską samooceną12
  • Myślami i próbami samobójczymi123
  • Zaburzeniami odżywiania12
  • Samookaleczeniem12
  • Nadużywaniem substancji psychoaktywnych12

Badania pokazują, że osoby z dysforią płciową są narażone na znacznie wyższe ryzyko samobójstwa w porównaniu z populacją ogólną1. Według jednego z badań, 48,3% osób z dysforią płciową doświadczyło myśli samobójczych, a 23,8% podjęło co najmniej jedną próbę samobójczą1.

Problemy społeczne i zawodowe

Dysforia płciowa może również wpływać na różne aspekty życia codziennego, w tym na:

  • Trudności w szkole lub pracy12
  • Izolację społeczną12
  • Problemy w relacjach międzyludzkich12
  • Dyskryminację i przemoc12

Dla młodych osób z dysforią płciową, szkoła może być szczególnie trudnym środowiskiem. Może to wynikać z presji, aby ubierać się lub zachowywać w sposób zgodny z płcią przypisaną przy urodzeniu. Nękanie, dokuczanie lub znęcanie się z powodu tożsamości płciowej może również utrudniać osiąganie dobrych wyników w szkole1.

Jeśli dysforia płciowa sprawia, że szkoła lub praca staje się bardzo trudna, może to prowadzić do porzucenia szkoły lub trudności w znalezieniu pracy1.

Wpływ na codzienne funkcjonowanie

Dysforia płciowa może wpływać na różne aspekty codziennego funkcjonowania, w tym:

  • Dyskomfort w sytuacjach społecznych, które wymagają zachowań lub ubiorów stereotypowo przypisanych płci biologicznej12
  • Trudności w wykonywaniu codziennych czynności z powodu dyskomfortu związanego z własnym ciałem1
  • Unikanie sytuacji, które mogłyby wywołać dysforię, takich jak oglądanie swojego ciała w lustrze, intymność z innymi czy rozmowy o ciele/genitaliach1

Osoby z dysforią płciową mogą podejmować różne strategie radzenia sobie z codziennymi wyzwaniami, takie jak zakrywanie luster w łazience, noszenie luźnych ubrań, które ukrywają cechy płciowe, czy unikanie aktywności, które mogłyby podkreślić niezgodność między ich tożsamością płciową a ciałem fizycznym1.

Zmienność i indywidualne doświadczenia

Różne nasilenie objawów

Doświadczenie dysforii płciowej może znacznie różnić się między osobami. Niektóre osoby mogą doświadczać łagodnego dyskomfortu, podczas gdy inne mogą odczuwać intensywny dystres, który utrudnia codzienne funkcjonowanie1.

Dla niektórych osób dysforia płciowa może być odczuwana jako przytłaczająca lub wszechogarniająca, podczas gdy inne osoby mogą jej w ogóle nie doświadczać12.

Dysforia płciowa może objawiać się jako dystres, depresja, lęk, niepokój lub niezadowolenie. Może być odczuwana jako gniew lub smutek, poczucie, że pewne części ciała są niewłaściwe, lub poczucie, że czegoś brakuje1.

Zmienność w czasie

Uczucia dysforii płciowej mogą się zmieniać w czasie. Niektóre osoby mogą doświadczać okresów, w których nie zauważają dysforii płciowej, lub uczucia te mogą wydawać się pojawiać i znikać1.

U niektórych osób dysforia płciowa może nasilać się w określonych okresach życia, na przykład w okresie dojrzewania lub w obliczu innych znaczących zmian życiowych1.

Dla innych, dysforia płciowa może być ciągłym doświadczeniem, które wpływa na ich codzienne życie przez długi czas1.

Czynniki wyzwalające

Istnieją różne czynniki, które mogą wyzwalać lub nasilać dysforię płciową, takie jak:

  • Oglądanie swojego ciała w lustrze1
  • Oglądanie fotografii siebie1
  • Bycie błędnie określanym płciowo (misgendering)1
  • Bycie postrzeganym jako osoba płci przypisanej przy urodzeniu1
  • Używanie deadname’u (imienia nadanego przy urodzeniu, które nie odzwierciedla tożsamości płciowej)1
  • Rozmowy o ciele/genitaliach/intymności1
  • Noszenie określonych ubrań1
  • Bycie zmuszanym do określonej roli1

Reakcje na te wyzwalacze mogą się różnić w zależności od osoby i sytuacji. Niektóre osoby mogą unikać sytuacji, które mogłyby wywołać dysforię, podczas gdy inne mogą opracować strategie radzenia sobie z tymi wyzwalaczami1.

Rola wsparcia i akceptacji

Znaczenie wsparcia społecznego

Wsparcie społeczne odgrywa kluczową rolę w łagodzeniu dysforii płciowej i poprawie ogólnego dobrostanu osób z tym doświadczeniem. Dysforia płciowa często może być złagodzona poprzez przebywanie w wspierającym środowisku1.

Wsparcie społeczne ze strony rodziny, przyjaciół i innych bliskich osób może pomóc zapobiec depresji, myślom samobójczym, próbom samobójczym, lękowi lub zachowaniom wysokiego ryzyka1.

Badania pokazują, że odrzucenie przez rodzinę i społeczeństwo jest jednym z najsilniejszych predyktorów trudności ze zdrowiem psychicznym wśród osób transpłciowych1.

Akceptacja własnej tożsamości

Akceptacja własnej tożsamości płciowej jest ważnym krokiem w procesie łagodzenia dysforii płciowej. Może to obejmować:

  • Eksplorację swojej tożsamości płciowej1
  • Wyrażanie swojej tożsamości płciowej poprzez ubiór, fryzurę, zachowanie itp.1
  • Używanie imienia i zaimków, które odzwierciedlają tożsamość płciową1
  • Życie zgodnie ze swoją tożsamością płciową1

Dla wielu osób z dysforią płciową, możliwość życia zgodnie ze swoją tożsamością płciową może znacząco zmniejszyć dyskomfort i poprawić ogólne samopoczucie1.

Dostęp do opieki zdrowotnej

Dostęp do odpowiedniej opieki zdrowotnej, w tym opieki afirmującej płeć, jest kluczowy dla osób z dysforią płciową. Może to obejmować:

  • Psychoterapię12
  • Terapię hormonalną12
  • Operacje afirmujące płeć12
  • Inne metody afirmacji płci1

Wczesne rozpoznanie i leczenie dysforii płciowej może zmniejszyć ryzyko depresji, cierpienia emocjonalnego i samobójstwa1.

Osoby z dysforią płciową mogą również napotykać bariery w dostępie do opieki zdrowotnej, w tym brak ubezpieczenia zdrowotnego obejmującego odpowiednie usługi1.

Dysforia płciowa a różne etapy życia

Dzieciństwo

Dysforia płciowa u dzieci często manifestuje się poprzez:

  • Upieranie się, że jest się płci przeciwnej12
  • Preferencję dotyczącą ubrań, zabawek i aktywności stereotypowo przypisanych płci przeciwnej12
  • Niechęć do własnych genitaliów12

Nie wszystkie dzieci, które wykazują zachowania typowe dla płci przeciwnej, mają dysforię płciową. Niektóre dzieci po prostu dzielą więcej zainteresowań z dziećmi innej płci lub uważają ubrania płci przeciwnej za wygodniejsze1.

Dzieci są zazwyczaj kierowane do specjalisty około momentu rozpoczęcia szkoły, szczególnie jeśli relacje z rówieśnikami stają się trudne lub rodzice podejrzewają, że problemy z tożsamością płciową ich dziecka nie są tylko fazą1.

Okres dojrzewania

Okres dojrzewania może być szczególnie trudny dla młodych osób z dysforią płciową ze względu na rozwój drugorzędowych cech płciowych1.

U młodzieży, dysforia płciowa może objawiać się jako:

  • Intensywny dystres związany z rozwojem ciała podczas dojrzewania1
  • Silne pragnienie blokowania lub zapobiegania rozwojowi drugorzędowych cech płciowych1
  • Silne pragnienie posiadania cech płciowych płci, z którą się identyfikują1

Leczenie dysforii płciowej u młodzieży może obejmować blokery dojrzewania, które mogą opóźnić lub zapobiec rozwojowi drugorzędowych cech płciowych, co daje młodym osobom więcej czasu na eksplorację swojej tożsamości płciowej1.

