Disorders and Dysfunctions
suggest that childhood issues may play a role in this disorder, such as
the parent-child relationship at an early age and the identification a
child is able to make with the parents of the same gender.
strong and persistent identification with the opposite gender. There is a
sense of discomfort in their own gender and may feel they were born the
wrong sex. This has been confused with cross-dressing or Transvestic Fetishism, but all are distinct diagnoses.
disorders may be present with this one, including depression, anxiety,
relationship difficulties, and personality disorders, and homosexuality is
present in a majority of the cases. Treatment is likely to be long-term
with small gains made on underlying issues as treatment progresses.
The goals of treatment are not as clear as in other disorders, as same-sex
identification may be very difficult to achieve. More achievable goals may
include acceptance of assigned gender and resolution of other difficulties
such as depression or anxiety.