Treatment FAQ

"how to determine treatment for gender dysphoria"

by Isadore Erdman Published 2 years ago Updated 2 years ago
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Meeting with a psychologist or psychiatrist is the first step in any treatment for gender dysphoria. Most treatment approaches offered in early stages are psychological rather than medical or surgical. This is because the condition does not continue into adulthood for most children with suspected gender dysphoria.

This can help rule out or address medical conditions that might affect these treatments This evaluation may include:
  1. A personal and family medical history.
  2. A physical exam.
  3. Lab tests.
  4. Assessment of the need for age- and sex-appropriate screenings.
  5. Identification and management of tobacco use and drug and alcohol misuse.
Feb 26, 2022

Full Answer

How to tell if you have gender dysphoria?

You may feel:

  • certain that your gender identity conflicts with your biological sex
  • comfortable only when in the gender role of your preferred gender identity (may include non-binary)
  • a strong desire to hide or be rid of physical signs of your biological sex, such as breasts or facial hair
  • a strong dislike of the genitals of your biological sex

Why is gender dysphoria still a diagnosis?

This term is intended to be more descriptive than the one that was previously used, gender identity disorder. The term gender dysphoria focuses on one's discomfort as the problem, rather than identity. A diagnosis for gender dysphoria was created to help people get access to necessary health care and effective treatment.

How do I deal with gender dysphoria?

Other ways to ease gender dysphoria might include use of:

  • Peer support groups
  • Voice and communication therapy to develop vocal characteristics matching your experienced or expressed gender
  • Hair removal or transplantation
  • Genital tucking
  • Breast binding
  • Breast padding
  • Packing
  • Aesthetic services, such as makeup application or wardrobe consultation

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What you should know about gender dysphoria?

  • There is a marked incongruence between one’s experienced/expressed gender and primary and/or secondary sex characteristics
  • There is a strong desire to get rid of one’s sexual organs
  • There is a strong desire for the primary and/or secondary sex characteristics of the other gender
  • There is a strong desire to be of the alternative gender

More items...

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What is the criteria to be diagnosed with gender dysphoria?

Criteria: Gender Dysphoria in Adolescents and Adults 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)

What therapy is best for gender dysphoria?

It's important to remember that hormone therapy is only one of the treatments for gender dysphoria. Others include voice therapy and psychological support. The decision to have hormone therapy will be taken after a discussion between you and your clinic team.

What doctor do you see for gender dysphoria?

Endocrinologists are experts in conditions relating to hormones. In gender transition, this doctor prescribes hormone therapy to influence sex characteristics.

How do I know if I suffer from gender dysphoria?

Some signs that someone is experiencing gender dysphoria include: A desire to no longer have the primary sex characteristics of their birth-assigned gender. A desire to be treated as the opposite gender. A desire to have the primary and secondary sex characteristics of their preferred gender identity.

Can gender dysphoria be caused by trauma?

Gender dysphoria currently exists as a mental health diagnosis, perpetuating stigma as well as pathologizing gender variance. Clinical social workers have preserved a harmful formulation that gender dysphoria is a disorder caused by trauma.

How can I help my daughter with gender dysphoria?

How Can I Help My Child with Gender Dysphoria?Offer support. ... Educate yourself. ... Get them in gender-affirming therapy. ... Ask questions. ... Allow for (and encourage) exploration. ... Help them with a medical transition. ... Advocate for your child.

What age can you start hormone therapy?

If used in an adolescent, hormone therapy typically begins at age 16. Ideally, treatment starts before the development of secondary sex characteristics so that teens can go through puberty as their identified gender. Many trans girls are treated with a medication to delay the start of puberty.

Do you have to be diagnosed with gender dysphoria for top surgery?

The criteria state that you must: Have persistent, well-documented gender dysphoria. Be able to make a fully informed decision and to consent to treatment.

What is the DSM 5 code for gender dysphoria?

Gender Dysphoria DSM-5 302.85 (F64. 9) - Therapedia.

What is ENBY?

“Enby” is shorthand for nonbinary. As a refresher: Someone who is nonbinary has a gender that doesn't fit exclusively into the categories “man” or “woman,” says Jesse Kahn, LCSW, CST, director and sex therapist at The Gender & Sexuality Therapy Center in New York City.

Is CBT good for gender dysphoria?

Cognitive behavioral therapy (CBT) has been established as an effective form of treatment for social anxiety disorder. It is recommended that therapists modify and adapt CBT when working with minority groups such as transgender youth to ensure that the treatment is efficacious and culturally sensitive.

What is gender therapy?

Gender therapy focuses on the social, mental, emotional, and physical needs of those who: are questioning gender. are uncomfortable with aspects of their gender or body. are experiencing gender dysphoria.

Can you self diagnose gender dysphoria?

While you can "self-test" yourself or your child for gender dysphoria, this should only be considered the first step toward a diagnosis. Even as adults, people can have difficulty articulating their true feelings or identifying the sources of those feelings.

What is gender dysphoria?

Gender dysphoria is a condition that can cause significant distress. The first step to relieving your fears or discomfort is to find out if you have the symptoms of gender dysphoria. If you do, you can move on to seeking mental health help for diagnosis and treatment.

What is your experience of gender?

