Diagnosis information

Gender dysphoria

Core diagnostic criteria, specifiers, differential considerations, and documentation support in one open, scan-friendly view.

F64.0Paraphilic & Gender DysphoriaLocal clinical reference

Criteria: 2 criteria, A–B
Specifiers: 5 specifiers
Differentials: 5 considerations
Severity specifier: Supported

Core diagnostic criteria

All criteria are shown. No expand controls or hidden sections.

A
Core criterion A
Marked incongruence between one's experienced/expressed gender and assigned gender, ≥6 months; in adolescents/adults: ≥2 of: incongruence between experienced gender and primary/secondary sex characteristics; strong desire to be rid of primary/secondary sex characteristics; strong desire for sex characteristics of experienced gender; strong desire to be of experienced gender; strong desire to be treated as experienced gender; strong conviction of having typical feelings/reactions of experienced gender
B
Core criterion B
Condition is associated with clinically significant distress or impairment

Specifiers

With a disorder of sex development: Gender dysphoria occurring in the context of a congenital condition affecting chromosomal, gonadal, or anatomical sex development.
Posttransition: Living full-time in the experienced gender; having undergone at least one gender-affirming medical or surgical intervention, with dysphoria persisting.
Mild: Limited but persistent dysphoria with mild functional impact.
Moderate: Clear dysphoria with definite social, occupational, or interpersonal impairment.
Severe: Intense, persistent dysphoria with marked or pervasive impairment.

Documentation support

Consistent with [Gender Dysphoria] [specifier(s)]. For at least six months, there has been a marked incongruence between experienced or expressed gender and assigned gender; a marked incongruence between experienced gender and primary or secondary sex characteristics; a strong desire to be rid of primary or secondary sex characteristics; a strong desire for the primary or secondary sex characteristics of another gender; a strong desire to be of another gender or an alternative gender; a strong desire to be treated as another gender; a strong conviction of having the typical feelings and reactions of another gender, forming a pattern meeting the threshold for gender dysphoria. The presentation is further characterised, where relevant in children, by strong preference for cross-gender roles in play; strong preference for toys, games, or activities stereotypically used by another gender; strong preference for playmates of another gender; strong rejection of toys or activities stereotypically associated with assigned gender; strong dislike of one's sexual anatomy; strong desire for primary or secondary sex characteristics matching experienced gender. These symptoms have resulted in clinically significant distress or impairment in social, occupational, interpersonal, or other important areas of functioning.

Adapt this supplied template to the assessment. It is not a substitute for diagnostic reasoning or local documentation requirements.

DSM-5 DiagnosisDSM-par-gender-dysphoriaSupplied local catalogue