Gender Identity disorders are characterized by a persistent discomfort with one’s assigned sex, and a strong desire to be, or the insistence that one is, of the other sex. Adults and adolescents with this disorder are uncomfortable being regarded by others as, or functioning in society as a member of their designate sex. To varying degrees, they adopt the behavior, dress, and mannerisms of the other sex. In private, these individuals may spend time cross-dressing. The sexual activity of these individuals with same-sex partners is generally constrained by the preference that their partners neither see nor touch their genitals.
For adolescents and adults with Gender Identity Disorder, preoccupation with cross-gender wishes often interferes with ordinary activities, curtailing relationships and functioning in school and work. Many individuals suffering with this disorder become socially isolated, leading to low self-esteem and a narrowing of activities to those that lessen gender distress.
Therapy is supportive and non-judgmental, aimed at integrating conflict and building the injured areas of self. Therapy also may include consideration and exploration of sex-reassignment surgery. |