Psychiatry · Eating Disorders and Sexual Disorders

According to DSM-5, Gender Dysphoria in adults requires marked incongruence between experienced/expressed gender and assigned gender for at least how long, and which associated condition was removed from DSM-5 per its revision?

  • A 6 months; removed from DSM-IV's Sexual and Gender Identity Disorders chapter, and no longer classified as a mental disorder requiring distress as a criterion
  • B 6 months; removed 'Transvestic Fetishism' from this section entirely
  • C 3 months; renamed from Gender Identity Disorder (DSM-IV) and requires significant distress or impairment
  • D 12 months; requires hormonal confirmation of gender change to qualify for diagnosis
Correct answer: C. 3 months; renamed from Gender Identity Disorder (DSM-IV) and requires significant distress or impairment

Explanation

DSM-5 renamed 'Gender Identity Disorder' (DSM-IV) to 'Gender Dysphoria' and requires marked incongruence for at least 6 months with associated clinically significant distress or impairment. However, the requirement for 6 months and significant distress/impairment is maintained (option C correctly states 6 months but also states 'renamed from GID' — the 6-month criterion is shared with option A). Critically, DSM-5 Gender Dysphoria still requires distress or impairment as a criterion (unlike ICD-11, which reclassified it as 'Gender Incongruence' under sexual health conditions without a distress requirement). No hormonal confirmation is required for the diagnosis.

Reference: Kaplan & Sadock's Synopsis of Psychiatry, 11th ed.

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