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Table 2 DSM-V criteria for gender dysphoria in adolescents and adults [2, 30, 31]. The table lists the current diagnostic criteria proposed by the 2013 DSM-V for the diagnosis of gender dysphoria in adolescents and adults

From: The role of the pediatrician in the management of the child and adolescent with gender dysphoria

A marked incongruence between one’s experienced/expressed gender and their assigned gender, lasting at least 6 months, as manifested by at least two of the following:

 • 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)

 • 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)

 • A strong desire for the primary and/or secondary sex characteristics of the other gender

 • A strong desire to be of the other gender (or some alternative gender different from one’s assigned gender)

 • A strong desire to be treated as the other gender (or some alternative gender different from one’s assigned gender)

 • 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)

In order to meet criteria for the diagnosis, the condition must also be associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning [87].