Gender identity disorder is a persistent feelings that your body is a different gender than your mind. It is a sense of inappropriateness of one's anatomic sex. Boys with gender identity disorder see themselves as girls and vice versa. This is distinct from homosexuality -- people with gender identity disorder may be attracted to the same or the opposite sex, but they feel that their own biological sex is "wrong" and doesn't represent their true gender identity.
Causes, incidence, and risk factors
People with gender identity disorder act and present themselves as members of the opposite sex. The disorder affects self-concept, choice of sexual partners, and the display of femininity or masculinity through mannerisms, behavior, and dress. The feeling of being in the body of the "wrong" gender must persist for at least 2 years for this diagnosis to be made. The cause is unknown, but hormonal influences in the womb, genetics, and environmental factors (such as parenting) are suspected to be involved. The disorder may occur in children or adults, and is rare.
Signs and tests
A history and psychological examination confirms the persistent desire to be the opposite sex. The person's partner choices may be same-sex or opposite sex.
Treatment
Individual and family counseling is recommended for children, and individual or couples therapy is recommended for adults. Sex reassignment through surgery and hormonal therapy is an option, but often severe problems persist after this form of treatment.
Expectations (prognosis)
A better outcome is associated with the early diagnosis and treatment of this disorder.
Calling your health care provider
Make an appointment with your health care provider if you observe the symptoms of this disorder and desire help, especially with anxiety and depression .