Dorosłość

Dorosłe osoby z dysforią płciową mogą doświadczać:

  • Silnego pragnienia bycia traktowanym jako osoba płci, z którą się identyfikują12
  • Dyskomfortu z własnymi cechami płciowymi1
  • Pragnienia zmiany swojego ciała poprzez terapię hormonalną lub operacje1

Niektóre osoby dorosłe z dysforią płciową mogą zadowalać się zmianą swojej ekspresji płciowej poprzez pracę, życie i ubieranie się w społeczeństwie w sposób zgodny z ich tożsamością płciową1.

Większość dorosłych osób transpłciowych, które szukają leczenia medycznego, pragnie terapii hormonalnej i/lub operacji, które sprawią, że ich wygląd fizyczny będzie bardziej przypominał wygląd płci, z którą się identyfikują1.

Dysforia płciowa a zaburzenia towarzyszące

Dysforia płciowa często współwystępuje z różnymi zaburzeniami psychicznymi i problemami zdrowotnymi. Te współistniejące stany mogą być zarówno przyczyną, jak i skutkiem dyskomfortu związanego z niezgodnością płciową.

Zaburzenia nastroju i lękowe

Osoby z dysforią płciową są narażone na zwiększone ryzyko wystąpienia zaburzeń nastroju i lękowych. Badania pokazują, że:

  • Depresja występuje u około 40-60% osób z dysforią płciową1
  • Lęk dotyka około 50-60% osób z dysforią płciowej1
  • Niska samoocena jest zgłaszana przez 50-70% osób z dysforią płciową1

Częstość występowania zaburzeń depresyjnych jest dwukrotnie wyższa w porównaniu z populacją ogólną1.

Nasilenie tych problemów może być związane z brakiem akceptacji społecznej, dyskryminacją i trudnościami z dostępem do odpowiedniej opieki zdrowotnej1.

Problemy z obraz ciała

Dysforia płciowa często wiąże się z problemami dotyczącymi obrazu ciała:

  • Problemy z obrazem ciała dotykają 60-80% osób z dysforią płciową1
  • Osoby z większym niezadowoleniem z ciała i bardziej nasiloną dysforią płciową mają gorsze rokowanie w zakresie zdrowia psychicznego12

Problemy z obrazem ciała mogą prowadzić do unikania sytuacji społecznych, które wymagają eksponowania ciała, takich jak pływanie, korzystanie z publicznych toalet czy przebieralni1.

Zaburzenia identyfikacji z płcią (dysforia płciowa)

Inne problemy zdrowotne, które często współwystępują z dysforią płciową, to:

  • Zaburzenia odżywiania12
  • Zaburzenia osobowości12
  • Zaburzenia związane z używaniem substancji psychoaktywnych123

Osoby z dysforią płciową mogą używać substancji psychoaktywnych jako mechanizmu radzenia sobie z dystresem związanym z niezgodnością płciową1.

Badania pokazują, że około 28% osób z dysforią płciową zgłasza problemy związane z używaniem substancji psychoaktywnych1.

