Gender Identity Dissorder
Crossdresser Crossdressing transvestitism Transsexualism
Abstract [Full Text] [PDF]
Abstract
Definition
Gender identity disorder is a persistent
feelings that your body is a different gender than your mind. It is a sense of
inappropriateness of one's anatomic sex.
Boys with gender identity disorder see
themselves as girls and vice versa. This is distinct from homosexuality --
people with gender identity disorder may be attracted to the same or the
opposite sex, but they feel that their own biological sex is "wrong"
and doesn't represent their true gender identity.
Causes,
incidence, and risk factors
People with gender identity disorder act and
present themselves as members of the opposite sex. The disorder affects
self-concept, choice of sexual partners, and the display of femininity or
masculinity through mannerisms, behavior, and dress.
The feeling of being in the body of the
"wrong" gender must persist for at least 2 years for this diagnosis
to be made. The cause is unknown, but hormonal influences in the womb,
genetics, and environmental factors (such as parenting) are suspected to be
involved. The disorder may occur in children or adults, and is rare.
Symptoms
Children:
- express the desire to be the opposite sex
- have disgust with their own genitals
- believe that they will grow up to become
the opposite sex
- are rejected by their peer group, feel
isolated
- have depression
- have anxiety
Adults:
- desire to live as a person of the opposite
sex
- wish to be rid of their own genitals
- dress in a way that is typical of the
opposite sex
- have depression
- feel isolated
- have anxiety
Either adults or children:
- withdrawal from social interaction
- cross-dressing, clothing habits are
typical of the opposite sex
Signs
and tests
A history and psychological examination
confirms the persistent desire to be the opposite sex. The person's partner
choices may be same-sex or opposite sex.
Treatment
Individual and family counseling is
recommended for children, and individual or couples therapy is recommended for
adults. Sex reassignment through surgery and hormonal therapy is an option,
but often severe problems persist after this form of treatment.
Expectations
(prognosis)
A better outcome is associated with the early
diagnosis and treatment of this disorder.
Complications
Calling
your health care provider
Make an appointment with your health care
provider if you observe the symptoms of this disorder and desire help,
especially with anxiety
and depression.