Gender Dysphoria

Question 1

In order for a child to meet criteria for a diagnosis of gender dysphoria, which of the following must be present?

A. A co-occurring disorder of sex development.

B. A strong desire to be of the other gender or an insistence that one is the other gender.

C. A strong dislike of one’s sexual anatomy.

D. A stated wish to change gender.

E. A strong desire for the primary and/or secondary sex characteristics that match one’s experienced gender.

Answer 1

Correct Answer: B. A strong desire to be the other gender or an insistence that one is the other gender.

Explanation: For a child to meet criteria for a gender dysphoria diagnosis, there must be a strong desire to be the other gender or an insistence that one is the other gender (Criterion A1). The inclusion of this criterion in DSM-5 makes the diagnosis more conservative. The strong desire need not be stated aloud, because DSM-5 recognizes that social and/or cultural factors may inhibit this expression. There may be a strong dislike of one’s sexual anatomy, or a strong desire for sex characteristics that match one’s experienced gender, but these are not necessary for the diagnosis. There may be a co-occurring disorder of sex development, but this is not necessary for the diagnosis.

Question 2

Which of the following statements about the diagnosis of gender dysphoria in adolescents and adults is true?

A. The “posttransition” specifier is used to indicate that the individual has undergone or is pursuing treatment procedures to support the new gender assignment.

B. To qualify for the diagnosis, the individual must be pursuing some kind of sex reassignment treatment.

C. To qualify for the diagnosis, the individual must have a strong desire to be the other gender or must insist that he or she is the other gender.

D. To qualify for the diagnosis, the individual must have an associated disorder of sex development.

E. To qualify for the diagnosis, the individual must engage in cross-dressing behavior.

Answer 2

Correct Answer: A. The “posttransition” specifier is used to indicate that the individual has undergone or is pursuing treatment procedures to support the new gender assignment.

Explanation: In the diagnostic criteria for adolescents and adults, the “posttransition” specifier is used to identify individuals who have undergone at least one medical procedure or treatment to support the new gender assignment (e.g., cross-sex hormone treatment). Although the concept of posttransition is modeled on the concept of full or partial remission, the term remission has implications in terms of symptom reduction that do not apply directly to gender dysphoria. Unlike the case for a child, an adolescent or adult need not have a strong desire to be the other gender or insist that he or she is the other gender to qualify for the diagnosis of gender dysphoria.

Question 3

Match each of the following terms (A– E) to its correct definition (i– v). A. Transgender. B. Gender. C. Sex. D. Transsexual. E. Gender dysphoria.

i. The biological indicators of male or female seen in an individual.
ii. The distress that may accompany the incongruence between one’s experienced or expressed gender and one’s assigned gender.
iii. An individual’s lived role in society as boy or girl, man or woman.
iv. An individual who transiently or persistently identifies with a gender different from his or her natal gender.
v. An individual who seeks, or has undergone, a social transition from male to female or female to male.

Answer 3

Correct Answer: A: iv, B: iii, C: i, D: v, E. ii.

Question 4

Which of the following statements about gender is true?

A. An individual’s gender cannot always be predicted from his or her biological indicators.

B. An individual’s gender is determined by cultural factors.

C. An individual’s gender is determined by assignment at birth (natal gender).

D. An individual’s gender is determined by psychological factors.

E. An individual’s gender cannot be determined when there is a concurrent disorder of sexual development.

Answer 4

Correct Answer: A. An individual’s gender cannot always be predicted from his or her biological indicators.

Question 5

What is the male prevalence rate range for males with gender dysphoria:

A. 2%

B. 1%

C. 0.005%-0.014%

D. 5%

Answer 5

Correct Answer: C

Question 6

What is the female prevalence rate ranges for gender dysphoria:

A. 0.002%-0.003%

B. Unknown

C. 2%

D. 7%

Answer 6

Correct Answer: A.

Question 7

Which ratios are true:

A. All ages are equally the same

B. Adolescents: close to 1:1

C. Unknown

D. Children: B:G = 2:1-4.5:1

Answer 7

Correct Answer: B, D