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  1. 16.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Gender dysphoria – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/gender-dysphoria/symptoms-causes/syc-20475255
    Gender dysphoria is a feeling of distress that can happen when a person’s gender identity differs from the sex assigned at birth. […] Some transgender and gender-diverse people have gender dysphoria at some point in their lives. Other transgender and gender-diverse people feel at ease with their bodies and gender identities, and they don’t have gender dysphoria. […] Gender dysphoria might start in childhood and continue into the teen years and adulthood. But some people may have periods of time in which they don’t notice gender dysphoria. Or the feelings may seem to come and go. Some people have gender dysphoria when puberty starts. In others, it may not develop until later in life. […] Some teens might express their feelings of gender dysphoria to their parents or a healthcare professional. But others might have symptoms of a mood disorder, anxiety or depression instead. Or they might have social difficulties or problems in school.
  • #1 Gender Dysphoria: Symptoms, Causes, Treatment
    https://www.healthline.com/health/gender-dysphoria
    Not every trans person experiences gender dysphoria, and not everyone who experiences gender dysphoria is trans. […] The term gender dysphoria occurs when someone assigned male/man or female/woman at birth feels out of alignment with that categorization. […] Experiencing this incongruence within a culture that insists on binary gender categorization often causes mental anguish, isolation, and suicidal ideation. […] Often, people experiencing gender dysphoria not only feel out of alignment with their assigned sex but are overcome by dislike for their anatomical or social sex characteristics and long to possess different sex characteristics. […] The effects of gender dysphoria can lead to: suicidal ideation or attempts. […] A 2020 study of 210 transgender adults found that 73% of trans women and 78% of trans men first experienced gender dysphoria by age 7.
  • #1 Psychiatry.org – What is Gender Dysphoria?
    https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria
    The term transgender refers to a person whose sex assigned at birth (i.e. the sex assigned at birth, usually based on external genitalia) does not align their gender identity (i.e., ones psychological sense of their gender). Some people who are transgender will experience gender dysphoria, which refers to psychological distress that results from an incongruence between ones sex assigned at birth and ones gender identity. Though gender dysphoria often begins in childhood, some people may not experience it until after puberty or much later. […] The DSM-5-TR defines gender dysphoria in adolescents and adults as a marked incongruence between ones experienced/expressed gender and their assigned gender, lasting at least 6 months, as manifested by at least two of the following: […] 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.
  • #1 Gender Dysphoria Symptoms: Onset, in Children, and More| Psych Central
    https://psychcentral.com/disorders/gender-dysphoria-symptoms
    If you have gender dysphoria, you may wish to live part time or full time in another gender role. […] If you have gender dysphoria, you may feel that you want to enhance, remove, or otherwise change the physical parts of you most commonly associated with your sex. […] However, if children show a consistent pattern of behavior or preferences over time and they’re distressed as a result of those feelings or behaviors they may be showing early signs of gender dysphoria. […] The symptoms of gender dysphoria in children are similar to adolescents and adults, with a few notable differences. To receive a diagnosis through the DSM-5, at least 6 of the following symptoms must be present for 6 months or longer: a strong desire to be another gender, a desire to wear clothing aligned with a different gender, a preference to play another gender in make-believe games, a desire for toys, games, and activities typically associated with another gender, a rejection of toys, games, and activities typically associated with their gender, a preference for playmates of a different gender, a feeling of distress over their sexual anatomy, a preference for another gender’s sex characteristics.
  • #1 Gender Incongruence and Gender Dysphoria – Mental Health Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/mental-health-disorders/gender-incongruence-and-gender-dysphoria/gender-incongruence-and-gender-dysphoria
    Gender dysphoria is diagnosed when a person with gender incongruence experiences significant psychological distress (such as depression or anxiety) or functional impairment associated with the gender incongruence. […] Some transgender people develop gender dysphoria and experience distress or impaired functioning related to the mismatch between their gender identity and their sex at birth. […] Doctors base the diagnosis of gender dysphoria on significant symptoms of psychological distress (such as anxiety or depression). […] Children who have gender dysphoria may repeatedly do the following: Prefer cross-dressing, insist they are of the other sex, say they wish they would wake up as the other sex, prefer participating in games and activities associated with the other sex, have negative feelings toward their genitals.
  • #1 Psychiatry.org – What is Gender Dysphoria?
    https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria
    The DSM-5-TR defines gender dysphoria in children as a marked incongruence between ones 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): […] As with the diagnostic criteria for adolescents and adults, the condition must also be associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning. […] Support for people with gender dysphoria may include open-ended exploration of their feelings and experiences of gender identity and expression, without the therapist having any pre-defined gender identity or expression outcome defined as preferable to another. […] Family and societal rejection of gender identity are some of the strongest predictors of mental health difficulties among people who are transgender.
  • #1 Gender Incongruence and Gender Dysphoria – Mental Health Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/mental-health-disorders/gender-incongruence-and-gender-dysphoria/gender-incongruence-and-gender-dysphoria
    Most people with gender incongruence or gender dysphoria begin having symptoms or feeling different in early childhood, but some do not acknowledge these feelings until adulthood. […] Some transgender people make choices at first that are consistent with their birth sex, such as doing a job that is typically associated with that sex or marrying a person with the gender expected by their society, as a way to escape or deny their feelings of wanting to be the other sex. […] Once people accept these feelings, many transition to their preferred gender, with or without hormone therapy or gender-affirming surgery. […] The stress of not being accepted by society and/or by family may cause or contribute to these problems. […] To be diagnosed with gender dysphoria based on standard psychiatric criteria, adolescents and adults must also have 2 or more of the following symptoms: A marked incongruence between one’s experienced/expressed gender and primary and/or secondary sex characteristics, a strong desire to be rid of their sex characteristics, a strong desire for the sex characteristics that match their gender identity, a strong desire to be another gender, a strong desire to live or be treated as another gender, a strong belief that they feel and react like another gender.
  • #1 Gender Dysphoria: Definition, Symptoms, Traits, Causes, Treatment
    https://www.verywellmind.com/gender-dysphoria-5085081
    Gender dysphoria refers to feelings of distress and discomfort that a person experiences when their assigned gender does not match their gender identity. People who experience gender dysphoria may feel uncomfortable with and distressed over the conflict between the sexual characteristics of their physical body and how they feel and think about themselves. […] Symptoms of gender dysphoria can include feeling a strong sense of distress or discomfort with one’s assigned gender. Some signs that someone is experiencing gender dysphoria include: A desire to no longer have the primary sex characteristics of their birth-assigned gender, A desire to be treated as the opposite gender, A desire to have the primary and secondary sex characteristics of their preferred gender identity, The insistence that they are a gender different from their birth-assigned sex, Preferences for roles that are different from those expected of their gender assigned at birth, Strong rejection of toys, games, and other things that are typically associated with their birth-assigned gender, Wearing clothing typically associated with the opposite gender.
  • #1 Gender Dysphoria Symptoms: Onset, in Children, and More| Psych Central
    https://psychcentral.com/disorders/gender-dysphoria-symptoms
    You may have gender dysphoria if you feel distressed because the sex assigned to you at birth doesn’t match your personal sense of self. […] Gender dysphoria refers to the feelings of distress that occur when the sex assigned to you by a doctor at birth (usually male or female) does not match your gender identity or how you feel about yourself on the inside, according to the American Psychiatric Association (APA). […] For some, gender dysphoria can develop early in childhood. […] One study showed that, on average, study participants reported their earliest memory of gender dysphoria between the ages of 4 and 6 years old. By the age of 7, most study participants could remember experiencing some feelings of gender dysphoria. […] For others, symptoms can occur around puberty or even later, as they reject or feel uncomfortable with the changes taking place in their body. The feelings of gender dysphoria may be continuous or come and go with time.
  • #1 Gender Dysphoria: A Scientific Guide
    https://www.everydayhealth.com/emotional-health/gender-dysphoria/guide/
    A small study published in March 2020 in JAMA Network Open found that 78 percent of transgender men and 73 percent of transgender women first experienced gender dysphoria by age 7. […] But some research suggests that only 10 to 20 percent of children with gender dysphoria will continue to experience symptoms during adolescence. […] Many children who role-play or experiment with gender identity will not continue to exhibit these behaviors after puberty. […] If kids show extreme emotional distress because of their gender identity, parents may want to talk to a medical expert about it. […] Whats more, the diagnosis and treatment of gender dysphoria in kids is a highly debated topic in the medical community. […] According to the DSM-5, to qualify for a diagnosis of gender dysphoria, a person must experience clinically significant distress or impairment in social, occupational, or other important areas of functioning.
  • #1 Gender dysphoria – Wikipedia
    https://en.wikipedia.org/wiki/Gender_dysphoria
    Gender dysphoria in those assigned male at birth (AMAB) tends to follow one of two broad trajectories: early-onset or late-onset. Early-onset gender dysphoria is behaviorally visible in childhood but may temporarily subside, leading the person to identify as gay or homosexual for a period of time, followed by recurrence of gender dysphoria. Late-onset gender dysphoria does not include visible signs in early childhood, but some report having had wishes to be the opposite sex in childhood that they did not report to others. […] According to the American Psychiatric Association, those who experience gender dysphoria later in life „often report having secretly hidden their gender dysphoric feelings from others when they were younger.”
