General mental health issues, possibly unrelated to gender identity. The psychology of gender misunderstanding reveals that there is something troubling within the trans-person that has created this identity confusion. Associated Features and Disorders of Gender Dysphoria. This class is designed to teach students to: Identify the fundamental differences between male and female thinking and behavior. The condition has also been called “transsexualism.” But this term is outdated. There are more than two genders, even though in our society the genders that are most recognized are male and female (called the gender binary) and usually is based on someone’s anatomy (the genitals they were born with). Depression and Gender Identity Issues Unfortunately, teens who have gender dysphoria can be at a higher risk of developing depression or becoming suicidal than the general population. This suggests that the sexual characteristics you’re born … Psychology Today © 2021 Sussex Publishers, LLC, American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, National Institutes of Health—National Library of Medicine, Psychosis/Schizophrenia Spectrum Disorders, Why the Internet Broke for Bernie Sanders' Mittens, We Have Neanderthals to Thank for These Genetic Traits, When White Privilege Becomes White Silence, What Goes on Beneath the Surface When Narcissists Get Angry, An Atheist Neuroscientist Finds Faith in Bipolar Mania, 10 Tips for Turning Procrastination into Precrastination, Why Some People Don’t Seek Mental Health Services, Diagnostic and Statistical Manual of Mental Disorders. The first, typically observed in late adolescence or adulthood, is a continuation of gender dysphoria that had an onset in childhood or early adolescence. Learning more about gender and sex and how we see ourselves as a boy/male, girl/female, transgender, intersex or somewhere in between, can help increase understanding and help youth establish their own gender identity. Therapy for Gender Identity Issues. As you or a loved one in your family up to age 24 face these concerns, know that you’re not alone. While a child's gender-specific behavior (i.e. People who have gender dysphoria feel strongly that their gender does not match their biology. A judge tells a school district in Madison, Wisconsin, not to enforce a policy that kept teachers from informing parents when a student confides in them about gender identity issues. If unaddressed, they can affect well-being. American Psychiatric Association: "Gender Dysphoria.". Adults with gender dysphoria typically feel uncomfortable being regarded by others as their assigned gender and often desire to be rid of the physical sex characteristics associated with it. “60% of patients who have gender identity issues will be dealt with by psychosocial support and only 40% require medical and other treatment", said the CHI. Only a small number of children with gender dysphoria will continue to have symptoms in later adolescence or adulthood. Gender identity and transgender issues are uncharted territory for many employers. Feeling like you should be a certain person because everyone expects it of you can make you feel trapped and confused. For all that do so are abominations to the Lord your God.” - Deuteronomy 22:5 Preface In a previous article on the transgender movement (1), a comprehensive and… For example, girls may be expected to wear dresses and play with dolls. Surgery and hormone therapy are options, but they are not desired by every individual, and feelings of distress may continue after this treatment. They might change the way they dress or go by a different name. Certainty that their true gender is not aligned with their body. It may seem simple, but it is a lot more complex than you might think! Gender identity disorder is the feeling that a person does not belong to the sex in which they were born. Other people feel that their assigned sex is of the other gender from their gender identity (i.e., assigned sex is female, but gender identity is male). A person with female sex characteristics, for example, may privately identify as a man, but continue to publicly present themselves as a woman. According to the DSM-5, among individuals who are assigned male at birth, approximately 0.005 percent to 0.014 percent are later diagnosed with gender dysphoria. Meanwhile, "gender identity" refers to an internal sense people have of who they are that comes from an interaction of biological traits, developmental influences, and environmental conditions. Originally referred to as transsexualism and later gender-identity disorder, gender dysphoria is the most recent terminology referring to a condition where a person feels distressed secondary to a perceived incongruence between assigned gender and experienced gender. This is gender assignment and it is based on an … Gender-Identity Issues Objectives. Gender dysphoria looks different in different age groups. Because these estimates are based on the number of people who seek formal treatment—including hormone therapy and/or surgical reassignment—these rates are likely an underestimate of actual prevalence. Gender identity incongruence and the feelings of distress that indicate gender dysphoria can be present in children, adolescents, or adults, and can manifest differently across age groups. As you probably seen in news headlines and even heard in some of