Diagnosis of Gender dysphoria

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A G.P. or psychiatrist will refer a person thought to have gender dysphoria to a Gender Dysphoria Clinic.

A detailed history of gender development in childhood and puberty will be documented. Also, details of current life circumstances and general stability are noted. Psychological assessments will be undertaken.There must be evidence of clinically significant long-term anxiety, distress and impairment in social and occupational functioning for a firm diagnosis to be made.

The diagnosis is not made when there is a genetic abnormality or concurrent intersex condition (congenital disorders that cause the person to display physical attributes of the opposite sex), such as androgen insensitivity syndrome or congenital adrenal hyperplasia.

Delusional conditions, such as schizophrenia also have to be ruled out when making a diagnosis.