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Feminism: Sex and gender discussions

Gender dysphoria as a psychiatric diagnosis

11 replies

nightwakingmoon · 23/05/2022 00:29

Dysphoria, from the Greek meaning “grievously to bear”:
en.m.wikipedia.org/wiki/Dysphoria

Intense states of distress and unease increase the risk of suicide, as well as being unpleasant in themselves. Relieving dysphoria is therefore a priority of psychiatric treatment. One may treat underlying causes such as depression or bipolar disorder as well as the dysphoric symptoms themselves.

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) categorizes specific dysphoria in the obsessive–compulsive spectrum.

Dissatisfaction with being able-bodied can be diagnosed as body integrity dysphoria in the ICD-11.[1]

Gender dysphoria

Gender dysphoria is discomfort, unhappiness or distress due to one's assigned sex. The current edition (DSM-5) of the Diagnostic and Statistical Manual of Mental Disorders uses the term "gender dysphoria" where it previously referred to "gender identity disorder", making it clear that they no longer consider the gender identity to be disordered, but rather the emotional state of distress which results from the gender identity.[2]

The following conditions may include dysphoria as a symptom:

Major depressive disorder (unipolar) and dysthymia
Bipolar disorder[3] and cyclothymia
Borderline personality disorder[4]
Premenstrual syndrome
Premenstrual dysphoric disorder
Dysphoric milk ejection reflex
Stress
Adjustment disorder with depressed mood
Anxiety disorders such as post-traumatic stress disorder
Dysphoric rumination[5]
Dissociative disorders such as dissociative identity disorder, dissociative amnesia and depersonalization disorder.
Attention deficit hyperactivity disorder, defined as emotional deregulation or unbearable RSD "rejection sensitivity dysphoria"
Mixed anxiety-depressive disorder
Gender dysphoria
Personality disorders such as borderline personality disorder, dependent personality disorder and antisocial personality disorder
Substance withdrawal
Body dysmorphic disorder
Akathisia
Hypoglycemia
Schizophrenia
Sexual dysfunction
Body integrity dysphoria
Insomnia[6]
Chronic pain[7]

There’s also a main article on Gender Dysphoria:
en.m.wikipedia.org/wiki/Gender_dysphoria

“The diagnostic label gender identity disorder (GID) was used until 2013 with the release of the diagnostic manual DSM-5.”

“The American Psychiatric Association permits a diagnosis of gender dysphoria in adolescents or adults if two or more of the following criteria are experienced for at least six months' duration:[20]

A strong desire to be of a gender other than one's assigned gender
A strong desire to be treated as a gender other than one's assigned gender
A significant incongruence between one's experienced or expressed gender and one's sexual characteristics
A strong desire for the sexual characteristics of a gender other than one's assigned gender
A strong desire to be rid of one's sexual characteristics due to incongruence with one's experienced or expressed gender
A strong conviction that one has the typical reactions and feelings of a gender other than one's assigned gender
In addition, the condition must be associated with clinically significant distress or impairment.[20]

The DSM-5 moved this diagnosis out of the sexual disorders category and into a category of its own.[20] The diagnosis was renamed from gender identity disorder to gender dysphoria, after criticisms that the former term was stigmatizing.[24] Subtyping by sexual orientation was deleted. The diagnosis for children was separated from that for adults, as "gender dysphoria in children". The creation of a specific diagnosis for children reflects the lesser ability of children to have insight into what they are experiencing, or ability to express it if they have insight.[25] Other specified gender dysphoria or unspecified gender dysphoria can be diagnosed if a person does not meet the criteria for gender dysphoria but still has clinically significant distress or impairment.[20] Intersex people are now included in the diagnosis of GD.[26]

The International Classification of Diseases (ICD-10) lists several disorders related to gender identity:[27][28]”

OP posts:
nightwakingmoon · 23/05/2022 00:34

My apologies for the lengthy excerpts from Wikipedia. However, it’s relevant because, as you can see, “gender dysphoria” is factually listed as a psychiatric condition. As is “dysphoria” a clinical term in psychiatry.

However, stating this as a simple fact is now apparently against Talk Guidelines and will get posters deleted. Why is MN now censoring medical fact? If I post something in Health about heart arrhythmias as a symptom of cardiac disease am I going to get deleted in case someone with chronic heart disease doesn’t like the idea that it’s a medical condition?

Thoughts?

OP posts:
TheSandgroper · 23/05/2022 07:24

You might want to listen to this, specifically the last ten minutes. Very scary.

m.youtube.com/watch?v=mS8ZfFZ-Bc0

IvyTwines · 23/05/2022 08:49

I'd be interested to know the legal situation around this. A person who is not as we would say in legal terms 'of sound mind' cannot consent to life altering treatments, surely, let alone be classed as 'Gillick competent' if underage? There has been a push to get this all reclassified as not a mental health issue and I suspect trying to prevent future medical negligence lawsuits are a driver behind it.

EmotionalSupportOlive · 23/05/2022 09:01

I was talking to a psychiatrist and clinical psychologist a few weeks ago who said there was talk of removing Autism Spectrum Conditions from the DSM. Again, I wonder who that benefits?

stickygotstuck · 23/05/2022 09:07

Of course it is a phychological disorder.

I've had PMDD, it was classed as a phychological disorder.

Dysphoria of any kind is a problem that needs solving. If you can't acknowledge and name it you can't solve it.

Talk about stigma! So having a mental compliant is now (or rather again) a source of shame? Thanks very much for that. F off!

DrDinosaur · 23/05/2022 09:29

Is this following the thread on the psychiatrist offering psychotherapy for gender related distress?
Why on earth was that deleted?

elferian · 23/05/2022 09:46

there is a difference between a condition and an illness / disorder - that is what has changed

WarriorN · 23/05/2022 12:23

TheSandgroper · 23/05/2022 07:24

You might want to listen to this, specifically the last ten minutes. Very scary.

m.youtube.com/watch?v=mS8ZfFZ-Bc0

Effing hell. Thanks for this. V relevant.

elferian · 23/05/2022 12:51

WarriorN · 23/05/2022 12:23

Effing hell. Thanks for this. V relevant.

what is missing from the DSM is pornography addiction as an underlying cause for Gender Dysphoria. How many lives would be saved (not as in suicide rather as in destroying families) if this was addressed as part of GD - I can't imagine how many fall into this category but betting it is huge.

nightwakingmoon · 23/05/2022 13:14

elferian · 23/05/2022 09:46

there is a difference between a condition and an illness / disorder - that is what has changed

No, only the name has changed - so that it sounds less “stigmatising”, as the links say. The actual diagnosis hasn’t changed, even if the name has.

OP posts:
Lovelyricepudding · 23/05/2022 15:03

EmotionalSupportOlive · 23/05/2022 09:01

I was talking to a psychiatrist and clinical psychologist a few weeks ago who said there was talk of removing Autism Spectrum Conditions from the DSM. Again, I wonder who that benefits?

I can see why that might happen, especially with the ever expanding 'self ID' population as well as the broadening of 'the spectrum'. How that leave's my friends son whose parents are currently trying to find him a full time residential space with higher enough level of support I don't know.

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