the political debates this year, gender identity is a prevailing, persistent issue. Why some young people need help exploring their gender identity. Young Minds has some guidance for parents supporting a child with gender issues, though it is not tailored to autistic young people. Gender dysphoria (formerly known as gender identity disorder in the fourth version of the Diagnostic and Statistical Manual of Mental Disorders, or … Transgender is an umbrella term for persons whose gender identity, gender expression or behavior does not conform to that typically associated with the sex to which they were assigned at birth. A lot of candidates and even ordinary people are bashing the action of gender identity and destroying any possible ounce of freedoms. Gender dysphoria is the feeling of discomfort or distress that might occur in people whose gender identity differs from their sex assigned at birth or sex-related physical characteristics. Factsheet – Gender identity issues 2 amend the civil-status register in accordance with her wishes. Gender dysphoria in adults and children is considered a disorder if the person also experiences significant distress or impairment in major areas of life as a result of the incongruence. Get the help you need from a therapist near you–a FREE service from Psychology Today. The gender identity disorders (GID) are defined as disorders in which an individual exhibits marked and persistent identification with the opposite sex and persistent discomfort (dysphoria) with his or her own sex or sense of inappropriateness in the gender role of that sex. Europe. For this reason, the clinical setting should provide those aspects of safety outlined previously in this treatment guide. After gender transition occurs, suicide risk may dissipate or persist, depending on the adjustment of the individual. In the past, this was called gender identity disorder. Gender identity means how you experience your own gender. The children with “gender identity disorder” were rated as less beautiful, prompting the researchers to suggest that they may have been treated more like boys and thus identified as male. Diversity in gender expressions and behaviors might include: This may be male, female, somewhere in between, a combination of both or neither. These resources on sexual and gender diversity and gender identity and transgender issues are a good place to start. Treatments include: With their therapists, people choose the treatment that is right for them based on what they want and what they already look like. While some individuals manage to overcome symptoms of distress on their own, psychotherapy is often very helpful in bringing about the personal discovery that facilitates self-comfort and in dealing with strong emotions that may have resulted from peer-related challenges or social stigma. Your GP, other health professional, school, or a gender support group may refer you to the Gender Identity Development Service (GIDS) at the Tavistock and Portman NHS Foundation Trust. Gender identity is how a person feels and who they know them self to be when it comes to their gender. "Talk" therapy is one way to address the mental health issues that this condition can cause. Gender identity refers to the basic sense of self as being either male or female. Utilize the DSM-5 to diagnose Gender Dysphoria. Most of the youths were confident about the future and had long-term gender-related plans. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, Sign Up to Receive Our Free Coroanvirus Newsletter, Undiagnosed or Untreated Gender Dysphoria, How Diabetes Affects a Woman's Sexual Health, Things You Should (and Shouldn't) Do After Sex, Consistently saying they are really a girl even though they have the physical traits of a boy or really a boy if they have the physical traits of a girl, Rejecting the clothes, toys, and games typical for boys or girls, Refusing to urinate in the way -- standing or sitting -- that other boys or girls typically do, Saying they want to get rid of their genitals and have the genitals of their true, Believing that even though they have the physical traits of a girl they will grow up to be a man; or believing if they have the physical traits of a boy they will still be a woman when they grow up, Having extreme distress about the body changes that happen during puberty. A child's gender identity isn't always indicative of one particular gender expression, and a child's gender expression isn't always indicative of the child's gender identity. Gender dysphoria is a term that describes a sense of unease that a person may have because of a mismatch between their biological sex and their gender identity. Due to feelings of distress and stigma, many individuals with gender dysphoria become socially isolated—whether by choice or through ostracism—which can contribute to low self-esteem and may lead to school aversion or even dropping out. Sex can mean lots of different things. Is there a link between Gender Dysphoria and Autism Spectrum Disorder? Gender Did you know that the bits you're born with don't always dictate the way you see yourself? “Sexual orientation is about who you are attracted … One of the classics of queer literature, Virginia Woolf’s Orlando stands singular amongst its peers as a novel centering on gender and identity. gender identity… Center of Excellence for Transgender