Gender Dysphoria in Children
Updated May 4, 2011
Gender Dysphoria (in Children)** [1]
A. A marked incongruence between one’s experienced/expressed gender and assigned gender, of at least 6 months duration, as manifested by at least 6* of the following indicators (including A1): [2, 3, 4]
1. a strong desire to be of the other gender or an insistence that he or she is the other gender (or some alternative gender different from one's assigned gender) [5]
2. in boys, a strong preference for cross-dressing or simulating female attire; in girls, a strong preference for wearing only typical masculine clothing and a strong resistance to the wearing of typical feminine clothing [6]
3. a strong preference for cross-gender roles in make-believe or fantasy play [7]
4. a strong preference for the toys, games, or activities typical of the other gender [8]
5. a strong preference for playmates of the other gender [9]
6. in boys, a strong rejection of typically masculine toys, games, and activities and a strong avoidance of rough-and-tumble play; in girls, a strong rejection of typically feminine toys, games, and activities [10]
7. a strong dislike of one’s sexual anatomy [11]
8. a strong desire for the primary and/or secondary sex characteristics that match one’s experienced gender [12]
B. The condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning, or with a significantly increased risk of suffering, such as distress or disability.**
Subtypes
With a disorder of sex development [14]
Without a disorder of sex development]
See also [13, 15, 19]
Note: Two changes have been made since the initial website launch in February 2010: the name of the diagnosis and the addition of the B criterion. Definitions and criteria under A remain unchanged.
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