Diagnosis
6
Table 2. DSM-5 Criteria for Gender Dysphoria in
Adolescents and Adults
A. A marked incongruence between one's experienced/expressed gender and
natal gender of ≥6 mo in duration, as manifested by at least two of the
following:
1. A marked incongruence between one's experienced/expressed gender and primary
and/or secondary sex characteristics (or, in young adolescents, the anticipated
secondary sex characteristics)
2. A strong desire to be rid of one's primary and/or secondary sex characteristics because
of a marked incongruence with one's experienced/expressed gender (or, in young
adolescents, a desire to prevent the development of the anticipated secondary sex
characteristics)
3. A strong desire for the primary and/or secondary sex characteristics of the other gender
4. A strong desire to be of the other gender (or some alternative gender different from
one's designated gender)
5. A strong desire to be treated as the other gender (or some alternative gender different
from one's designated gender)
6. A strong conviction that one has the typical feelings and reactions of the other gender
(or some alternative gender different from one's designated gender).
B. The condition is associated with clinically significant distress or
impairment in social, occupational, or other important areas of
functioning.
Specify if:
1. The condition exists with a disorder of sex development
2. The condition is posttransitional, in that the individual has transitioned to full-time
living in the desired gender (with or without legalization of gender change) and has
undergone (or is preparing to have) at least one sex-related medical procedure or
treatment regimen—namely, regular sex hormone treatment or gender reassignment
surgery confirming the desired gender (e.g., penectomy, vaginoplasty in natal males;
mastectomy or phalloplasty in natal females).
Reference: American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders.
5th ed. Arlington, VA: American Psychiatric Association Publishing.
Table 3. ICD-10 Criteria for Transsexualism
Transsexualism (F64.0) has three criteria:
1. The desire to live and be accepted as a member of the opposite sex, usually
accompanied by the wish to make his or her body as congruent as possible with the
preferred sex through surgery and hormone treatments
2. The transsexual identity has been present persistently for ≥2 y
3. The disorder is not a symptom of another mental disorder or a genetic, DSD, or
chromosomal abnormality.