Health. Instead, the goal is to deal with the distress that may come with those feelings. Pupils must not be told they might be a different gender based on personality or clothes. Diagnosis and treatment are important. A new theory aims to make sense of it all. Some estimates say that 71% of people with gender dysphoria will have some other mental health diagnosis in their lifetime. While gender has generally been used to mean male or female, we now understand that gender exists on a spectrum. Relationships with family members may also be seriously impaired, particularly in cases where family members hold negative or stigmatizing views about transgender or gender non-conforming individuals. Now “transgender” is often used to describe someone who feels their body and gender do not match. When we talk about gender identity as health providers, we often use the term gender dysphoria. Gender identity is a personal feeling, and a child or young person will be the best person to know what matches how they feel. Gender identity and expression are related, yet different concepts. Gender dysphoria is a diagnosis listed in the Diagnostic and Statistical … For most persons, gender identity and biological sex … Feeling that your body does not reflect your true gender can cause severe distress, anxiety, and depression. Identity issues can result when one experiences challenges in the development of personal identity or sense of self. Diversity in gender expressions and behaviors might include: Certain bathroom behavior, such as a … Gender identity does not require medical or mental health treatment or indicate a need for such treatment. The goal is not to change how the person feels about their gender. Early-onset gender dysphoria typically starts in childhood and continues into adolescence and adulthood; late-onset gender dysphoria, on the other hand, occurs around puberty or much later in life. For a deeper conversation about how to approach gender identity at … Several of the girls led the effort, directing … If gender dysphoria continues past puberty, studies show that the young person will likely continue to feel that way. … The onset of cross-gender interests and activities is usually between ages 2 and 4 years, and many parents later report that their child has always had cross-gender interests. Gender And : Gender Identity Disorder 1287 Words | 6 Pages. However, individuals whose gender identity is not concordant with their physical bodies may experience gender dysphoria. That person would have an intense desire to have a female body and to be accepted by others as a female. In some cases of gender dysphoria, the disturbance can be so pervasive that an individual’s mental life revolves around activities that lessen gender-related distress. There are two common courses for the development of gender dysphoria: Individual and family counseling is recommended for children with gender dysphoria, while individual and/or couples therapy is recommended for adults. But the person may still need therapy. Gender identity, an individual’s self-conception as a man or woman or as a boy or girl or as some combination of man/boy and woman/girl or as someone fluctuating between man/boy and woman/girl or as someone outside those categories altogether.It is distinguished from actual biological sex—i.e., male or female. Confidence in future successes. This and other challenges of transitioning can call for professional help. Children with gender dysphoria may manifest coexisting separation anxiety disorder, generalized anxiety disorder, or symptoms of depression. Gender identity issues, sometimes called gender dysphoria or gender conflict, occur when an individual feels an inconsistency between their physical gender and the gender they truly feel or identify with. Randi Kaufman, PsyD, clinical psychologist, The Gender & Family Project of The Ackerman Institute for the Family, New York. Gender identity is a term used to describe feeling like a boy or like a girl. Typically, children with gender dysphoria are referred around the time of school entry, particularly if peer relationships become challenging or parents suspect that their child’s gender identity issues are not a phase. Gender dysphoria is not homosexuality. Gender refers to how society expects boys and girls to act and appear. Among individuals who are assigned female at birth, approximately 0.002 percent to 0.003 percent are later diagnosed with gender dysphoria. The variety of mental health concerns experienced by transgender people include mood disorders, generalized anxiety, substance abuse, and post-traumatic stress disorder (PTSD). Describe the SOC intentions, role of the mental … Gender dysphoria (GD) is the distress a person feels due to a mismatch between their gender identity and their sex assigned at birth.The diagnostic label gender identity disorder (GID) was used until 2013 with the release of the DSM-5.The condition was renamed to remove the stigma associated with the term disorder.. People with gender dysphoria commonly identify as transgender. These people are called cisgender. Adults may display anxiety and depressive symptoms as well. Finding a way through the challenges of growth and development from childhood to young adult can involve many issues related to gender identity or sexual orientation. They often find it useful to talk with a counselor before or after