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3. Adult Diagnostic Criteria

For adults and adolescents to receive a diagnosis of gender dysphoria, they must feel a difference between their assigned gender and their expressed gender shown by two or more of the following symptoms, and the difference must cause significant distress for six months or longer.

  • Strong desire to be rid of one's sex characteristics
  • Strong desire for the sex characteristics of the opposite gender
  • Strong desire to be the opposite gender
  • Strong desire to be treated as the opposite gender
  • Strong conviction that one feels and reacts like someone of the opposite gender.

sad adult female with mirror Arman Zhenikeyev / Getty Images

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