crying and trying

I try to accept myself and mostly I do, yet I have days where I just want ??? My body? So I have someone I love and she loves me (I'm mtf bi lesbian). when I get real depressed she tells me to just get dressed and I will most times but sometimes I still fight it. The other night she noticed this and again told me, well are you going to change? I didn't answer and she said Hun just change real quick and we can watch a movie. That second push made me feel so good and accepted that it made me cry, so she hugs me and says its ok your my sexy girl. At that point I almost broke out in a torrent of tears but containing my self I changed and felt so great.

I'm posting this cause the last few weeks I've regressed a bit back to the male out of fear and finance(hair removal) and I know my transition has been hard on her also yet after two years and surgery hormones and all she still loves me and wants me to be happy. So it can happen, where coming to your loved one can help and you can maintain your relationship.
  • Current Mood
    cheerful cheerful

just a question

so is transitioning the "cure" for gender dysphoria?
if so why don't doctors provide treatment which would be legally bound.

Do you agree with the on:

Gender Identity Disorder in Adolescents or Adults


Transvestic Fetishism
will be revise april 20th after over a decade. this is the bible for psychiatrists and the only access to health care and legal rights (so do you want to be a GID or TF?

Have you ever gone to a Transgender meeting REAL LIFE PEOPLE/ and what was your experience?
do you go often?

Even in Gender Variant groups Anything related to a question about Gender can be a touchy subject.
Do you believe the above statement to be true or false?

Hermaphrodites / intersex

To answer this question in an uncontroversial way, you’d have to first get everyone to agree on what counts as intersex —and also to agree on what should count as strictly male or strictly female. That’s hard to do. How small does a penis have to be before it counts as intersex? Do you count “sex chromosome” anomalies as intersex if there’s no apparent external sexual ambiguity?1 (Alice Dreger explores this question in greater depth in her book Hermaphrodites and the Medical Invention of Sex.)
Here’s what we do know: If you ask experts at medical centers how often a child is born so noticeably atypical in terms of genitalia that a specialist in sex differentiation is called in, the number comes out to about 1 in 1500 to 1 in 2000 births. But a lot more people than that are born with subtler forms of sex anatomy variations, some of which won’t show up until later in life.
Below we provide a summary of statistics drawn from an article by Brown University researcher Anne Fausto-Sterling.2 The basis for that article was an extensive review of the medical literature from 1955 to 1998 aimed at producing numeric estimates for the frequency of sex variations. Note that the frequency of some of these conditions, such as congenital adrenal hyperplasia, differs for different populations. These statistics are approximations.
Not XX and not XY
one in 1,666 births
Klinefelter (XXY)
one in 1,000 births
Androgen insensitivity syndrome
one in 13,000 births
Partial androgen insensitivity syndrome
one in 130,000 births
Classical congenital adrenal hyperplasia
one in 13,000 births
Late onset adrenal hyperplasia
one in 66 individuals
Vaginal agenesis
one in 6,000 births
one in 83,000 births
Idiopathic (no discernable medical cause)
one in 110,000 births
Iatrogenic (caused by medical treatment, for instance progestin administered to pregnant mother)
no estimate
5 alpha reductase deficiency
no estimate
Mixed gonadal dysgenesis
no estimate
Complete gonadal dysgenesis
one in 150,000 births
Hypospadias (urethral opening in perineum or along penile shaft)
one in 2,000 births
Hypospadias (urethral opening between corona and tip of glans penis)
one in 770 births

Total number of people whose bodies differ from standard male or female
one in 100 births
Total number of people receiving surgery to “normalize” genital appearance
one or two in 1,000 births

Tax write off SRS

Gender reassingnment surgery and hormone therapy were deductible medical expenses
R.G. O'Donnabhain, 134 TC --, No. 4, Dec. 58,122

the tax-court held that an individuals gender disorder was a disease within the meaning of the code sec 213(d)(1)(a)and(9)(b) and, therefor, the cost of the taxpayer's hormone therapy and sex reassignment surgery were deductible medical expenses under code sec. 213(a).

