Gender Identity Disorder Treatment, Treatment for Gender Dysphoria - Osho Clinic

Gender Identity Disorder Treatment - GD exists when a person suffers discontent due to gender identity, causing them emotional distress. Researchers agree about the nature of distress and impairment in people with GD because gender dysphoric are stigmatized and victimized; and that, if society had less strict gender divisions, transsexual people would suffer less.

A twin study suggested that GD might be 62% heritable, indicating the possibility of a genetic influence or prenatal development as its origin, in these cases.

Research indicates people who have transition in adulthood are up to three times more likely to be male assigned at birth, but that among people transitioning in childhood the sex ratio is close to 1:1

The American Psychiatric Association permits a diagnosis of gender dysphoria if the criteria in the DSM-5 are met.

The DSM-5 states that at least two of the following criteria for gender dysphoria must be experienced for at least six months' duration in adolescents or adults for diagnosis:

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·         A strong desire to be of a gender other than one's assigned gender

·         A strong desire to be treated as a gender other than one's assigned gender

ü A significant incongruence between one's experienced or expressed gender and one's sexual characteristics

ü A strong desire for the sexual characteristics of a gender other than one's assigned gender

ü A strong desire to be rid of one's sexual characteristics due to incongruence with one's experienced or expressed gender

ü A strong conviction that one has the typical reactions and feelings of a gender other than one's assigned gender

In addition, the condition must be associated with clinically significant distress or impairment

Prepubescent children - Gender Dysphoria in children

Symptoms of GD in children may include any of the following: disgust at their own genitalia, social isolation from their peers, anxiety, loneliness and depression. According to the American Psychological Association, transgender children are more likely to experience harassment and violence in school, foster care, residential treatment centers, homeless centers and juvenile justice programs than other children.

Adults with GD are at increased risk for stress, isolation, anxiety, depression, poor self-esteem and suicide. Studies indicate that transgender people have an extremely high rate of suicide attempts; one study of 6,450 transgender people in the United States found 41% had attempted suicide, compared to a national average of 1.6%. It was also found that suicide attempts were less common among transgender people who said their family ties had remained strong after they came out, but even transgender people at comparatively low risk were still much more likely to have attempted suicide than the general population. Transgender people are also at heightened risk for certain mental disorders such as eating disorders.

The question of whether to counsel young children to be happy with their assigned sex, or to encourage them to continue to exhibit behaviors that do not match their assigned sex—or to explore a transsexual transition—is controversial. Some clinician’s report that a significant proportion of young children diagnosed with gender dysphoria later does not exhibit any dysphoria.

Professionals who treat gender identity disorder in children have begun to refer and prescribe hormones, known as puberty blockers, to delay the onset of puberty until a child is believed to be old enough to make an informed decision on whether hormonal gender reassignment leading to surgical gender reassignment will be in that person's best interest

Psychological treatments - Psychotherapy

Until the 1970s, psychotherapy was the primary treatment for gender dysphoria, and generally was directed to helping the person adjust to the gender of the physical characteristics present at birth. Psychotherapy is any therapeutic interaction that aims to treat a psychological problem. Though some clinicians still use only psychotherapy to treat gender dysphoria, it may now be used in addition to biological interventions^. Psychotherapeutic treatment of GID involves helping the patient to adapt. Attempts to cure GD by changing the patient's gender identity to reflect birth characteristics have been ineffective.

Biological treatments - Sex reassignment therapy

Biological treatments physically alter primary and secondary sex characteristics to reduce the discrepancy between an individual's physical body and gender identity. Biological treatments for GD without any form of psychotherapy are quite uncommon. Researchers have found that if individuals bypass psychotherapy in their GD treatment, they often feel lost and confused when their biological treatments are complete.

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Psychotherapy, hormone replacement therapy, and sex reassignment surgery together can be effective treating GD when the WPATH standards of care are followed. The overall level of patient satisfaction with both psychological and biological treatments is very high.

Some cultures have three defined genders: man, woman, and effeminate man. For example, in Samoa, the fa'afafine, a group of feminine males, are entirely socially accepted. The fa'afafine do not have any of the stigma or distress typically associated in most cultures with deviating from a male/female gender role. This suggests the distress so frequently associated with GD in a Western context is not caused by the disorder itself, but by difficulties encountered from social disapproval by one's culture. However, research has found that the anxiety associated with gender dysphoria persists in cultures, Eastern or otherwise, which are more accepting of gender nonconformity.

Intimate relationships between lesbians and female-to-male people with GD will sometimes endure throughout the transition process, or shift into becoming supportive friendships. Intimate relationships between heterosexual women and male-to-female people with GD often suffer once the GID is known or revealed. Researchers say the fate of the relationship seems to depend mainly on the woman's adaptability.

Problems often arise, with the cisgender partner becoming increasingly angry or dissatisfied, if her partner's time spent in a female role grows, if her partner's libido decreases, or if her partner is angry and emotionally cut-off when in the male role.

Cisgender women sometimes also worry about social stigma and may be uncomfortable with the bodily feminization of their partner as the partner moves through transition. The cisgender women who are likeliest to accept and accommodate their partner's transition, researchers say, are those with a low sex drive or those who are equally sexually attracted to men and women.