  • #1 Understanding Gender Dysphoria: Symptoms, Diagnosis & Treatment – The Kingsley Clinic
    https://thekingsleyclinic.com/resources/understanding-gender-dysphoria-symptoms-diagnosis-treatment/
    Approximately 80-90% of individuals with gender dysphoria experience a profound sense of incongruence between their assigned gender at birth and their experienced or expressed gender. This feeling of mismatch can occur at any stage of life but is often reported as early as childhood or adolescence. […] Distress about one’s assigned gender is reported in about 70-80% of individuals with gender dysphoria. This distress often intensifies during puberty, when secondary sex characteristics emphasize the mismatch between physical body and gender identity. […] Between 85-95% of individuals with gender dysphoria express a strong and persistent desire to be another gender. […] Approximately 75-85% of individuals with gender dysphoria experience discomfort with their primary or secondary sex characteristics.
  • #1 Gender Dysphoria – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532313/
    This can further lead to relationship conflicts with family, peers, and friends in various aspects of their daily lives and lead to rejection from society, interpersonal conflicts, symptoms of depression and anxiety, substance use disorders, a negative sense of well-being, and poor self-esteem, and increased risk of self-harm and suicidality. […] Individuals reporting higher body dissatisfaction and GD have a worse prognosis in terms of mental health. […] Patients can present to their primary care providers, endocrinologists, or mental health provider. […] It should also be specified according to age. […] For adolescents, the added anticipation of puberty is of concern, so hormonal treatment and psychotherapy should be considered simultaneously. […] For adults, psychotherapy and hormonal and surgical treatments are all available options.
  • #1 Gender dysphoria
    https://www.racgp.org.au/afp/2015/november/gender-dysphoria
    For many, the physical maturation and growth of their misaligned secondary sexual characteristics are highly distressing, a cause of disgust, and may lead to mutilation. […] Mental illness is common in the transgender population. The prevalence of depressive disorders is double, compared with the general population. […] Hormone therapy has been demonstrated to reduce distress without significant adverse psychological or physical effects. […] Surgical options for individuals who identify as transgender often refer to top procedures (eg chest reconstruction or breast augmentation) and bottom procedures (eg removal and creation of new genitalia).
  • #1 Gender dysphoria – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/gender-dysphoria/symptoms-causes/syc-20475255
    Gender dysphoria can affect many parts of life, including daily activities. For example, school might be hard for people with gender dysphoria. That may be due to pressure to dress or act in a way that’s linked to their sex assigned at birth. Being harassed, teased or bullied due to gender identity also can make it very challenging to do well in school. […] If gender dysphoria makes school or work very hard, the result may be dropping out of school or not being able to find a job. Gender dysphoria can pose problems within relationships. Anxiety, depression, self-harm, eating disorders, substance misuse and other mental health concerns can happen too. […] People with gender dysphoria who don’t receive the support and treatment they need are at higher risk of thinking about or attempting suicide.
  • #1
    https://www.nhs.uk/conditions/gender-dysphoria/
    Gender dysphoria is a term that describes a sense of unease that a person may have because of a mismatch between their biological sex and their gender identity. […] This sense of unease or dissatisfaction may be so intense it can lead to depression and anxiety and have a harmful impact on daily life. […] Many people with gender dysphoria have a strong, lasting desire to live a life that „matches” or expresses their gender identity. They do this by changing the way they look and behave. […] Some people with gender dysphoria, but not all, may want to use hormones and sometimes surgery to express their gender identity. […] People with gender dysphoria may have changed their appearance, their behaviour or their interests. […] They may also show signs of discomfort or distress, including: low self-esteem, becoming withdrawn or socially isolated, depression or anxiety, taking unnecessary risks, neglecting themselves.
  • #1 Gender Dysphoria Symptoms: Onset, in Children, and More| Psych Central
    https://psychcentral.com/disorders/gender-dysphoria-symptoms
    If you’re living with gender dysphoria, it may present as a range of symptoms, from the nagging feeling 24/7 that something isn’t quite right to turning your whole world upside down. Everyone experiences it differently. […] Here are some of the signs to look for in yourself or a loved one, according to the National Health Service (NHS) in the United Kingdom: low-self esteem, social isolation, depression, anxiety, eating disorders, neglecting personal care. […] Research shows that gender dysphoria can also lead to interpersonal conflicts, substance use, an increased risk of self-harm or suicide. […] Each individual’s experience with gender dysphoria is unique. With that said, the APA has identified several symptoms that commonly occur in adolescents and adults. […] To receive a diagnosis of gender dysphoria, your symptoms must be present for 6 months or longer. The symptoms must also be causing significant distress in one or more important areas of your life, such as home, school, work, relationships, or social situations.
  • #1 Psychiatry.org – What is Gender Dysphoria?
    https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria
    Transgender people suffer from high levels of stigmatization, discrimination and victimization, contributing to negative self-image and increased rates of other mental health disorders. […] Suicide rates among transgender people are markedly higher than the general population. […] Transgender children and adolescents are often victims of bullying and discrimination at school, which can contribute to serious adverse mental health outcomes. […] Transgender individuals may also face challenges in accessing appropriate health care and insurance coverage of related services.
  • #1 What Does Gender Dysphoria Feel Like? Signs And Coping
    https://www.simplypsychology.org/gender-dysphoria.html
    They may express discomfort or distress at being treated as their assigned gender at birth. […] Due to all the challenges that may be experienced, it is not uncommon for those with gender dysphoria to have accompanying mental health issues such as anxiety disorders, depression, or substance misuse disorders. […] There is also a higher risk of suicide and self-harm for those who experience gender dysphoria. […] One study found that 48.3% of these individuals had experienced suicidal thoughts, and 23.8% had attempted suicide at least once (Garcia-Vega et al., 2018). […] Treatment for those with gender dysphoria focuses on helping the individual explore their gender identity and find a gender role that is comfortable for them and eases distress. […] A main medical treatment includes hormone therapy.
  • #1 Gender Dysphoria – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532313/
    Gender dysphoria (previously gender identity disorder), according to the Diagnostic and Statistical Manual of Mental Disorders, is defined as a marked incongruence between their experienced or expressed gender and the one they were assigned at birth. […] People who experience this turmoil cannot correlate to their gender expression when identifying themselves within the traditional, rigid societal binary male or female roles, which may cause cultural stigmatization. […] This can further result in relationship difficulties with family, peers, and friends and lead to interpersonal conflicts, rejection from society, symptoms of depression and anxiety, substance use disorders, a negative sense of well-being and poor self-esteem, and an increased risk of self-harm and suicidality. […] Children or adolescents who experience this turmoil cannot correlate to their gender expression when identifying themselves within traditional societal binary male or female roles, which may cause cultural stigmatization.
  • #1 Coping with gender dysphoria
    https://www.thekids.org.au/our-research/brain-and-behaviour/mental-health-and-youth/youth-mental-health/sparx-t/coping-with-gender-dysphoria/
    Gender dysphoria is the experience of distress or discomfort with your body’s sex characteristics or the gender role assigned to you. It’s something that is experienced differently by everyone and can change over time. […] Remember, what works at one time may not be the same at another time, so trying out different strategies at different times can be useful too. […] Find ways to do everyday things that reduce your dysphoria – steam up or cover the bathroom mirrors, use a big sponge or loofah for bathing, cuddle a pillow to cover your chest when you sleep, or master makeup contouring. […] Tell yourself, out loud, that your body does not define your gender. […] Take time to explore what feels right for you when it comes to your identity and expressing yourself and your gender. […] Exercise a healthy amount of exercise can improve your mood. […] Remember that your trials and struggles in life can make you stronger. […] Avoid spaces or people that will bring you down. […] If you are feeling really down or thinking about suicide its important to get as much support as possible, including professional support.
  • #1 Dysphoria — TransHub
    https://www.transhub.org.au/dysphoria
    The diagnosis of Gender Dysphoria arrived in 2013 when it was listed in the 5th edition of the American Psychiatric Associations Diagnostic and Statistical Manual (DSM). […] Dysphoria occurs for all sorts of reasons and for many different people. […] Some trans people feel dysphoria as overwhelming or all-encompassing, while others dont have any dysphoria at all. […] Gender dysphoria can feel different for everyone. It can manifest as distress, depression, anxiety, restlessness or unhappiness. It might feel like anger or sadness, or feeling slighted or negative about your body, or like there are parts of you missing. […] There are different things that might trigger your dysphoria, such as seeing a photograph of yourself, looking at yourself in the mirror, looking at yourself naked, being intimate with someone, feeling that your voice is too feminine or too masculine, being misgendered, being perceived as your assigned gender, being dead named, conversations about bodies/genitals/intimacy, certain clothing, being forced into a certain role, and so on and so on.
  • #1 Understanding Gender Dysphoria: Symptoms, Diagnosis & Treatment – The Kingsley Clinic
    https://thekingsleyclinic.com/resources/understanding-gender-dysphoria-symptoms-diagnosis-treatment/
