Differential consideration
Gender dysphoria
F64.0Paraphilic & Gender Dysphoria
Why consider it
persistent gender incongruence; not primarily sexual arousal; may overlap
Criteria and features to review
- 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. Condition is associated with clinically significant distress or impairment
Questions to clarify
- Which documented criteria and exclusions are met for each possibility?
- What timeline, course, and functional change best distinguishes the alternatives?
- Are substance, medication, medical, developmental, and contextual explanations adequately assessed?