However cosmetic surgery is not deductible under code sec 213(d)(9)(b). the taxpayer (genetic male) was diagnosed with GID by a licensed psychotherapist and underwent treatment to change her appearance from male to female.
the seriousness of the condition and severity of the taxpayers impairment of GID as a mental disorder and treatment being sex reassignment surgery within the meaning of code sec 213(d)(1)(a) and (9)(b) and therefore not cosmetic surgery and medically necessary.

Gender Incongruence Label?

the goal of a name, a Label...

the label Gender Incongruence is on the debate vs many others the I idea behind this is not just so "they" can label you, it is to have legal rights and ramifications to and for the gender variant person.

The health care system pays for said persons medical only expense, not beautification.
Only mental or physical health related issues will be paid for.
If they consider a GRS to be for beautification and not what it is, Gender Reassignment for a physical anomaly and health related issue.
They will not pay for treatment or care.

Also those who need therapy for the transition ranging from hormones, speech, mental(anxiety from transition), physical(recovery from surgery's), couples(if already in a relationship), family's(mom and dad don't understand you, but they want too!), and all of that electrolysis. could be paid for.


Associated physical examination findings and general medical conditions.  
Individuals with Gender Identity Disorder have normal genitalia (in contrast to the ambiguous genitalia or hypogonadism found in physical intersex conditions). Adolescents and adult males with Gender Identity Disorder may show breast enlarement resulting from hormone ingestion, hair denuding from temporary or permanent epilation, and other physical changes as a result of procedures such as rhinoplasty or thyroid cartilage shaving (surgical reduction of the Adam's Apple). Distorted breasts or breast rashes may be een in females who wear breast binders. Postsurical complications in genetic females include prominent chest wall scars, and in generic males, vaginal strictures, rectovaginal fistulas, urethral stenoses, and misdirected urinary streams. Adult females with Gender Identity Disorder may have a higher than expected liklihood of polycystic ovarian disease.

Are you Gender Incongruent?

Gender Identity Disorder in Adolescents or Adults
• Proposed  Revision
• Rationale
• Severity

Gender Incongruence (in Adolescents or Adults) [1]
A. A marked incongruence between one’s experienced/expressed gender and assigned gender, of at least 6 months duration, as manifested by 2* or more of the following indicators: [2, 3, 4]
1. a marked incongruence between one’s experienced/expressed gender and primary and/or secondary sex characteristics (or, in young adolescents, the anticipated secondary sex characteristics) [13, 16]
2. 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) [17]
3. a strong desire for the primary and/or secondary sex characteristics of the other gender  
4. a strong desire to be of the other gender (or some alternative gender different from one’s assigned gender)
5. a strong desire to be treated as the other gender (or some alternative gender different from one’s assigned gender)
6. a strong conviction that one has the typical feelings and reactions of the other gender (or some alternative gender different from one’s assigned gender)
With a disorder of sex development
Without a disorder of sex development
 [14, 15, 16, 19]

Gender Identity Disorder in Adolescents or Adults
• Proposed  Revision
• Rationale
• Severity

