DSM-5: Gender Dysphoria

The following new class has been added to the DSM-5.

Gender Dysphoria: created to define that gender dysphoria is no longer a sexual dysfunction. In the DSM-IV, “gender identity disorder” is replaced by the phenomenon of “gender incongruance”.

Instead of looking at gender as a male female dichotomy, the new DSM has chosen to view gender as a continuum along a spectrum including those who are post-transition and those who have a disorder of sex development.

Gender dysphoria is unique in that the diagnosis is usually made by psychiatrists, while the treatment is performed by endocrinologists and surgeons.


By Dr. Terra Caudill, MD, MS