    Gender dysphoria is a condition where an individual experiences significant discomfort or distress because their gender identity does not align with the sex they were assigned at birth. This incongruence can affect various aspects of life, including mental health, social interactions, and overall well-being. […] Gender dysphoria arises from a disconnect between an individual’s gender identity and the sex they were assigned at birth. This mismatch can lead to discomfort, anxiety, and depression, especially when societal pressure to conform to gender norms is present. Gender dysphoria can manifest at any age, often beginning in childhood or adolescence. As individuals grow older, these feelings may intensify, particularly if they are unable to express their true gender identity. […] The progression of gender dysphoria varies from person to person. Some may experience mild discomfort, while others face severe distress that affects daily functioning.
  • #1
    https://www.nhs.uk/conditions/gender-dysphoria/
    A small number of children may feel lasting and severe distress, which gets worse as they get older. This often happens around puberty, when young people might feel that their physical appearance does not match their gender identity. […] This feeling can continue into adulthood with some people having a strong desire to change parts of their physical appearance, such as facial hair or breasts. […] Treatments provided by the GDC are intended to provide lasting relief from gender dysphoria. This can mean different things to different people. […] For some people, treatment may just involve acceptance and affirmation or confirmation of their identity. For others, it may involve bigger changes, such as changes to their voice, hormone treatment or surgery.
  • #1 Gender dysphoria – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/gender-dysphoria/diagnosis-treatment/drc-20475262
    The goal of behavioral health therapy is to improve mental well-being and quality of life. It isn’t intended to change gender identity. Instead, this therapy can help people explore gender concerns and find ways to ease gender dysphoria. […] Other ways to ease gender dysphoria might include use of: Affirming name and pronouns. […] Gender dysphoria often can be eased by being in a supportive environment. Social support from family, friends and other loved ones may help prevent depression, suicidal thoughts, suicide attempts, anxiety or high-risk behaviors.
  • #1 Dysphoria — TransHub
    https://www.transhub.org.au/dysphoria
    While dysphoria is an experience many trans people have, the important part is working on ways to feel more comfortable over time. […] The short answer: yes! While many trans people experience dysphoria, not all trans people do. […] Feeling dysphoric can be overwhelming or all-encompassing. […] Some trans people find that affirming their gender can help ease dysphoria, whether medically with hormones and/or surgery, or socially, doing things like changing your name, finding clothes you feel fabulous in, getting a haircut or painting your nails, and being out to trusted people.
  • #1 Gender dysphoria – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/gender-dysphoria/diagnosis-treatment/drc-20475262
    A diagnosis of gender dysphoria includes distress due to gender identity differing from sex assigned at birth that lasts at least six months and involves two or more of the following: […] Gender dysphoria also includes distress that makes it hard to handle work, school, social situations and other parts of daily life. […] The purpose of treatment is to ease gender dysphoria. Specific goals for gender dysphoria treatment depend on the person. […] Treatment for gender dysphoria can include changes in gender expression, hormone therapy, surgery and supportive behavioral health therapy. […] Medical treatment of gender dysphoria might include: Gender-affirming hormone therapy to better align the body with gender identity. […] A behavioral health evaluation also may be done by a healthcare professional with expertise in transgender health. The evaluation may assess: Gender health goals.
  • #1 Gender dysphoria Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/gender-dysphoria
    Gender dysphoria is the term for a deep sense of unease and distress that may occur when your biological sex does not match your gender identity. […] In some people, this mismatch can cause severe discomfort, anxiety, depression, and other mental health conditions. […] Symptoms vary, depending upon a person’s age, but most people want to live in a way that matches their gender identity. […] The emotional pain and distress of gender dysphoria can interfere with school, work, social life, religious practice, or other areas of life. People with gender dysphoria may become anxious, depressed, and in many cases, even suicidal. […] Recognizing and treating gender dysphoria early can reduce the chance of depression, emotional distress, and suicide. […] Different treatments can relieve symptoms of gender dysphoria.
  • #1 Understanding Gender Dysphoria
    https://www.verywellhealth.com/understanding-gender-dysphoria-4587339
    Strongly rejecting toys and games usually associated with their assigned gender. […] Strongly disliking their sexual anatomy. […] Strongly wanting the physical characteristics that match their gender identity. […] Children are required to have more symptoms than adults for a gender dysphoria diagnosis because any one or two of these symptoms on their own does not necessarily reflect persistent gender identity concerns. […] Some children just share more interests with children of the other gender, and some find other-gendered clothes more convenient or comfortable. […] Other-gendered behaviors don’t necessarily mean a child has a sex-atypical gender identity or gender dysphoria. […] Gender dysphoria can emerge during childhood, with preferences for friends, toys, clothes, and behavior that are different from gender norms. […] Diagnosis relies on careful assessment to ensure specific DSM-5 criteria are met. […] It’s important to note that gender dysphoria refers to the distress and not the gender identity itself.
  • #1 Gender Dysphoria | Psychology Today
    https://www.psychologytoday.com/us/conditions/gender-dysphoria
    The onset of cross-gender interests and activities is usually between ages 2 and 4 years, and many parents later report that their child has always had cross-gender interests. […] Only a small number of children with gender dysphoria will continue to have symptoms in later adolescence or adulthood. […] Typically, children with gender dysphoria are referred around the time of school entry, particularly if peer relationships become challenging or parents suspect that their child’s gender identity issues are not a phase. […] Adult onset is typically in early to mid-adulthood. […] There are two common courses for the development of gender dysphoria: The first, typically observed in late adolescence or adulthood, is a continuation of gender dysphoria that had an onset in childhood or early adolescence.
  • #1 Gender dysphoria | Mental Health Foundation
    https://mentalhealth.org.nz/conditions/condition/gender-dysphoria
    Gender dysphoria is a diagnosis that describes the discomfort or distress a person can feel when there is a mismatch between their body and their gender or sense of self. […] Many transgender people experience gender dysphoria at some time in their lives. Some do not, and feel comfortable with their bodies, either with or without accessing gender-affirming healthcare. […] Gender dysphoria develops when you suffer distress related to the relationship between your gender and your physical anatomy, or how your gender is perceived by others. In part, this distress may be related to whether you are accepted and valued by family, friends and your community. […] Children and young people who are experiencing gender dysphoria may: consistently say they are a boy or a girl, even though they were assigned the opposite sex at birth; be disgusted by their own genitals or want to get rid of them; believe they will grow up to be the gender they identify as; strongly prefer friends of the gender they identify with; reject clothes, toys and games that are designed for the wrong gender; refuse to urinate in the way that is culturally typical for their assigned sex (i.e. standing or sitting); be extremely distressed or anxious about the changes that happen to their body during puberty.
  • #1 Gender Dysphoria | Brown University Health
    https://www.brownhealth.org/centers-services/mens-health-center/conditions-we-treat/gender-dysphoria
    Psychological care to address concurrent mental health concerns is an essential component of the treatment plan. […] For younger children, patients and their families might choose to begin hormone therapy to simply delay puberty, so that the body does not change in ways that you dont want. […] For older teens and adults, gender hormones such as estradiol and testosterone can assist with the medical transition from male to female, or female to male.
  • #1 Gender dysphoria | Mental Health Foundation
    https://mentalhealth.org.nz/conditions/condition/gender-dysphoria
    If you are an adolescent or adult with gender dysphoria, you may: be certain that your gender does not match the sex you were assigned at birth; feel disgust with your genitals or body; have a strong desire to get rid of your genitals or undergo gender-affirming surgeries or hormone treatments. […] People who experience gender dysphoria have higher rates of other mental health conditions. These may include depression, anxiety, suicidal thoughts, alcohol or other drug addiction, or eating disorders. […] Transitioning is a process that many transgender people go through to change their appearance, presentation or physical anatomy to better reflect their gender. For most transgender people, being able to go through the transition process they choose helps to reduce gender dysphoria. […] Biological treatments, like taking hormones and physically altering sex characteristics, can reduce the feeling of mismatch between your body and gender.
  • #1 Gender Incongruence and Gender Dysphoria – Mental Health Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/mental-health-disorders/gender-incongruence-and-gender-dysphoria/gender-incongruence-and-gender-dysphoria
    A child who expresses a desire to be a different gender just to benefit from the perks they think are associated with the other gender is not likely to have gender dysphoria. […] The goal of treatment for transgender people with gender dysphoria, according to the World Professional Association for Transgender Health, is to achieve „lasting personal comfort with their gendered selves with the aim of optimizing their overall physical health, psychological well-being, and self-fulfilment.” […] Some transgender adults are satisfied with changing their gender expression by working, living, and dressing in society in a way consistent with their gender identity. […] Most transgender adults who seek medical treatment want hormone therapy and/or surgery that will make their physical appearance resemble that of their identified gender.
  • #1 Understanding Gender Dysphoria: Symptoms, Diagnosis & Treatment – The Kingsley Clinic
    https://thekingsleyclinic.com/resources/understanding-gender-dysphoria-symptoms-diagnosis-treatment/
    Social withdrawal is reported in about 60-70% of individuals with gender dysphoria. […] Anxiety affects approximately 50-60% of individuals with gender dysphoria. […] Depression is a common co-occurring condition in individuals with gender dysphoria, affecting about 40-60% of patients. […] Low self-esteem is reported in 50-70% of individuals with gender dysphoria. […] Body image issues affect 60-80% of individuals with gender dysphoria. […] Approximately 40-60% of individuals with gender dysphoria report difficulty in relationships.