For the adult criteria, we propose, on a preliminary basis, the requirement of only 2 indicators. This is based on a preliminary secondary data analysis of 154 adolescent and adults patients with GID compared to 684 controls (Deogracias et al., 2007; Singh et al., 2010). From a 27-item dimensional measure of gender dysphoria, the Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults (GIDYQ), we extracted five items that correspond to the proposed A2-A6 indicators (we could not extract a corresponding item for A1). Each item was rated on a 5-point response scale, ranging from Never to Always, with the past 12 months as the time frame. For the current analysis, we coded a symptom as present if the participant endorsed one of the two most extreme response options (frequently or always) and as absent if the participant endorsed one of the three other options (never, rarely, sometimes). This yielded a true positive rate of 94.2% and a false positive rate of 0.7%. Because the wording of the items on the GIDYQ is not identical to the wording of the proposed indicators, further validational work will be required during field trials.
End notes
1. It is proposed that the name gender identity disorder (GID) be replaced by “Gender Incongruence” (GI) because the latter is a descriptive term that better reflects the core of the problem: an incongruence between, on the one hand, what identity one experiences and/or expresses and, on the other hand, how one is expected to live based on one’s assigned gender (usually at birth) (Meyer-Bahlburg, 2009a; Winters, 2005). In a recent survey that we conducted among consumer organizations for transgendered people (Vance et al., in press), many very clearly indicated their rejection of the GID term because, in their view, it contributes to the stigmatization of their condition.
2. In addition to the proposed name change for the diagnosis (see Endnote 1), there are 6  substantive proposed changes to the DSM-IV descriptive and diagnostic material: (a) we have proposed a change in conceptualization of the defining features by emphasizing the phenomenon of “gender incongruence” in contrast to cross-gender identification per se (Meyer-Bahlburg, 2009a); (b) we have proposed a merging of the A and B clinical indicator criteria in DSM-IV (see Endnotes 10, 13); (c) for the adolescent/adult criteria, we have proposed a more detailed and specific set of polythetic indicators than was the case in DSM-IV (Cohen-Kettenis & Pfäfflin, 2009; Zucker, 2006); (d) for the child criteria, we have proposed that the A1 indicator be necessary (but not sufficient) for the diagnosis of GI (see Endnote 5); (e) we have proposed that the “distress/impairment” criterion not be a prerequisite for the diagnosis of GI (see Endnote 15); and (f) we have proposed that subtyping by sexual attraction (for adolescents/adults) be eliminated (see Endnote 18) but that subtyping by the presence or absence of a co-occurring disorder of sex development (DSD) be introduced (see Endnote 14). As in DSM-IV, we recommend one overarching diagnosis, GI, with separate, developmentally-appropriate criteria sets for children vs. adolescents/adults. The text material will provide updated information on developmental trajectory data for clients who received the GI diagnosis in childhood vs. adolescence or adulthood.
The term “sex” has been replaced by assigned “gender” in order to make the criteria applicable  to individuals with a DSD (Meyer-Bahlburg, 2009b). During the course of physical sex differentiation, some aspects of biological sex (e.g., 46,XY genes) may be incongruent with other aspects (e.g., the external genitalia); thus, using the term “sex” would be confusing. The change also makes it possible for individuals who have successfully transitioned to “lose” the diagnosis after satisfactory treatment. This resolves the problem that, in the DSM-IV-TR, there was a lack of an “exit clause,” meaning that individuals once diagnosed with GID will always be considered to have the diagnosis, regardless of whether they have transitioned and are psychosocially adjusted in the identified gender role (Winters, 2008). The diagnosis will also be applicable to transitioned individuals who have regrets, because they did not feel like the other gender after all. For instance, a natal male living in the female role and having regrets experiences an incongruence between the “newly assigned” female gender and the experienced/expressed (still or again male) gender.
3. It has been recommended by the Workgroup to delete the “perceived cultural advantages” proviso. This was also recommended by the DSM-IV Subcommittee on Gender Identity Disorders (Bradley et al., 1991). There is no reason to “impute” one causal explanation for GI at the expense of others (Zucker, 1992, 2009).
4. The 6 month duration was introduced to make at least a minimal distinction between very transient and persistent GI. The duration criterion was decided upon by clinical consensus. However, there is no clear empirical literature supporting this particular period (e.g., 3 months vs. 6 months or 6 months vs. 12 months). There was, however, consensus among the group that a lower-bound duration of 6 months would be unlikely to yield false positives.
13. In the DSM-IV, there are two sets of clinical indicators (Criteria A and B). This distinction is not supported by factor analytic studies. The existing studies suggest that the concept of GI is best captured by one underlying dimension (Cohen-Kettenis & van Goozen, 1997; Deogracias et al., 2007; Green, 1987; Johnson et al., 2004; Singh et al., 2010).
