DSM-5 Criteria for Gender Dysphoria in Adolescence and Adults
| A. A marked incongruence between one's experienced/expressed gender and assigned gender, of at least 6 months duration, as manifested by two of the following: |
| 1. A marked incongruence between one's experienced/expressed gender and primary and/or secondary sex characteristics |
| 2. A strong desire to be rid of one's primary and/or secondary sex characteristics because of a marked incongruence with one's experienced/expressed gender |
| 3. A strong desire for the primary and/or secondary sex characteristics of the other gender |
| 4. A strong desire to be of the other gender (or some alternative gender different from one's assigned gender) |
| 5. A strong desire to be treated as the other gender (or some alternative gender different from one's assigned gender) |
| 6. A strong conviction that one has the typical feelings and reactions of the other gender (or some alternative gender different from one's assigned gender) |
| B. The condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning. (Ref. 9, pp 452–3) |