<unk>  with persistent<unk>  dysphoria are characterized by more extreme<unk>  dysphoria in childhood than<unk>  with desisting<unk>  dysphoria. Some (but not all)<unk>  variant youth will want or need to transition, which may involve social transition (changing dress, name, pronoun), and, for older youth and adolescents, medical transition (hormone therapy or surgery). Signs and symptoms, as outlined by the DSM-5, include a marked incongruence between experienced/expressed<unk>  and assigned<unk> , of at least six months duration, as manifested by at least six of the following (one of which must be criterion A1): *A strong desire to be of the other<unk>  or an insistence that one is the other<unk>  *A strong preference for wearing clothes typical of the opposite<unk>  *A strong preference for cross-gender roles in make-believe play or fantasy play *A strong preference for the toys, games or activities stereotypically used or engaged in by the other<unk>  *A strong preference for playmates of the other<unk>  *A strong rejection of toys, games and activities typical of one's assigned<unk>  *A strong dislike of one's sexual anatomy *A strong desire for the physical sex characteristics that match one's experienced<unk>  B. The condition is associated with clinically significant distress or impairment in social, school, or other important areas of functioning.
Gender dysphoria in children
Effects of domestic violence on children
Learning problems in childhood cancer
Rapid-onset gender dysphoria controversy
Child bereavement
Impact of health on intelligence
Happy life expectancy
Child psychopathology