14. There is considerable evidence individuals with a DSD experience GI and may wish to change from their assigned gender; the percentage of such individuals who experience GI is syndrome-dependent (Cohen-Kettenis, 2005; Dessens, Slijper, & Drop, 2005; Mazur, 2005; Meyer-Bahlburg, 1994, 2005, 2009a, 2009b). From a phenomenologic perspective, DSD individuals with GI have both similarities and differences to individuals with GI with no known DSD. Developmental trajectories also have similarities and differences. The presence of a DSD is suggestive of a specific causal mechanism that may not be present in individuals without a diagnosable DSD. 
15. It is our recommendation that the GI diagnosis be given on the basis of the A criterion alone and that distress and/or impairment (the D criterion in DSM-IV) be evaluated separately and independently. This definitional issue remains under discussion in the DSM-V Task Force for all psychiatric disorders and may have to be revisited pending the outcome of that discussion. Although there are studies showing that adolescents and adults with the DSM-IV diagnosis of GID function poorly, this type of impairment is by no means a universal finding. In some studies, for example, adolescents or adults with GID were found to generally function psychologically in the non-clinical range (Cohen-Kettenis & Pfäfflin, 2009; Meyer-Bahlburg, 2009a). Moreover, increased psychiatric problems in transsexuals appear to be preceded by increased experiences of stigma (Nuttbrock et al., 2009). Postulating “inherent distress” in case one desires to be rid of body parts that do not fit one’s identity is, in the absence of data, also questionable (Meyer-Bahlburg, 2009a).
16. Although the DSM-IV diagnosis of GID encompasses more than transsexualism, it is still often used as an equivalent to transsexualism (Sohn & Bosinski, 2007). For instance, a man can meet the two core criteria if he only believes he has the typical feelings of a woman and does not feel at ease with the male gender role. The same holds for a woman who just frequently passes as a man (e.g., in terms of first name, clothing, and/or haircut) and does not feel comfortable living as a conventional woman. Someone having a GID diagnosis based on these subcriteria clearly differs from a person who identifies completely with the other gender, can only relax when permanently living in the other gender role, has a strong aversion against the sex characteristics of his/her body, and wants to adjust his/her body as much as technically possible in the direction of the desired sex. Those who are distressed by having problems with just one of the two criteria (e.g., feeling uncomfortable living as a conventional man or woman) will have a GIDNOS diagnosis. This is highly confusing for clinicians. It perpetuates the search for the “true transsexual” only, in order to identify the right candidates for hormone and surgical treatment instead of facilitating clinicians to assess the type and severity of any type of GI and offer appropriate treatment. Furthermore, in the DSM-IV, gender identity and gender role were described as a dichotomy (either male or female) rather than a multi-category concept or spectrum (Bockting, 2008; Bornstein, 1994; Ekins & King, 2006; Lev, 2007; Røn, 2002). The current formulation makes more explicit that a conceptualization of GI acknowledging the wide variation of conditions will make it less likely that only one type of treatment is connected to the diagnosis. Taking the above regarding the avoidance of male-female dichotomies into account, in the new formulation, the focus is on the discrepancy between experienced/expressed gender (which can be either male, female, in-between or otherwise) and assigned gender (in most societies male or female) rather than cross-gender identification and same-gender aversion (Cohen-Kettenis & Pfäfflin, 2009).
17. In referring to secondary sex characteristics, anticipation of the development of secondary sex characteristics has been added for young adolescents. Adolescents increasingly show up at gender identity clinics requesting gender reassignment, before the first signs of puberty are visible (Delemarre-van de Waal & Cohen-Kettenis, 2006; Zucker & Cohen-Kettenis, 2008).
18. In contemporary clinical practice, sexual orientation per se plays only a minor role in treatment protocols or decisions. Also, changes as to the preferred gender of sex partner occur during or after treatment (DeCuypere, Janes, & Rubens, 2005; Lawrence, 2005; Schroder & Carroll, 1999). It can be difficult to assess sexual orientation in individuals with a GI diagnosis, as they preoperatively might give incorrect information in order to be approved for hormonal and surgical treatment (Lawrence, 1999). Because sexual orientation subtyping is of interest to researchers in the field, it is recommended that reference to it be addressed in the text, but not as a specifier. It should also be assessed as a dimensional construct.
19. The subworkgroup has had extensive discussion about the placement of GI in the nomenclature for DSM-V, as the meta-structure of the entire manual is under review. The subworkgroup questions the rationale for the current DSM-IV chapter Sexual and Gender Identity Disorders, which contains three major classes of diagnoses: sexual dysfunctions, paraphilias, and gender identity disorders (see Meyer-Bahlburg, 2009a). Various alternative options to the current placement are under consideration.
Bockting, W. O. (2008). Psychotherapy and the real-life experience: From gender dichotomy to gender diversity.Sexologies, 17, 211-224.
Bornstein, K. (1994). Gender outlaw: On men, women and the rest of us. London: Routledge.
