Gender dysphoria refers to a psychiatric diagnosis listed in the fifth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which describes the condition of people whose birth sex is mismatched with their gender identity (i.e., experience of one’s own self-concept of being male, female, a blend of both, or neither). People with the diagnosis of gender dysphoria experience clinically significant impairment in their psychosocial functioning. A person with gender dysphoria may or may not be living full time in her or his preferred gender and may or may not have legal recognition of the preferred gender identity. Practitioners engaged in marriage, couples, and family counseling may encounter people with clinically significant symptoms of gender dysphoria. This entry explores the ...

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