  • #1 Psychiatry.org – Gender Dysphoria Diagnosis
    https://www.psychiatry.org/psychiatrists/diversity/education/transgender-and-gender-nonconforming-patients/gender-dysphoria-diagnosis
    A marked incongruence between ones experienced/expressed gender and assigned gender, of at least six months duration, as manifested by at least two or more of the following: […] The condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning. […] The DSM5 criteria for gender dysphoria were revised to allow the diagnosis to be given to individuals with DSD. […] It is common for TGNC people who have grown up in an unsupportive environment to express symptoms characteristic with personality disorders. Impulsivity, mood lability, and suicidal ideation occur commonly. […] Gender dysphoric symptoms may be the primary focus of treatment, but dont overlook the possibility that other psychiatric symptoms may need to be treated first depending on severity.
  • #1 Gender Dysphoria | Abnormal Psychology
    https://courses.lumenlearning.com/wm-abnormalpsych/chapter/gender-dysphoria/
    In adolescents and adults, symptoms include the desire to be and to be treated as the other gender. Adults with GD are at increased risk for stress, isolation, anxiety, depression, poor self-esteem, and suicide. […] Transgender people may experience discomfort or distress due to their gender not aligning with their sex, and therefore wish to transition to being the gender they identify with. […] Early-onset gender dysphoria is behaviorally visible in childhood. […] Late-onset gender dysphoria does not include visible signs in early childhood, but some report having had wishes to be the opposite sex in childhood that they did not report to others. […] Substance use disorders are commonly found in individuals with GD, with some studies showing 28% having reported problems with substance use. In a recent study, about 48.3% of a study population had suicidal ideation, and 23.8% had attempted suicide at least once in their lifetime. […] Individuals reporting higher body dissatisfaction and GD have a worse prognosis in terms of mental health.
  • #2
    https://www.nhs.uk/conditions/gender-dysphoria/symptoms/
    People with gender dysphoria may have a range of feelings and behaviours that show discomfort or distress. […] The level of distress can be severe and affect all areas of their life. […] If your feelings of gender dysphoria began in childhood, you may now have a much clearer sense of your gender identity and how you want to deal with it. […] The way gender dysphoria affects teenagers and adults is different to children. You may feel: certain that your gender identity conflicts with your biological sex, comfortable only when in the gender role of your preferred gender identity (may include non-binary), a strong desire to hide or be rid of physical signs of your biological sex, such as breasts or facial hair, a strong dislike of the genitals of your biological sex. […] Having or suppressing these feelings affects your emotional and psychological wellbeing.
  • #2 Psychiatry.org – What is Gender Dysphoria?
    https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria
    The term transgender refers to a person whose sex assigned at birth (i.e. the sex assigned at birth, usually based on external genitalia) does not align their gender identity (i.e., ones psychological sense of their gender). Some people who are transgender will experience gender dysphoria, which refers to psychological distress that results from an incongruence between ones sex assigned at birth and ones gender identity. Though gender dysphoria often begins in childhood, some people may not experience it until after puberty or much later. […] The DSM-5-TR defines gender dysphoria in adolescents and adults as a marked incongruence between ones experienced/expressed gender and their assigned gender, lasting at least 6 months, as manifested by at least two of the following: […] 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.
  • #2 Psychiatry.org – Gender Dysphoria Diagnosis
    https://www.psychiatry.org/psychiatrists/diversity/education/transgender-and-gender-nonconforming-patients/gender-dysphoria-diagnosis
    A marked incongruence between ones experienced/expressed gender and assigned gender, of at least six months duration, as manifested by at least two or more of the following: […] The condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning. […] The DSM5 criteria for gender dysphoria were revised to allow the diagnosis to be given to individuals with DSD. […] It is common for TGNC people who have grown up in an unsupportive environment to express symptoms characteristic with personality disorders. Impulsivity, mood lability, and suicidal ideation occur commonly. […] Gender dysphoric symptoms may be the primary focus of treatment, but dont overlook the possibility that other psychiatric symptoms may need to be treated first depending on severity.
  • #2 Gender Dysphoria: A Scientific Guide
    https://www.everydayhealth.com/emotional-health/gender-dysphoria/guide/
    Gender dysphoria in children is defined as a marked incongruence between ones gender identity and the gender assigned at birth that lasts at least six months and includes at least six of the following other criteria: A significant desire to identify as another gender or an insistence on identifying as a gender different from the childs assigned sex at birth; A strong preference for wearing clothing associated with the gender they identify with; A strong preference for make-believe or fantasy play involving cross-gender roles; A strong preference for toys, games, or activities typically associated with the gender they identify with; A preference for friends of the gender they identify with; A refusal to engage in activities, toys, or games that arent typically associated with their gender identity; A deep dislike of their own sexual anatomy; A desire to have the physical sex characteristics that match their gender identity.
  • #2 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Symptoms-of-Gender-Dysphoria.aspx
    Gender dysphoria or gender identity disorder (also called transsexualism) is a strong and persistent desire to identify with the opposite gender rather than the given biological or anatomical gender. […] Children with the condition may show some of the following features: Insisting that they belong to the other sex, calling oneself by a name suitable for the opposite sex and trying to pass off as a child of the opposite sex, persistent fantasies of being the other sex, preference for cross-dressing or cross-sex roles in play, strong preference for playmates of the other sex, disliking or refusing to urinate as per sexual norms, intense desire to participate in stereotypical games, activities and pastimes of the opposite sex, distress at the secondary sexual changes during puberty, isolation and rejection from peers and rejection from social interactions.
  • #2 Understanding Gender Dysphoria
    https://www.verywellhealth.com/understanding-gender-dysphoria-4587339
    Strongly rejecting toys and games usually associated with their assigned gender. […] Strongly disliking their sexual anatomy. […] Strongly wanting the physical characteristics that match their gender identity. […] Children are required to have more symptoms than adults for a gender dysphoria diagnosis because any one or two of these symptoms on their own does not necessarily reflect persistent gender identity concerns. […] Some children just share more interests with children of the other gender, and some find other-gendered clothes more convenient or comfortable. […] Other-gendered behaviors don’t necessarily mean a child has a sex-atypical gender identity or gender dysphoria. […] Gender dysphoria can emerge during childhood, with preferences for friends, toys, clothes, and behavior that are different from gender norms. […] Diagnosis relies on careful assessment to ensure specific DSM-5 criteria are met. […] It’s important to note that gender dysphoria refers to the distress and not the gender identity itself.
  • #2 Gender Incongruence and Gender Dysphoria – Mental Health Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/mental-health-disorders/gender-incongruence-and-gender-dysphoria/gender-incongruence-and-gender-dysphoria
    Gender dysphoria is diagnosed when a person with gender incongruence experiences significant psychological distress (such as depression or anxiety) or functional impairment associated with the gender incongruence. […] Some transgender people develop gender dysphoria and experience distress or impaired functioning related to the mismatch between their gender identity and their sex at birth. […] Doctors base the diagnosis of gender dysphoria on significant symptoms of psychological distress (such as anxiety or depression). […] Children who have gender dysphoria may repeatedly do the following: Prefer cross-dressing, insist they are of the other sex, say they wish they would wake up as the other sex, prefer participating in games and activities associated with the other sex, have negative feelings toward their genitals.
  • #2 Gender dysphoria: Definition, symptoms, and support
    https://www.medicalnewstoday.com/articles/gender-dysphoria
    A person with gender dysphoria may experience conflict with their sex assigned at birth and their gender identity. […] According to the APA, gender dysphoria is a condition in which individuals feel uncomfortable with their physical sex and assigned gender. […] According to the APA, adolescents and adults with gender dysphoria might experience: a notable difference between the gender they identify with and their physical sex, a strong desire to live within another gender role or to be treated as another gender, a strong desire to change their assigned sex characteristics. […] In children, gender dysphoria may cause: a strong desire to be another gender, a dislike of their sexual anatomy, a strong preference to wear clothes of a different gender, a strong desire to play another gender in fantasy play, or to have toys or games that have stereotypical associations with another gender, rejection of toys and activities that have typical associations with their assigned gender, a strong desire for their sex characteristics to be those of another gender.
  • #2 Gender Dysphoria Symptoms – Chicago, IL – Clarity Clinic
    https://www.claritychi.com/treatment-areas/lgbtqia-care/gender-dysphoria
    Gender dysphoria involves a conflict between a persons physical or assigned gender and the gender with which he/she/they identify. People with gender dysphoria may be very uncomfortable with the gender they were assigned, sometimes described as being uncomfortable with their body (particularly developments during puberty) or being uncomfortable with the expected roles of their assigned gender. People with gender dysphoria may often experience significant distress and/or problems functioning associated with this conflict between the way they feel and think of themselves (referred to as experienced or expressed gender) and their physical or assigned gender. […] To be diagnosed with general Gender dysphoria in children, according to the Diagnostic and Statistical Manual of Mental Disorders, the following criteria must be met: A marked incongruence between ones experienced/expressed gender and assigned gender, of at least 6 months duration, as manifested by at least six of the following (one of which must be Criterion A1): A strong desire to be of the other gender or an insistence that one is the other gender (or some alternative gender different from ones assigned gender).
