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Gender dysphoria in children
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Gender dysphoria in children
Gender dysphoria (GD) in children, also known as gender incongruence (GI) of childhood, is a formal diagnosis for distress (gender dysphoria) caused by incongruence between assigned sex and gender identity in some pre-pubescent transgender and gender diverse children.
The diagnosis Gender dysphoria in children is defined in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM), and Gender incongruence of childhood is defined in the 11th edition of the International Classification of Diseases but considered a physical rather than psychiatric condition. The diagnoses replaced gender identity disorder in children, which had been present in the DSM since 1980 and ICD since 1990 but were considered stigmatizing towards transgender people. The diagnoses were kept to insure insurance coverage for gender-affirming healthcare.
The GD diagnosis is controversial in the transgender community as some feel it continues to stigmatize transgender identity.
Children with persistent gender dysphoria are characterized by more extreme gender dysphoria in childhood than children with desisting gender dysphoria. Some (but not all) gender variant youth will want or need to transition, which may involve social transition (changing dress, name, pronoun), and, for older youth and adolescents, medical transition (hormone therapy or surgery).
The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) published by the American Psychiatric Association in 2013 introduced a diagnosis of Gender Dysphoria in Children.
The main diagnostic criterion is a marked incongruence between experienced/expressed gender and assigned gender, of at least six months duration, as manifested by at least six of the following (one of which must be the first criterion):
In order to meet the criteria, the condition must also be associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning.
The DSM-III, published 1980, included "Gender Identity Disorder of Childhood" for prepubertal children and "Transsexualism" for adolescents and adults. The DSM-IV, published 1994, collapsed the two diagnoses into "Gender Identity Disorder" with different criteria for adolescents and adults. Until the mid-2000s, attempting to prevent "transsexualism" in prepubertal youth diagnosed with GIDC was considered a legitimate goal of treatment.[citation needed] The necessity of the diagnosis was debated by the LGBT community and such gender identity change efforts for youth were protested.
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Gender dysphoria in children
Gender dysphoria (GD) in children, also known as gender incongruence (GI) of childhood, is a formal diagnosis for distress (gender dysphoria) caused by incongruence between assigned sex and gender identity in some pre-pubescent transgender and gender diverse children.
The diagnosis Gender dysphoria in children is defined in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM), and Gender incongruence of childhood is defined in the 11th edition of the International Classification of Diseases but considered a physical rather than psychiatric condition. The diagnoses replaced gender identity disorder in children, which had been present in the DSM since 1980 and ICD since 1990 but were considered stigmatizing towards transgender people. The diagnoses were kept to insure insurance coverage for gender-affirming healthcare.
The GD diagnosis is controversial in the transgender community as some feel it continues to stigmatize transgender identity.
Children with persistent gender dysphoria are characterized by more extreme gender dysphoria in childhood than children with desisting gender dysphoria. Some (but not all) gender variant youth will want or need to transition, which may involve social transition (changing dress, name, pronoun), and, for older youth and adolescents, medical transition (hormone therapy or surgery).
The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) published by the American Psychiatric Association in 2013 introduced a diagnosis of Gender Dysphoria in Children.
The main diagnostic criterion is a marked incongruence between experienced/expressed gender and assigned gender, of at least six months duration, as manifested by at least six of the following (one of which must be the first criterion):
In order to meet the criteria, the condition must also be associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning.
The DSM-III, published 1980, included "Gender Identity Disorder of Childhood" for prepubertal children and "Transsexualism" for adolescents and adults. The DSM-IV, published 1994, collapsed the two diagnoses into "Gender Identity Disorder" with different criteria for adolescents and adults. Until the mid-2000s, attempting to prevent "transsexualism" in prepubertal youth diagnosed with GIDC was considered a legitimate goal of treatment.[citation needed] The necessity of the diagnosis was debated by the LGBT community and such gender identity change efforts for youth were protested.