One of the biggest changes from the DSM-IV-TR (APA, 2000) to the DSM-5 (APA, 2013) was with regard to “gender identity disorder.” The DSM-5 has now termed this condition as “gender dysphoria” and has removed it from the chapter containing the sexual dysfunctions and paraphilias. In addition, it better differentiated diagnostic criteria for children versus adolescents and adults.

For this discussion, review Section 11.4 of the textbook along with pages 14–15 of the APA document Highlights of Changes From DSM-IV-TR to DSM-5, and in your initial post, address the following:

• What might be some alternative conceptualizations for this disorder? For example, some view gender dysphoria as solely a physical condition, not mental, and therefore it should not even be included in the DSM. Others view it as entirely psychological and potentially even a subtype of major depressive disorder.
• In what ways might these changes in conceptualizing and diagnosing gender dysphoria impact treatment?

Cite from the Chapter 11 reading and the APA document to support your answers.

In responding to two of your peers, identify any gaps in their reasoning or provide examples from current research that you may be familiar with. Note: As this topic is one of the most controversial of the entire term, make sure you maintain an open mind and demonstrate respect towards others in the class throughout your participation in this discussion.

PEER 1

I found this weeks readings about gender dysphoria showed the complexity of the issue. Without a doubt, gender dysphoria is a physical condition. On the other hand, how can the feeling that there is a mismatch in gender identity and the assigned sex not have an influence on mental health. To add to the complexity, treatment is defined by a diagnosis and without a diagnosis of mental disorder, insurance may not pay for necessary treatment – both physical and mental treatment. Treatment for gender dysphoria is centered on aligning the physical and mental identification of a person’s gender/sex. It would be inappropriate to consider gender dysphoria itself as a depressive disorder. Although depression may accompany this condition for some, it is not the cause of this condition.

The changes in the DSM reflect the sensitivity of gender dysphoria. Language can reflect bias in how this disorder is approached and treated. As awareness and understanding of gender dysphoria has increased, the treatment plans have progressed. Professionals with expertise specific to this area are required for successful treatment. Both the physical and mental issues are addressed throughout the treatment process. Like any good treatment plan, the professionals should evaluate and treat for any secondary disorders that may be present at the beginning stages of evaluation or develop over time.

PEER 2

What might be some alternative conceptualizations for this disorder? For example, some view gender dysphoria as solely a physical condition, not mental, and therefore it should not even be included in the DSM. Others view it as entirely psychological and potentially even a subtype of major depressive disorder.

People often think gender dysphoria isn’t a mental problem and some people do. According to the (American Psychiatric Association, 2013) gender dysphoria has a wide variation of conflicting gender conditions. Many people often feels that gender dysphoria is a physical issue and there is no mental component (Whitbourne, 2017). To me, it is mental due to the persons genetic make up. I am not sure it should be included in the DSM-5 and classified as a mental disorder, but It certainly has mental components involved.

In what ways might these changes in conceptualizing and diagnosing gender dysphoria impact treatment?

First you will have to look at the person culturally and see the environment they are in. Next you would have to make sure there isn’t any stigma in the condition.