  • #2 Gender Dysphoria: Your Assigned Gender vs. Gender Identity
    https://www.webmd.com/sex/gender-dysphoria
    In teens and adults, a diagnosis requires at least two of these traits: Certainty that their gender doesn’t match with their physical body, Strong desire to be rid of their genitals and other sex traits, Deep urge to have the sex characteristics of the gender with which they identify, Strong want to be a different gender, Strong desire to be treated as a different gender, Deep conviction that their feelings and reactions are typical for their gender identity. […] Gender dysphoria isn’t an illness. But the distress from it may be linked to mental health problems, such as anxiety disorders, schizophrenia, depression, substance abuse disorder, eating disorders, and suicide attempts. […] If gender dysphoria goes past puberty, studies show that the young person will likely continue to feel that way. For them, their internal sense of gender is not a choice. It is who they are, and they need professional and social support.
  • #2 Gender Dysphoria: A Scientific Guide
    https://www.everydayhealth.com/emotional-health/gender-dysphoria/guide/
    Gender dysphoria in adolescents and adults is defined as a marked incongruence between ones gender identity and one’s assigned gender that lasts at least six months and includes at least two of the following criteria: A significant incongruence between ones personal gender identity and their physical body; A strong desire to be rid of ones primary or secondary sex characteristics; A considerable desire to have the primary or secondary sex characteristics of the gender they identify with; A substantial desire to be of a gender thats different from their gender assigned at birth; A strong intention to be treated in accordance with their gender identity; A belief that they have feelings and reactions of a gender thats different from the one they were assigned at birth. […] Treatment for gender dysphoria primarily depends on a persons preferences and goals.
  • #2 Gender Incongruence and Gender Dysphoria – Mental Health Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/mental-health-disorders/gender-incongruence-and-gender-dysphoria/gender-incongruence-and-gender-dysphoria
    Most people with gender incongruence or gender dysphoria begin having symptoms or feeling different in early childhood, but some do not acknowledge these feelings until adulthood. […] Some transgender people make choices at first that are consistent with their birth sex, such as doing a job that is typically associated with that sex or marrying a person with the gender expected by their society, as a way to escape or deny their feelings of wanting to be the other sex. […] Once people accept these feelings, many transition to their preferred gender, with or without hormone therapy or gender-affirming surgery. […] The stress of not being accepted by society and/or by family may cause or contribute to these problems. […] To be diagnosed with gender dysphoria based on standard psychiatric criteria, adolescents and adults must also have 2 or more of the following symptoms: A marked incongruence between one’s experienced/expressed gender and primary and/or secondary sex characteristics, a strong desire to be rid of their sex characteristics, a strong desire for the sex characteristics that match their gender identity, a strong desire to be another gender, a strong desire to live or be treated as another gender, a strong belief that they feel and react like another gender.
  • #2 Gender dysphoria: Definition, symptoms, and support
    https://www.medicalnewstoday.com/articles/gender-dysphoria
    A person may begin to develop these feelings in childhood, and they may continue into adulthood. […] According to some research, only 10-20% of children with gender dysphoria will continue to experience it in adolescence. […] The APA note that children with more intense symptoms and levels of distress and have more persistent and consistent symptoms may be more likely to become transgender adults. […] Treatment and management techniques may reduce potential complications of gender dysphoria, such as depression and suicidal ideation. […] However, even after some people with gender dysphoria have transitioned, they may still experience suicidal ideation and other difficulties due to the social stigma associated with the transition.
  • #2 Gender Dysphoria | Psychology Today
    https://www.psychologytoday.com/us/conditions/gender-dysphoria
    In the other course, the more overt signs of cross-gender identification appear later and more gradually, with a clinical presentation in early to mid-adulthood. […] Individual and family counseling is recommended for children with gender dysphoria, while individual and/or couples therapy is recommended for adults. […] Hormone therapy and gender confirmation surgery are options, but they are not desired by every individual, and feelings of distress may continue after this treatment.
  • #2
    https://www.nhs.uk/conditions/gender-dysphoria/
    A small number of children may feel lasting and severe distress, which gets worse as they get older. This often happens around puberty, when young people might feel that their physical appearance does not match their gender identity. […] This feeling can continue into adulthood with some people having a strong desire to change parts of their physical appearance, such as facial hair or breasts. […] Treatments provided by the GDC are intended to provide lasting relief from gender dysphoria. This can mean different things to different people. […] For some people, treatment may just involve acceptance and affirmation or confirmation of their identity. For others, it may involve bigger changes, such as changes to their voice, hormone treatment or surgery.
  • #2 Gender dysphoria Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/gender-dysphoria
    Gender dysphoria is the term for a deep sense of unease and distress that may occur when your biological sex does not match your gender identity. […] In some people, this mismatch can cause severe discomfort, anxiety, depression, and other mental health conditions. […] Symptoms vary, depending upon a person’s age, but most people want to live in a way that matches their gender identity. […] The emotional pain and distress of gender dysphoria can interfere with school, work, social life, religious practice, or other areas of life. People with gender dysphoria may become anxious, depressed, and in many cases, even suicidal. […] Recognizing and treating gender dysphoria early can reduce the chance of depression, emotional distress, and suicide. […] Different treatments can relieve symptoms of gender dysphoria.
  • #2 Gender Dysphoria Symptoms: Onset, in Children, and More| Psych Central
    https://psychcentral.com/disorders/gender-dysphoria-symptoms
    If you’re living with gender dysphoria, it may present as a range of symptoms, from the nagging feeling 24/7 that something isn’t quite right to turning your whole world upside down. Everyone experiences it differently. […] Here are some of the signs to look for in yourself or a loved one, according to the National Health Service (NHS) in the United Kingdom: low-self esteem, social isolation, depression, anxiety, eating disorders, neglecting personal care. […] Research shows that gender dysphoria can also lead to interpersonal conflicts, substance use, an increased risk of self-harm or suicide. […] Each individual’s experience with gender dysphoria is unique. With that said, the APA has identified several symptoms that commonly occur in adolescents and adults. […] To receive a diagnosis of gender dysphoria, your symptoms must be present for 6 months or longer. The symptoms must also be causing significant distress in one or more important areas of your life, such as home, school, work, relationships, or social situations.
  • #2 Psychiatry.org – What is Gender Dysphoria?
    https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria
    Transgender people suffer from high levels of stigmatization, discrimination and victimization, contributing to negative self-image and increased rates of other mental health disorders. […] Suicide rates among transgender people are markedly higher than the general population. […] Transgender children and adolescents are often victims of bullying and discrimination at school, which can contribute to serious adverse mental health outcomes. […] Transgender individuals may also face challenges in accessing appropriate health care and insurance coverage of related services.
  • #2 Gender dysphoria – Wikipedia
    https://en.wikipedia.org/wiki/Gender_dysphoria
    Gender dysphoria is the distress a person experiences due to a mismatch between their gender identity and their sex assigned at birth. The condition was renamed to remove the stigma associated with the term disorder. Not all transgender people have gender dysphoria. Diagnosis can be given at any age, although gender dysphoria in children and adolescents may manifest differently than in adults. Complications may include anxiety, depression, and eating disorders. Treatment for gender dysphoria includes social transitioning and often includes hormone replacement therapy (HRT) or gender-affirming surgeries, and psychotherapy. […] Distress arising from an incongruence between a person’s felt gender and assigned sex or gender (usually at birth) is the cardinal symptom of gender dysphoria. Symptoms of GD in children include preferences for opposite sex-typical toys, games, activities, or playmates as well as a great dislike of their own genitalia. Some children may also experience social isolation from their peers, anxiety, loneliness, and depression. In adolescents and adults, symptoms include the desire to be and to be treated as a different gender. Adults with GD are at increased risk for stress, isolation, anxiety, depression, poor self-esteem, and suicide. Transgender people are also at heightened risk for eating disorders and substance abuse.
  • #2 Gender Dysphoria: Causes, Symptoms, and Treatment
    https://patient.info/mental-health/gender-dysphoria-leaflet
    Yes. Children and teenagers can have gender dysphoria. More often than not, this goes away as they go through puberty. Therefore, it is particularly important for children and teenagers to be supported and helped as they grow up. […] Signs of possible gender dysphoria in children include wanting to dress in the clothes usually worn by the opposite sex, wanting to play the types of games those of the opposite sex usually play, and saying they dislike their genitals or wish to get rid of them. […] There are a number of different treatments for gender dysphoria. You may wish for one or some or all of them. You may have them in turn, or all at the same time. […] Hormone treatment is not safe for everybody, and your specialist would check whether it is safe for you. […] Most people who have had sex-changing treatment are happy with the results. Very few people regret making the change. Studies show people with gender dysphoria who have had sex-changing hormones and/or operations feel happier as a result. […] People who have gender dysphoria may be more likely to have depression, have suicidal thoughts and die from suicide.
  • #2 Gender Dysphoria – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532313/