Bradley, S. J., Blanchard, R., Coates, S., Green, R., Levine, S. B., Meyer-Bahlburg, H. F. L., et al. (1991). Interim report of the DSM-IV subcommittee on gender identity disorders. Archives of Sexual Behavior, 20, 333-343.
Cohen-Kettenis, P. T. (2005). Gender change in 46,XY persons with 5α-reductase-2-deficiency and 17β-hydroxysteroid dehydrogenase-3 deficiency. Archives of Sexual Behavior, 34, 399-410.
Cohen-Kettenis, P. T., & Pfäfflin, F. (2009). The DSM diagnostic criteria for adolescents and adults. Archives of Sexual Behavior, doi: 10.1007/s10508-009-9562-y.
Cohen-Kettenis, P. T., & van Goozen, S. H. M. (1997). Sex reassignment of adolescent transsexuals: A follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 263-271.
De Cuypere, G., Janes, C., & Rubens, R. (1995). Psychosocial functioning of transsexuals in Belgium. Acta Psychiatrica Scandinavica, 91, 180-184.
Delemarre-van de Waal, H. A., & Cohen-Kettenis, P. T. (2006). Clinical management of gender identity disorder in adolescents: A protocol on psychological and paediatric endocrinology aspects. European Journal of Endocrinology, 155(Suppl. 1), S131-S137.
Deogracias, J. J., Johnson, L. L., Meyer-Bahlburg, H. F. L., Kessler, S. J., Schober, J. M., & Zucker, K. J. (2007). The Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults. Journal of Sex Research, 44, 370-379.
Dessens, A. B., Slijper, F. M. E., & Drop, S. L. S. (2005). Gender dysphoria and gender change in chromosomal females with congenital adrenal hyperplasia. Archives of Sexual Behavior, 34, 389-397.
Ekins, R., & King, D. (2006). The transgender phenomenon. London, CA: Sage.
Green, R. (1987). The "sissy-boy syndrome" and the development of homosexuality. New Haven, CT: Yale University Press.
Johnson, L. L., Bradley, S. J., Birkenfeld-Adams, A. S., Radzins Kuksis, M. A., Maing, D. M., & Zucker, K. J. (2004). A parent-report Gender Identity Questionnaire for Children. Archives of Sexual Behavior, 33, 105-116.
Lawrence, A. A. (1999). [Letter to the Editor]. Archives of Sexual Behavior, 28, 581-583.
Lawrence, A. A. (2005). Sexuality before and after male-to-female sex reassignment surgery. Archives of Sexual Behavior 34, 147-166.
Lev, A. I. (2007). Transgender communities: Developing identity through connection. In K. J. Bieschke, R. M. Perez, & K. A. Debord (Eds.), Handbook of counseling and psychotherapy with lesbian, gay, bisexual, and transgender clients(2nd ed., pp. 147-175). Washington, DC: American Psychological Association.
Mazur, T. (2005). Gender dysphoria and gender change in androgen insensitivity or micropenis. Archives of Sexual Behavior, 34, 411-421.
Meyer-Bahlburg, H. F. L. (1994). Intersexuality and the diagnosis of gender identity disorder. Archives of Sexual Behavior, 23, 21-40 
Meyer-Bahlburg, H. F. L. (2005). Gender identity outcome in female-raised 46,XY persons with penile agenesis, cloacal exstrophy of the bladder, or penile ablation. Archives of Sexual Behavior, 34, 423-438.
Meyer-Bahlburg, H. F. L. (2009a). From mental disorder to iatrogenic hypogonadism: Dilemmas    in conceptualizing gender identity variants as psychiatric conditions. Archives of Sexual Behavior, doi: 10.1007/s10508-009-9532-4.
Meyer-Bahlburg, H. F. L. (2009b). Variants of gender differentiation in somatic disorders of sex development: Recommendations for Version 7 of the World Professional Association for Transgendered Health's Standards of Care.International Journal of Transgenderism, 11, 226-237.
Nuttbrock, L., Hwahng, S., Bockting, W., Rosenblum, A., Mason, H., Macri, M., et al. (2009). Psychiatric impact of gender-related abuse across the life course of male to female transgender persons. Journal of Sex Research, doi: 10.1080/00224-490903062258.
Røn K. (2002). ‘Either/or’ and ‘both/neither’: Discursive tensions in transgender politics. Signs, 27, 501-522.
Schroder, M., & Carroll, R. (1999). Sexological outcomes of gender reassignment surgery. Journal of Sex Education and Therapy, 24, 137-146.
Singh, D., Deogracias J. J., Johnson, L. L., Bradley, S. J., Kibblewhite, S. J., Owen-Anderson, A., et al. (2010). The Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults: Further validity evidence. Journal of Sex Research, 47, 49-58.
Sohn, M., & Bosinski, H. A. G. (2007). Gender identity disorders: Diagnostic and surgical aspects. Journal of Sexual Medicine, 4, 1193-1208.
Vance, S., Cohen-Kettenis, P.T., Drescher, J., Meyer-Bahlburg, H. F. L., Pfäfflin, F., & Zucker, K. J. (in press). Transgender advocacy groups’ opinions on the current DSM gender identity disorder diagnosis: Results from an international survey. International Journal of Transgenderism.
Winters, K. (2005). Gender dissonance: Diagnostic reform of gender identity disorder for adults. Journal of Psychology and Human Sexuality, 17, 71-89.
Winters, K. (2008). Gender madness in American psychiatry: Essays from the struggle for dignity. Dillon, CO: GID Reform Advocates.
Zucker, K. J. (1992). Gender identity disorder. In S. R. Hooper, G. W. Hynd, & R. E. Mattison (Eds.), Child psychopathology: Diagnostic criteria and clinical assessment (pp. 305-342). Hillsdale, NJ: Erlbaum.
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Zucker, K. J. (2009). The DSM diagnostic criteria for gender identity disorder in children. Archives of Sexual Behavior, doi: 10.1007/s10508-009-9540-4.
Zucker, K. J., & Cohen-Kettenis, P. T. (2008). Gender identity disorder in children and adolescents. In D. L. Rowland & L. Incrocci (Eds.), Handbook of sexual and gender identity disorders (pp. 376-422). New York: Wiley & Sons.
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Gender Identity Disorder in Adolescents or Adults
• Proposed  Revision
• Rationale
• Severity

