Psychiatry · Impulse Control, Gender and Paraphilic Disorders

Gender dysphoria in the DSM-5 is characterised by a marked incongruence between experienced gender and assigned gender lasting at least:

  • A 2 weeks
  • B 6 months
  • C 1 month
  • D 12 months
Correct answer: B. 6 months

Explanation

DSM-5 Gender Dysphoria requires a marked incongruence between one's experienced or expressed gender and assigned gender, persisting for at least 6 months, manifested by at least 2 of the specified criteria (desire to be of another gender, desire for cross-gender primary/secondary sex characteristics, desire to be treated as another gender, etc.), causing clinically significant distress or impairment. The 6-month duration criterion differentiates persistent gender dysphoria from transient cross-gender identification. DSM-5 removed the term 'Gender Identity Disorder' to reduce stigma, recognising that gender diversity per se is not pathological.

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

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