Gender Dysphoria

What Is Gender Dysphoria?

At Diligence Care Plus, we define gender dysphoria as the emotional or mental distress a person can feel when their gender identity doesn’t match the sex assigned at birth.

For example, someone designated female at birth might often start recognizing themselves as male at a young age. Such a mismatch can create considerable frustration, particularly through puberty, when hormonal shifts magnify the gap between their physical form and true gender sense. This tension may disrupt friendships, emotional balance, and overall daily wellness.

Earlier versions of the DSM (Diagnostic and Statistical Manual of Mental Disorders) originally used the label “Gender Identity Disorder,” but in the DSM-5 this terminology formally shifted to “Gender Dysphoria.” This revision reflects that it’s not the identity itself that is disordered, but the distress people can experience when their gender identity and social expectations don’t align.

Not every transgender or non-binary person feels gender dysphoria. Many live content lives without discomfort. Yet, for those who do, Diligence Care provides virtual, supportive services guiding individuals through the evaluation and treatment process.

Kids might show signs of gender dysphoria as soon as two or three years old. Those early indicators can include favoring clothes, roles, or toys that society links to a different gender. According to research from Cedars-Sinai, 73% of transgender women and 78% of transgender men reported dysphoria by age seven.Could you please provide the text you’d like rewritten?

In adolescence, these feelings may become more pronounced. The discomfort caused by puberty can lead to increased anxiety or depression. At this stage, support from family and access to mental health professionals are crucial.

Even without early signs, adults can develop gender dysphoria at any point in life.
Many pursue gender-affirming care options like hormone treatments or specific surgical procedures.

According to the DSM‑5, common signs include:

• A strong desire to be treated as another gender

• Discomfort with one’s primary or secondary sex characteristics

• Distress with one’s innate or additional sex attributes

• A longing for the bodily characteristics of another gender

• Social and emotional impairment caused by gender incongruence

Diagnosing Gender Dysphoria

Diagnosis is typically made by a mental health provider through clinical interviews, psychological evaluations, and medical reviews. At Diligence Integrated Care, we offer telehealth evaluations that meet professional guidelines for gender‑affirming care.

Assessment is performed by a psychiatric provider through clinical interviews, psychological evaluations, and medical screenings. At Diligence Integrated Care, we deliver specialized telehealth evaluations that adhere to professional standards for gender-affirming care.

Home assessments or web-based quizzes shouldn’t replace an official evaluation. You need a qualified psychiatric provider to deliver truly reliable, accurate, precise, and compassionate support.

Though studies remain underway, potential contributing factors include:

• Neurobiological research suggests structural differences in the brain may influence gender identity (Roselli, 2018)

• Psychological: Family dynamics, early social interactions, and personal experiences may shape gender identity.

• Family relationships, early social connections, and personal experiences can influence gender identity.

• Cultural expectations, social norms and peer pressure.