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Boys with gender dysphoria often show marked feminine mannerisms and speech patterns. The disturbance josw be so pervasive that the mental lives of some individuals revolve only around activities that lessen gender distress. They are often preoccupied with appearance, especially early in the transition to sab in the opposite sex role. Relationships with parents also may be seriously impaired. Some males with gender dysphoria resort to self-treatment with hormones and may very rarely perform their own castration or penectomy. Suicide attempts and substance-related disorders are common. Children with gender dysphoria may manifest coexisting separation anxiety disorder, generalized anxiety disorder and symptoms of depression.
Adolescents and adults with gender dysphoria before gender reassignment are at increased risk for suicidal ideation, suicide attempts, and completed suicides. After gender reassignment, suicide risk may persist depending on the adjustment of the individual. Adults may display anxiety and depressive symptoms. Some adult males have a history of paraphilias. Associated personality disorders are more common among males than among females being evaluated at adult gender clinics.
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Symptoms Gender dysphoria looks different in different age groups. Below is the criteria that health professionals look at to diagnose gender dysphoria in children, adolescents and adults. This incongruence is present for at least six months. Early-onset gender dysphoria typically starts in childhood and continues into adolescents and adulthood, which late-onset gender dysphoria occurs around puberty or much later in life. The condition is rare and may occur in children or adults. Onset of cross-gender interests and activities is usually between ages 2 and 4 years, and some parents report that their child has always had cross-gender interests.
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