Your experienced or expressed gender is the gender you feel inside. It's aligned with the gender roles that feel right to you. And it's the gender that society associates with the types of behavior that you feel natural doing.

What does it mean when you feel like you are the opposite of your gender?

Your body parts may indicate that you're male or female, but you feel strongly that you're the opposite. The dysphoria part refers to a sense of discontent or unhappiness with your biological gender and the gender roles you're expected to conform to in society.

What happens if you don't identify with your gender?

And, gender identity disorder gives the impression that you need to think, feel, and behave as society expects you to because of your assigned gender. That's why the DSM 5 changed the name and criteria for diagnosis.

What does it mean when you want to be the other gender?

You have a deep desire to have the primary or secondary characteristics of another gender. You strongly want to be the other gender. You want others to treat you as the other gender. You feel confident that you behave and react the same as people of the other gender usually do.

How long do gender issues last?

Furthermore, you must have at least two of the following symptoms, and they must last for at least six months.

Is gender dysphoria a mental illness?

And in the sense that mental illness indicates an abnormal way of thinking, feeling, or behaving, gender dysphoria really can't be considered a mental illness. Again, it's important to remember that it's the distress or dysphoric experience of being transgender, making it a mental problem.

What is the first step in treatment for gender dysphoria?

Meeting with a psychologist or psychiatrist is the first step in any treatment for gender dysphoria. Most treatment approaches offered in early stages are psychological rather than medical or surgical. This is because the condition does not continue into adulthood for most children with suspected gender dysphoria.

What is the goal of gender dysphoria treatment?

The goal of treatment is to deal with the distress that may come with the gender dysphoria rather than trying to alter the individual’s desires to be different . Meeting with a psychologist or psychiatrist is the first step in any treatment for gender dysphoria. Most treatment approaches offered in early ...

What is gender reassignment surgery?

Gender reassignment surgery is another outlet an individual with gender dysphoria may look to as a treatment to their discomfort. Family and friends might need some time to adjust to an individual’s gender reassignment surgery if this is their choice for treatment. Gender reassignment can seem far-reaching to some and a desperately needed solution ...

How does hormone therapy work?

Hormone therapy releases hormones for the individual by stopping the assault of the body’s naturally occurring hormones. Later in life, if the individual chooses, hormones can be used to help achieve the look and feel of the gender they desire to be and diminish their current sex characteristics.

How can family therapy help with gender dysphoria?

Family therapy can be beneficial to individuals struggling with gender dysphoria. This can be positive for the patient to obtain support from their family, friends and loved ones. When an individual does not feel comfortable in their own skin, they need to know other people accept their desires to be whoever they want.

Why is socialization important in gender transition?

For an individual already undergoing a gender-reassignment transition, the need for socialization is important. Support groups and therapy are helpful resources in leading one to improve social skills and becoming comfortable in their new gender.

Why is psychological support important for gender dysphoria?

Psychological support can offer individuals and their families an opportunity to discuss their thoughts on the child’s behavior and mental struggles.

What is gender dysphoria?

Gender dysphoria is a condition in which a child's subjectively felt identity and gender are not congruent with her or his biological sex. Because of this, the child suffers clinically significant distress or impairment in social functioning. The Family Court of Australia has recently received an increasing number of applications seeking authorisation for the provision of hormones to treat gender dysphoria in children. Some medical procedures and interventions performed on children are of such a grave nature that court authorisation must be obtained to render them lawful. These procedures are referred to as special medical procedures. Hormonal therapy for the treatment of gender dysphoria in children is provided in two stages occurring years apart. Until recently, both stages of treatment were regarded by courts as special medical treatments, meaning court authorisation had to be provided for both stages. In a significant recent development, courts have drawn a distinction between the two stages of treatment, permitting parents to consent to the first stage. In addition, it has been held that a child who is determined by a court to be Gillick competent can consent to stage 2 treatment. The new legal developments concerning treatment for gender dysphoria are of ethical, clinical and practical importance to children and their families, and to medical practitioners treating children with gender dysphoria. Medical practitioners should benefit from an understanding of the recent developments in legal principles. This will ensure that they have up-to-date information about the circumstances under which treatment may be conducted with parental consent, and those in which they must seek court authorisation.

What is the legal development of gender dysphoria?

The new legal developments concerning treatment for gender dysphoria are of ethical, clinical and practical importance to children and their families, and to medical practitioners treating children with gender dysphoria. Medical practitioners should benefit from an understanding of the recent developments in legal principles.

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Diagnosis

Treatment

  • Treatment can help people who have gender dysphoria explore their gender identity and find the gender role that feels comfortable for them, easing distress. However, treatment should be individualized. What might help one person might not help another. Treatment options might include changes in gender expression and role, hormone therapy, surgery, ...
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Coping and Support

  • Gender dysphoria can be lessened by supportive environments and knowledge about treatment to reduce the difference between your inner gender identity and sex assigned at birth. Social support from family, friends and peers can be a protective factor against developing depression, suicidal thoughts, suicide attempts, anxiety or high-risk behaviors. Other options for support include: 1. …
See more on mayoclinic.org

Preparing For Your Appointment

  • You may start by seeing your primary care provider. Or you may be referred to a behavioral health professional. Here's some information to help you get ready for your appointment.
See more on mayoclinic.org

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