Gender Dysphoria Discussion Paper

Explain the psychological issues that may result from gender dysphoria.
Describe the most effective assessment measure that could be used for gender dysphoria, and explain why you selected this.
Explain the treatment options available for children and adolescents with gender dysphoria
Explain how culture may influence treatment Gender Dysphoria Discussion Paper .

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Psychological issues that may result from gender dysphoria

Gender dysphoria is a discomfort or distress that might occur when an individual’s gender identity and biological sex don’t align. Individuals with gender dsyphoria might be extremely uncomfortable with their assigned gender or with the anticipated roles of their allotted gender According to Byne et al (2018), individuals usually experience considerable distress and difficulties functioning connected with this struggle amid the manner in which they think and feel about themselves and their assigned or physical gender. Gender conflict impacts individuals in diverse ways. It may alter the manner a person wants to express his/her gender and may affect self-image, dress and behavior. Some individuals might cross-cross, need to socially transit or medically transit through sex change hormone treatment or surgery. Children having gender dsyphoria might express the aspiration to be of opposite gender and demand or prefer hairstyles, names or clothing of the opposite sex (Byne et al,2018).

The most effective assessment measure that could be used for gender dysphoria

Gender dysphoria questionnaires are the most effective measure that could be used for gender dsyphoria. Dettore et al (2015) claim that assessment of a gender variant individual needs psycho-diagnostic assessment that entails functioning in diverse life spheres, genera; development as well as evaluation of related psychopathologies. Additionally, it is vital to explore the manner in which children have been raised, family functioning, family history and religious and cultural values. The questionnaire entails interviews with the patient and their parents, where concordance of parental anticipations and treatment objectives, and also the opinions of both children and parent’s psychosexual outcome are assessed. In the diagnostic stage, adolescents must be perfectly informed on their long and short-term outcomes and also concerning the limits of surgical and hormonal treatment to avoid impractical expectations (Dettore et al, 2015). I chose this assessment measure because a patient with gender dsyphoria is genetically, physically and endocrinologically normal. Thus, the assessment is based upon the information that the patient gives to the patient and upon the judgment of the clinician during evaluation.

Treatment options available for children and adolescents with gender dsyphoria

Treatment options for gender dsyphoria in adolescents include medical interventions and hormonal interventions. According to Shumer et al (2016), the goal of medical interventions is to repress the production of sex hormone or blocking the action of sex hormone and function to avert the development of unwanted secondary sex traits of biologic sex. Medical interventions entail pubertal suppression with the use of GnRH agonists, reduction of production of biologic hormone by use of progestins as well as utilization of androgen receptor antagonists. Hormonal interventions aim at promoting the development of preferred secondary sex traits. 17β-estradiol is commonly used in male to female individuals while testosterone is used in female to male individuals to prompt development of secondary sex traits of the acknowledged gender. The third treatment option is gender affirmative surgery. Surgical interventions are used in transgender individuals for the goals of transition from the undesired gender to the desired gender. Procedures might entail chest surgeries and genital surgeries (Shumer et al, 2016) Gender Dysphoria Discussion Paper.

How culture may influence treatment

Culture may impact treatment of people with gender dysphoria because of cultural beliefs that view transgender people as unfit for the society. Divan et al (2016) argue that transgender individuals who express their gender identity at an early age usually get rejection from families. If they are not cast out from their families and homes, they rejected by from households leading to lack of education and inability to get physical and mental health needs. Transgender individuals who express their identities later are usually rejected by the mainstream society along with social services organizations, they engage in undoing gender socialization. Unreceptive environments that do not understand the needs of people with gender dsyphoria threaten their wellbeing and are poorly equipped to provide sensitive treatment and social services.


Byne, W., Karasic, D., & Coleman, E et al (2018). Gender Dysphoria in Adults: An Overview and Primer for Psychiatrists. Transgender Health, 3(1): 57-73.

Dettore, D., Ristori, J., & Antonelli, P et al (2015). Gender dysphoria in adolescents: the need for a shared assessment protocol and proposal of the AGIR protocol. Journal of Psychopathology, 21: 152-158.

Divan, V., Cortes, C., Smelyanskaya, M., & Keatley, J. (2016). Transgender social inclusion and equality: a pivotal path to development. Journal of International AIDS Society, 19(3Suppl 2): 20803.

Shumer, D., Nokoff, N., & Spack, N. (2016). Advances in the Care of Transgender Children and Adolescents. Advances in Pediatrics, 63(1): 79-102 Gender Dysphoria Discussion Paper.

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