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Clinical & Research News
Published Online: 18 July 2003

DSM-IV-TR Diagnostic Criteria For Gender Identity Disorder

Publication: Psychiatric News
Volume 38, Number 14
https://doi.org/10.1176/pn.38.14.0032
A. A strong and persistent cross-gender identification (not merely a desire for any perceived cultural advantages of being the other sex). In children, the disturbance is manifested by four (or more) of the following:
1. 
repeatedly stated desire to be, or insistence that he or she is, the other sex
2. 
in boys, preference for cross-dressing or simulating female attire; in girls, insistence on wearing only stereotypical masculine clothing
3. 
strong and persistent preferences for cross-sex roles in make-believe play or persistent fantasies of being the other sex
4. 
intense desire to participate in the stereotypical games and pastimes of the other sex
5. 
strong preference for playmates of the other sex
B. Persistent discomfort with his or her sex or sense of inappropriateness in the gender role of that sex.
C. The disturbance is not concurrent with a physical intersex condition.
D. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

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Psychiatric News
Volume 38 • Number 14 • July 18, 2003
Pages: 32

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Published online: 18 July 2003
Published in print: July 18, 2003

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