two young beautiful girlfriendsEtiology

Theories 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.

Symptoms

A 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.

Treatment

Other 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.

Prognosis

Mixed. 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.