    This can further lead to relationship conflicts with family, peers, and friends in various aspects of their daily lives and lead to rejection from society, interpersonal conflicts, symptoms of depression and anxiety, substance use disorders, a negative sense of well-being, and poor self-esteem, and increased risk of self-harm and suicidality. […] Individuals reporting higher body dissatisfaction and GD have a worse prognosis in terms of mental health. […] Patients can present to their primary care providers, endocrinologists, or mental health provider. […] It should also be specified according to age. […] For adolescents, the added anticipation of puberty is of concern, so hormonal treatment and psychotherapy should be considered simultaneously. […] For adults, psychotherapy and hormonal and surgical treatments are all available options.
  • #2 Gender Dysphoria – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532313/
    Gender dysphoria (previously gender identity disorder), according to the Diagnostic and Statistical Manual of Mental Disorders, is defined as a marked incongruence between their experienced or expressed gender and the one they were assigned at birth. […] People who experience this turmoil cannot correlate to their gender expression when identifying themselves within the traditional, rigid societal binary male or female roles, which may cause cultural stigmatization. […] This can further result in relationship difficulties with family, peers, and friends and lead to interpersonal conflicts, rejection from society, symptoms of depression and anxiety, substance use disorders, a negative sense of well-being and poor self-esteem, and an increased risk of self-harm and suicidality. […] Children or adolescents who experience this turmoil cannot correlate to their gender expression when identifying themselves within traditional societal binary male or female roles, which may cause cultural stigmatization.
  • #2 Blog – What does gender dysphoria feel like? | Main Line Health
    https://www.mainlinehealth.org/blog/what-does-gender-dysphoria-feel-like
    Not everyone with gender dysphoria is distressed, according to Lawrence, but many people do find it stressful to feel a strong disconnect between the gender they were assigned and the gender they see in the mirror. […] Nearly 47 percent of gender-variant individuals have considered or attempted suicide. People experiencing gender dysphoria are also more at risk of experiencing discrimination at home or at work, homelessness, a higher rate of sexual transmitted infections, depression, and greater barriers to health care. […] Many experience tension in their interpersonal and family relationships and may face rejection, violence, and bullying.
  • #2 What Does Gender Dysphoria Feel Like? Signs And Coping
    https://www.simplypsychology.org/gender-dysphoria.html
    Gender dysphoria refers to a condition in which an individual experiences discomfort or distress due to a conflict between their biological sex and gender identity. […] The symptoms can vary widely, including depression, anxiety, social isolation, and a desire to alter ones physical appearance to align with gender identity. […] Those with gender dysphoria may feel uncomfortable and/or distressed over the conflict between their physical and sexual characteristics and how they feel and think about themselves. […] Below are some of the signs that may indicate that someone is experiencing gender dysphoria: They may have a strong dislike of their sex characteristics and wish to have the sex characteristics of another gender. […] They may have the desire to be treated as another gender. […] They may have a preference for clothing or hairstyles of another gender.
  • #2 Dysphoria — TransHub
    https://www.transhub.org.au/dysphoria
    While dysphoria is an experience many trans people have, the important part is working on ways to feel more comfortable over time. […] The short answer: yes! While many trans people experience dysphoria, not all trans people do. […] Feeling dysphoric can be overwhelming or all-encompassing. […] Some trans people find that affirming their gender can help ease dysphoria, whether medically with hormones and/or surgery, or socially, doing things like changing your name, finding clothes you feel fabulous in, getting a haircut or painting your nails, and being out to trusted people.
  • #2 Gender Dysphoria: All You Need to Know | Psych Central
    https://psychcentral.com/health/gender-dysphoria
    A desire to change your sex characteristics. This may manifest as negative feelings about your genitalia and other secondary sex characteristics like hair, voice, body shape, and more. Some people may need to seek hormone replacement treatment and/or surgical options to better align their body with their internal sense of gender identity. […] An official diagnosis of gender dysphoria is made by evaluating the consistency, length, and intensity of a person’s feelings. The DSM-5 requires that symptoms be present for a minimum of 6 months. […] Not everyone who experiences gender dysphoria will meet criteria for a diagnosis, and not all people diagnosed with gender dysphoria are transgender. […] The mission of any legitimate treatment for gender dysphoria is to provide a safe space for people to express and work through their feelings, and to identify steps they can take to help alleviate their distress. […] Gender identity conversion therapy is defined as psychological interventions with a predetermined goal to change a person’s gender identity to align with their sex assigned at birth. […] Gender dysphoria is manageable. Help is available right now.
  • #2 Gender Dysphoria – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532313/
    The aim is to suppress the internally produced hormones and to administer and maintain cross-sex hormones in their physiological range. […] The criterion is needed, in addition to those listed above, for initiating hormonal treatment before opting for surgical treatment. […] The individual should be on one year of continuous hormone therapy and living in the desired gender role. […] These surgeries are often referred to as „top surgery” and „bottom surgery.”
  • #2 Gender Dysphoria | Abnormal Psychology
    https://courses.lumenlearning.com/wm-abnormalpsych/chapter/gender-dysphoria/
    In adolescents and adults, symptoms include the desire to be and to be treated as the other gender. Adults with GD are at increased risk for stress, isolation, anxiety, depression, poor self-esteem, and suicide. […] Transgender people may experience discomfort or distress due to their gender not aligning with their sex, and therefore wish to transition to being the gender they identify with. […] Early-onset gender dysphoria is behaviorally visible in childhood. […] Late-onset gender dysphoria does not include visible signs in early childhood, but some report having had wishes to be the opposite sex in childhood that they did not report to others. […] Substance use disorders are commonly found in individuals with GD, with some studies showing 28% having reported problems with substance use. In a recent study, about 48.3% of a study population had suicidal ideation, and 23.8% had attempted suicide at least once in their lifetime. […] Individuals reporting higher body dissatisfaction and GD have a worse prognosis in terms of mental health.
  • #2 Gender Dysphoria | Brown University Health
    https://www.brownhealth.org/centers-services/mens-health-center/conditions-we-treat/gender-dysphoria
    People who have gender dysphoria strongly believe that their gender does not match the sex they were assigned at birth. […] Feeling that your body does not match your identity can lead to psychological discomfort and distress. […] Anxiety, depression, self-harm, abuse and neglect, substance abuse, personality disorders, and eating disorders are common concerns for transgender people. […] Gender dysphoria may present in adolescence or later in adult life. […] It is not a medical or psychological disorder to be diagnosed and cured. […] Rather, it is a spectrum of feelings that must be recognized, and appropriate supportive care should be provided by medical professionals with proficiency in treating transgender patients. […] Treatment is designed to help align ones physical appearance with their gender identity.
  • #3 Gender dysphoria Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/gender-dysphoria
    Gender dysphoria is the term for a deep sense of unease and distress that may occur when your biological sex does not match your gender identity. […] In some people, this mismatch can cause severe discomfort, anxiety, depression, and other mental health conditions. […] Symptoms vary, depending upon a person’s age, but most people want to live in a way that matches their gender identity. […] The emotional pain and distress of gender dysphoria can interfere with school, work, social life, religious practice, or other areas of life. People with gender dysphoria may become anxious, depressed, and in many cases, even suicidal. […] Recognizing and treating gender dysphoria early can reduce the chance of depression, emotional distress, and suicide. […] Different treatments can relieve symptoms of gender dysphoria.
  • #3 Psychiatry.org – What is Gender Dysphoria?
    https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria
    Transgender people suffer from high levels of stigmatization, discrimination and victimization, contributing to negative self-image and increased rates of other mental health disorders. […] Suicide rates among transgender people are markedly higher than the general population. […] Transgender children and adolescents are often victims of bullying and discrimination at school, which can contribute to serious adverse mental health outcomes. […] Transgender individuals may also face challenges in accessing appropriate health care and insurance coverage of related services.
  • #3 Blog – What does gender dysphoria feel like? | Main Line Health
    https://www.mainlinehealth.org/blog/what-does-gender-dysphoria-feel-like
    Not everyone with gender dysphoria is distressed, according to Lawrence, but many people do find it stressful to feel a strong disconnect between the gender they were assigned and the gender they see in the mirror. […] Nearly 47 percent of gender-variant individuals have considered or attempted suicide. People experiencing gender dysphoria are also more at risk of experiencing discrimination at home or at work, homelessness, a higher rate of sexual transmitted infections, depression, and greater barriers to health care. […] Many experience tension in their interpersonal and family relationships and may face rejection, violence, and bullying.
  • #3 Gender Dysphoria | Abnormal Psychology
    https://courses.lumenlearning.com/wm-abnormalpsych/chapter/gender-dysphoria/
    In adolescents and adults, symptoms include the desire to be and to be treated as the other gender. Adults with GD are at increased risk for stress, isolation, anxiety, depression, poor self-esteem, and suicide. […] Transgender people may experience discomfort or distress due to their gender not aligning with their sex, and therefore wish to transition to being the gender they identify with. […] Early-onset gender dysphoria is behaviorally visible in childhood. […] Late-onset gender dysphoria does not include visible signs in early childhood, but some report having had wishes to be the opposite sex in childhood that they did not report to others. […] Substance use disorders are commonly found in individuals with GD, with some studies showing 28% having reported problems with substance use. In a recent study, about 48.3% of a study population had suicidal ideation, and 23.8% had attempted suicide at least once in their lifetime. […] Individuals reporting higher body dissatisfaction and GD have a worse prognosis in terms of mental health.