Gender dysforia
17 important questions on Gender dysforia
Explain the 2 things which are needed to make a diagnosis of gender dysphoria.
- A marked incongruence between one’s experiences gender and assigned gender (several indicators)
- Clinically significant distress or impairment.
Explain the 8 parts that belong to gender dyshpira if we look in the DSM 5
- Desire or insistence to be the other gender
- Preference for cross-gender dressing
- Preference for cross-gender roles
- Preference for toys and games
- Preference for playmates
- Aversion/rejection of typically gender congruent roles/behaviors.
- Dislike of one’s sexual anatomy
- Desire primary/secondary sex characteristics, experienced gender.
Which of these belong to gender role? Which belong to gender identity?
- Desire or insistence to be the other gender
- Preference for cross-gender dressing
- Preference for cross-gender roles
- Preference for toys and games
- Preference for playmates
- Aversion/rejection of typically gender congruent roles/behaviors.
- Dislike of one’s sexual anatomy
- Desire primary/secondary sex characteristics, experienced gender.
The others with gender identity.
- Higher grades + faster learning
- Never study anything twice
- 100% sure, 100% understanding
For my 1st exam I got a C. Then, I started looking for ways to learn better and I came across Study Smart. Since then I have scored a A+, A, A- and another A. I highly recommend it to everyone who wants to hear it. I am so happy with it!!
I was struggling to finish all my first-year subjects for 3 years. Then I discovered Study Smart, which helped me to finish all of them within 3 months.
Because of StudySmart, things are going well in many ways. Before, I always had study stress and no time for anything. Now I feel calm and confident (because of the program). I used to score a B, now I usually score an A or A+.
Hey Chris, I really want to thank you very much for developing the platform, I usually got around C for my exams, now I scored an A+, an A and a A- !!
Since using Study Smart, my average has increased significantly. I even completed a statistics course with a A+ while I'm bad at statistics. I took on extra courses this year, because of Study Smart. Thanks so much!
Ever since I started studying with StudySmart I passed all my exams !!! No more re-sits!! At first, I was happy with a pass and now I only get good grades. Many thanks!
I aced all the courses I studied with Study Smart. For law, I first scored a D, and now an A! I’m 100% sure that I’ll pass all the courses I study with Study Smart.
I always thought I studied well. My grades were fine. I could never have imagined that applying these study skills would have such a huge and direct impact on my grades, my speed and the pleasure I have in learning.
For the first time, I finally feel totally confident about the way I learn. I have the perfect overview and make great progress in terms of speed and the grades I get. Thanks, Chris!
I immediately started to enjoy learning again, and my grades soared. All of a sudden, everything went better. I highly recommend Study Smart to all students..
Being able to create my materials online made the process of studying so much smoother and quicker. I no longer have to spend a huge amount of my time on creating my summaries.
At first, my notes were a mess. Now I use Study Smart to take my notes in a perfectly structured way. It helps me to save a lot of time and do other things I enjoy.
Students that study with Study Smart get better grades. The system applies all the learning methods in such a way that both well-performing students and students who struggle perform much better.
Hi Chris, I would like to thank you very much. Last year I scored C on a course, and this year I got an A+ thanks to your method! Thank you very much!
The largest effect is that my child is more enthusiastic about school! Every parent wants their children to be happy at school, Study Smart made it happen.
In high school, I failed several exams, and that has really changed now. I actually needed this tool very much back then. Since I started studying with StudySmart, I haven't had any D's. My average score is now an A and those are results I would have never had in the past
With my old method, I passed only 3 out of 8 courses. Since I started taking my notes digitally in Study Smart, I have passed all my courses on the first try. For me, StudySmart takes away the stress of wondering if I will pass or not.
Thanks to StudySmart, I passed all my exams, and with better grades than before! On top of that, I have mastered a very good study method now, which I am confident will help me earn my degree.
Diagnosis for adolescents and adults DSM 5:
(6 things)
- A marked incongruence between experienced gender and primary and/or secondary sex characteristics.
- Strong desire to get rid of one’s primary and/or secondary sex characteristics.
- Strong desire for the primary and/or secondary sex characteristics of the experienced gender.
- Desire to be of the other (of another) gender
- Desire to be treated as the other (or another) gender
- Conviction that one has the typical feelings and reactions of the other gender.
Tell something about the prevalence of gender ambivalence and gender incongruence.
- 5.7% birth assigned males, 4,0% females → gender ambivalence
- 1.1% birth assigned males, 0.8% birth assigned females -- gender incongruence
- Only in the categories of 10-14 and 15-19 there are more females than males.
Why is it important that we don’t use medical interventions in childs?
- Children with gender incongruence are in development
- Creating a safe and open environment for exploration
- Counseling of possible uncertainty
- Providing care and support for co-existing problems
What is the differenc ein presentation between adolescence and childhood?
- Increase in problems → psychological and social problems
- There is more variation in gender identification and gender expression
- Alternative or unfamiliar developmental routes
- Other (developmental) themes: sexuality, medical treatment desires, body experience thorugh puberty.
Describe the clinical management of gender incongruence in adolescents. There are 4 steps.
Evaluation
coming out
Social transition/expression
Gender affirming hormones
Gender affirming surgeries
What is the role of the mental health professional in adults?
- Gender exploration and exploring possible treatment needs
- Burden and capacity assessment
- Preparing for surgical options, social transition and gender affirming hormonal treatment
When there is an indication of medical treatment?
- This decision needs to be taken based on shared decision making (evidence based medicine and patient centered communication).
- The indication is different per person and for every treatment
- Multidisciplinary teamwork.
Extended diagnostic phase, why?
- Creating time for a balanced decision
- Preventing developmental arrests and optimize psychological health
- Less ‘misgendering’ after GA treatment
How many percent want to disgender and regret their choice?
Sexual differentiation, differences of sex development
Complete androgen insensitivity syndrome:
- XY → No testosterone → female gender identity and female gender role
- XX → testosterone → female gender identity, Gender dysforia, masculine gender role. Virilised genatalia.
Body perception hypothesis:
- Disconnection fronto-parietal networks thickening mesial prefrontal and precuneus cortex unrelated to sex.
- Trans persons are not the same as cis persons.
What is the Sexual Differentiation Hypothesis in the context of the paper on brain functional connectivity patterns in children and adolescents with gender dysphoria?
How does the Body Perception Hypothesis contribute to the study on brain functional connectivity patterns in children and adolescents with gender dysphoria?
The Body Perception Hypothesis suggests that the observed differences in brain connectivity patterns in individuals with gender dysphoria may be linked to their perception of their own bodies. In this context, the hypothesis implies that the brain connectivity patterns could be influenced by how individuals with gender dysphoria perceive their own physical bodies in relation to their gender identity.
Gender identity consists of 3 factors, name them:
- Psychological factors: mental health, self esteem
- Biological factors: prenatal hormones, genetic
- Social factors: society, peers.
The question on the page originate from the summary of the following study material:
- A unique study and practice tool
- Never study anything twice again
- Get the grades you hope for
- 100% sure, 100% understanding