For Adolescents and Adults  
Please complete the following questions: [Note to Task Force—these first 4 questions are preliminary; the corresponding dimensional questions for the categorical diagnosis are on the next page]
1. My current legal sex or gender (e.g., as listed under “sex” on my passport or driver’s license,  also called “assigned” gender) is:
a. Female
b. Male
c. Other (describe): _________________
2. My confidence that I really am what my legal “sex” states (namely, a girl/woman or boy/man)  is:
a. None
b. Mild
c. Moderate
d. Strong
e. Very Stong
3. The way that I experience and express my true gender compared to my legal sex or gender is:
a. Not at all different
b. Mildly different
c. Moderately different
d. Strongly different
e. Very Stongly different
4. I am distressed by feeling different from my legal sex or gender:
a. None
b. Mild
c. Moderate
d. Strong
e. Very Stong
Note to the Task Force: Definitions will be provided for primary and secondary sex characteristics and “assigned sex” and “assigned gender.” Questions A1-A6 are the dimensional metrics for the corresponding categorical criteria.
For Questions 1-8, please circle the letter next to the statement that applies to you the best.
A1. Over the past 6 months, how intense was your discomfort because your primary and/or secondary sex characteristics do not match your gender identity?
1. None
2. Mild  
3. Moderate
4. Strong
5. Very Strong
A2. Over the past 6 months, how intense was your desire to be rid of your primary and/or secondary sex characteristics because they do not match your gender identity?
1. None
2. Mild 
3. Moderate
4. Strong
5. Very Strong
A3. Over the past 6 months, how intense was your desire for the primary and/or secondary sex characteristics of the other gender?
1. None
2. Mild 
3. Moderate
4. Strong
5. Very Strong
A4. Over the past 6 months, how intense was your desire to be of the other gender (or some gender different from your assigned gender)?
a. None
b. Mild
c. Moderate
d. Strong
e. Very Stong
A5. Over the past 6 months, how intense was your desire to be treated as the other gender (or some gender different from your assigned gender)?
a. None
b. Mild
c. Moderate
d. Strong
e. Very Stong
A6. Over the past 6 months, how intense was your conviction that you have the typical feelings and reactions of the other gender (or some gender different from your assigned gender)?  
a. None
b. Mild
c. Moderate
d. Strong
e. Very Stong
7. Over the past 6 months, how would you describe your sexual attraction to other people?
a. Sexually attracted to males
b. Sexually attracted to females
c. Sexually attracted to both males and females
d. Sexually attracted to neither males or females
e. Other (please describe): _______________________________________
8. How old were you when you first had the strong desire to be, or to live in the gender role, of the other gender (or some gender different from your assigned gender)?
a. Age 5 years or younger
b. Between 6 and 9 years
c. Between 10 and 12 years
d. Between 13 and 17 years
e. Age 18 years or older

