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<blockquote data-quote="tall73" data-source="post: 75828926" data-attributes="member: 125574"><p>I thought the focus was on adolescents with later onset? The WPATH already cited multiple studies showing high levels of desisters among children.</p><p></p><p>Gender dysphoria was not a diagnosis at the time. And terms have changed considerably over the years. Are you looking at retrospective reviews of case files to see if they would make the threshold of gender dysphoria now? I know for some studies that was discussed. Some of the diagnoses under previous DSM categories still did include the distress element, so that is helpful.</p><p></p><p>Part of the diagnosis in children is related to non-gender conforming behavior:</p><p></p><p><a href="https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria" target="_blank">What Is Gender Dysphoria?</a></p><p><span style="color: #006600"></span></p><p><span style="color: #006600">The DSM-5 defines gender dysphoria in children as a marked incongruence between one’s experienced/expressed gender and assigned gender, lasting at least 6 months, as manifested by at least six of the following (one of which must be the first criterion):</span></p><p><span style="color: #006600"></span></p><ul> <li data-xf-list-type="ul"><span style="color: #006600">A strong desire to be of the other gender or an insistence that one is the other gender (or some alternative gender different from one’s assigned gender)</span></li> <li data-xf-list-type="ul"><span style="color: #006600">In boys (assigned gender), a strong preference for cross-dressing or simulating female attire; or in girls (assigned gender), a strong preference for wearing only typical masculine clothing and a strong resistance to the wearing of typical feminine clothing</span></li> <li data-xf-list-type="ul"><span style="color: #006600">A strong preference for cross-gender roles in make-believe play or fantasy play</span></li> <li data-xf-list-type="ul"><span style="color: #006600">A strong preference for the toys, games or activities stereotypically used or engaged in by the other gender</span></li> <li data-xf-list-type="ul"><span style="color: #006600">A strong preference for playmates of the other gender</span></li> <li data-xf-list-type="ul"><span style="color: #006600">In boys (assigned gender), a strong rejection of typically masculine toys, games, and activities and a strong avoidance of rough-and-tumble play; or in girls (assigned gender), a strong rejection of typically feminine toys, games, and activities</span></li> <li data-xf-list-type="ul"><span style="color: #006600">A strong dislike of one’s sexual anatomy</span></li> <li data-xf-list-type="ul"><span style="color: #006600">A strong desire for the physical sex characteristics that match one’s experienced gender</span></li> </ul><p><strong><span style="color: #006600">As with the diagnostic criteria for adolescents and adults, the condition must also be associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning.</span></strong></p></blockquote><p></p>
[QUOTE="tall73, post: 75828926, member: 125574"] I thought the focus was on adolescents with later onset? The WPATH already cited multiple studies showing high levels of desisters among children. Gender dysphoria was not a diagnosis at the time. And terms have changed considerably over the years. Are you looking at retrospective reviews of case files to see if they would make the threshold of gender dysphoria now? I know for some studies that was discussed. Some of the diagnoses under previous DSM categories still did include the distress element, so that is helpful. Part of the diagnosis in children is related to non-gender conforming behavior: [URL='https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria']What Is Gender Dysphoria?[/URL] [COLOR=#006600] The DSM-5 defines gender dysphoria in children as a marked incongruence between one’s experienced/expressed gender and assigned gender, lasting at least 6 months, as manifested by at least six of the following (one of which must be the first criterion): [/COLOR] [LIST] [*][COLOR=#006600]A strong desire to be of the other gender or an insistence that one is the other gender (or some alternative gender different from one’s assigned gender)[/COLOR] [*][COLOR=#006600]In boys (assigned gender), a strong preference for cross-dressing or simulating female attire; or in girls (assigned gender), a strong preference for wearing only typical masculine clothing and a strong resistance to the wearing of typical feminine clothing[/COLOR] [*][COLOR=#006600]A strong preference for cross-gender roles in make-believe play or fantasy play[/COLOR] [*][COLOR=#006600]A strong preference for the toys, games or activities stereotypically used or engaged in by the other gender[/COLOR] [*][COLOR=#006600]A strong preference for playmates of the other gender[/COLOR] [*][COLOR=#006600]In boys (assigned gender), a strong rejection of typically masculine toys, games, and activities and a strong avoidance of rough-and-tumble play; or in girls (assigned gender), a strong rejection of typically feminine toys, games, and activities[/COLOR] [*][COLOR=#006600]A strong dislike of one’s sexual anatomy[/COLOR] [*][COLOR=#006600]A strong desire for the physical sex characteristics that match one’s experienced gender[/COLOR] [/LIST] [B][COLOR=#006600]As with the diagnostic criteria for adolescents and adults, the condition must also be associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning.[/COLOR][/B] [/QUOTE]
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