A diagnosis is made via a medical professional’s evaluation, based on specific criteria.
Most children with gender dysphoria are not evaluated until they are 6 to 9 years old.
Medical professionals diagnose gender dysphoria when individuals (children or adults) do the following:
- Feel that their anatomic sex does not match their gender identity and have felt that way for six (6) months or longer;
- Feel greatly distressed or cannot function normally because of this feeling; and
- Have certain other symptoms, which vary by age group.
The other symptoms required for a medical professional to diagnose gender dysphoria are slightly different in children and in adolescents and adults.
Children must also have at least six (6) of the following symptoms:
- A strong, persistent desire to be or insistence that they are the other gender (or some other gender).
- A strong preference for dressing in clothing of the opposite gender and, in girls, resistance to wearing typically feminine clothing.
- A strong preference for pretending to be the opposite gender when playing.
- A strong preference for toys, games, and activities typical of the other gender.
- A strong preference for playmates of the other gender.
- A strong rejection of toys, games, and activities typical of the gender that matches their anatomic sex (for example, boys refuse to play with trucks or footballs).
- A strong dislike of their anatomy.
- A strong desire for the sex characteristics that match their gender identity.
Adolescents and adults must also have one or more of the following symptoms:
- A strong desire to be rid of their sex characteristics and, for young adolescents, to prevent the development of secondary sex characteristics (those that occur during puberty).
- A strong desire for the sex characteristics that match their gender identity.
- A strong desire to be the other gender (or some other gender).
- A strong desire to live or be treated as another gender.
- A strong belief that they feel and react like another gender.