Gender Identity Disorder in Children - Diagnostic Classification

Diagnostic Classification

The current edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV (TR)) makes a differential diagnosis coding based on current age:

  • 302.6 Gender Identity Disorder in Children
  • 302.85 Gender Identity Disorder in Adolescents or Adults

The current edition of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) has five different diagnoses for gender identity disorder, including one for when it manifests during childhood.

F64.2 Gender identity disorder of childhood: A disorder, usually first manifest during early childhood (and always well before puberty), characterized by a persistent and intense distress about assigned sex, together with a desire to be (or insistence that one is) of the other sex. There is a persistent preoccupation with the dress and activities of the opposite sex and repudiation of the individual's own sex. The diagnosis requires a profound disturbance of the normal gender identity; mere tomboyishness in girls or girlish behavior in boys is not sufficient. Gender identity disorders in individuals who have reached or are entering puberty should not be classified here but in F66.-.

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