-What is Gender Dysphoria or Gender Identity Disorder ?:
Disorders of Gender Identity, Gender Dysphoria or Transsexualism, are those clinical conditions in which a person presents a discrepancy between their anatomical sex, and the psychic and social sexual identity to which they feel they belong. It is known that there is no psychopathological disorder and it must not be presented as a mental illness.
– That age can occur ?:
Usually begins at the end of the second childhood, which is the stage of child development that goes from 3 years to 6 years, therefore between 5 and 6 years, which is when the child already has a greater cognitive development, begins to interact socially, have playmates and the child can act, increasingly, reflectively and not always letting go by their impulses, as happened in earlier stages. In the case of Gender Dysphoria, a strong and persistent desire to identify with the opposite sex will appear instead of with the given biological or anatomical sex.
– Are there tests for the diagnosis ?:
The diagnosis is based mainly on the anamnesis and its follow-up, the following facts must concur: An accused and persistent identification with the other sex. Persistent discomfort with one’s own sex or feeling of inadequacy with their role. The alteration does not coexist with an intersexual or genetic disease and there is a clinically significant malaise or social, labor or other important deterioration of the activity of the individual, for more than 2 years according to the ICD-10 manual.
-How should it be treated ?:
The treatment consists in making the change of the sexual characteristics that it presents by those of the sex to which it feels to belong. The patient develops the treatment in 3 phases known as therapeutic triad that includes: 1) the diagnosis and real life experience, 2) cross-hormonal treatment, and 3) sexual reassignment surgeries (the latter is not always desired, therefore not always applied).
-When do you have to go to a specialist ?:
Not all children who have characteristics of the opposite gender in their childhood are transsexuals of adults. However, everyone will need social and family support. In Spain, the regulatory law of rectification registers the mention of the sex of the person, forces the person to present a psychiatric diagnosis and to follow a hormonal therapy for a period of at least 2 years. In our experience they come alone as soon as they turn 18 and if they are younger, they come with one of the parents to give their consent.