Gender Identity Disorder in Adolescents or Adults
• Proposed  Revision
• Rationale
• Severity

Gender Identity Disorder
A. A strong and persistent cross-gender identification (not merely a desire for any perceived cultural advantages of being the other sex).
In children, the disturbance is manifested by four (or more) of the following:
1. Repeatedly stated desire to be, or insistence that he or she is, the other sex
2. In boys, preference for cross-dressing or simulating female attire; in girls, insistence on wearing only stereotypical masculine clothing
3. Strong and persistent preferences for cross-sex roles in make-believe play or persistent fantasies of being the other sex
4. Intense desire to participate in the stereotypical games and pastimes of the other sex
5. Strong preference for playmates of the other sex
In adolescents and adults, the disturbance is manifested by symptoms such as a stated desire to be the other sex, frequent passing as the other sex, desire to live or be treated as the other sex, or the conviction that he or she has the typical feelings and reactions of the other sex.
B. Persistent discomfort with his or her sex or sense of inappropriateness in the gender role of that sex.
In children, the disturbance is manifested by any of the following:
In boys, assertion that his penis or testes are disgusting or will disappear or assertion that it would be better not to have a penis, or aversion toward rough-and-tumble play and rejection of male stereotypical toys, games, and activities;
In girls, rejection of urinating in a sitting position, assertion that she has or will grow a penis, or assertion that she does not want to grow breasts or menstruate, or marked aversion toward normative feminine clothing.
In adolescents and adults, the disturbance is manifested by symptoms such as preoccupation with getting rid of primary and secondary sex characteristics (e.g., request for hormones, surgery, or other procedures to physically alter sexual characteristics to simulate the other sex) or belief that he or she was born the wrong sex.
C. The disturbance is not concurrent with a physical intersex condition.
D. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Code based on current age

Specify if (for sexually mature individuals):
Sexually Attracted to Males
Sexually Attracted to Females
Sexually Attracted to Both
Sexually Attracted to Neither