Distress arising from an incongruence between a person's felt gender and assigned sex/gender (usually at birth) is the cardinal symptom of<unk> .<unk>  in those assigned male at birth (AMAB) tends to follow one of two broad trajectories: early-onset or late-onset. Early-onset<unk>  is behaviorally visible in childhood. Sometimes<unk>  will stop for a while in this group and they will identify as gay or homosexual for a period of time, followed by recurrence of<unk> . This group is usually sexually attracted to members of their natal sex in adulthood, commonly identifying as heterosexual or straight. Late-onset<unk>  does not include visible signs in early childhood, but some report having had wishes to be the opposite sex in childhood that they did not report to others. In some people assigned male at birth who have postpubertal-onset<unk>  and who are attracted to women, cross-dressing with sexual excitement may presage the<unk> . Transgender people assigned male at birth who experience late-onset<unk>  will usually be attracted to women and may identify as lesbians or bisexual, while those with early-onset will usually be attracted to men. A similar pattern occurs in those assigned female at birth (AFAB), with those experiencing early-onset GD being most likely to be attracted to women and those with late-onset being most likely to be attracted to men and identify as gay. Symptoms of GD in children include preferences for opposite sex-typical toys, games, or activities; great dislike of their own genitalia; and a strong preference for playmates of the opposite sex. Some children may also experience social isolation from their peers, anxiety, loneliness, and depression. In adolescents and adults, symptoms include the desire to be and to be treated as the other sex. Adults with GD are at increased risk for stress, isolation, anxiety, depression, poor self-esteem, and suicide. Transgender people are also at heightened risk for eating disorders and substance abuse.
Gender dysphoria
Gender identity
Body integrity dysphoria
Sexual anhedonia
Sexual relationship disorder
Emotional dysregulation
Sexual addiction
Extended female sexuality