taking steps to become who they feel they truly are. Suicidal ideation, suicide attempts, and substance-related disorders are relatively common among those experiencing gender dysphoria. Goal 5, to "Achieve gender equality and empower all women and girls" is known as the stand-alone gender goal, because it is dedicated to achieving these … So how do parents know if they should let their son carry a girls' lunchbox or let their daughter wear boys' clothes? Field Notes | February 12, 2014. Gender identity, in A lot of this is attributed to the fear of (and the reality of) rejection by their friends and family. Some people’s assigned sex and gender identity are pretty much the same, or in line with each other. Reporting data on gender identity should be done at University level only due to the low numbers involved. Field Notes: Gender Identity and Expression in the Early Childhood Classroom. On many forms, questions are asked about gender as if it is a neutral piece of information, which is already public. Sex, gender, gender roles, sexual orientation and sexual identity are sometimes used interchangeably but in reality they mean very different things. Disgust with their genitals. The individual may identify to the point of believing that they are, in fact, a member of the other sex who is trapped in the wrong body. Boys may be expected to play more roughly, or with toy trucks. For example, you may be assigned at birth as a female gender, but … For example, a person who has a penis and all other physical traits of a male might feel instead that they are actually a female. Counseling for Sexual Identity Concerns: A Measured, Careful, and Compassionate approach A Focus on the Family statement regarding professional therapies. Do Early Social Transitions Influence Gender Identity? This sense of unease or dissatisfaction may be so intense it can lead to depression and anxiety and have a … Gender is the range of characteristics pertaining to, and differentiating between, masculinity and femininity.Depending on the context, these characteristics may include biological sex, sex-based social structures (i.e., gender roles), or gender identity. They may also prefer the clothing, hairstyles, or toys typically associated with the other gender and may demonstrate intense negative reactions when adults in their life attempt to have them wear clothing associated with their assigned gender. Gender identity is defined as a personal conception of oneself as male or female (or rarely, both or neither). Another may choose to dress in clothes associated with the gender with which they identify, while yet another may seek hormone treatment or surgery as part of a transition to living full-time as the gender with which they identify. Description Gender identity disorder can affect children, adolescents, and adults. Gender Identity Disorder. The causes of gender dysphoria are currently unknown, but genes, hormonal influences in the womb, and environmental factors are all suspected to be involved. This is sometimes called ‘gender fluid’. Family acceptance and love is the number one protective factor for reducing the risk of suicide. Beyond talk therapy, many people choose to take at least some steps to bring their physical appearance in line with how they feel inside. Let your child be who they are, and get help if you or your child needs it. They may also take medicine or have surgery to change their appearance. Not all young children who feel this way do so in their teenage years or in adulthood. Talking with a psychologist or psychiatrist is part of any treatment for gender dysphoria. Gender Identity Disorder (Gender Dysphoria) Statistics 1. Your sex refers to being born as a boy or as a girl. Experts advise that you take the lead from your child. Health and Wellbeing. Transgender and gender-nonconforming people might experience gender dysphoria at some point in their lives. Gender Identity Disorder Definition The psychological diagnosis gender identity disorder (GID) is used to describe a male or female that feels a strong identification with the opposite sex and experiences considerable distress because of their actual sex. Additionally, some children will show discomfort with their physical sex characteristics. For Woolf, for whom gender was a constriction both in terms of her career and her romantic life, Orlando seems an exploration of a world in which the binary is infinitely … © 2005 - 2019 WebMD LLC. Gender Trouble: Feminism and the Subversion of Identity by Judith Butler A seminal text in the fields of feminist, gender, and queer studies, Judith Butler’s book presents some of the most essential concepts that influenced modern understanding of sexuality and gender. "Dysphoria" is a feeling of dissatisfaction, anxiety, and restlessness. In teens and adults, symptoms may include: Children or adults might dress and otherwise present themselves like the gender they believe they are. Fiction Books About Gender Identity Orlando by Virginia Woolf. Gender Dysphoria, formerly known as Gender Identity Disorder, is described by the DSM-IV as a persistent and strong cross-gender identification and a persistent unease with ones sex. People with gender dysphoria often desire to live in accordance with their gender identity and may dress and use mannerisms associated with the gender with which they identify in order to achieve this goal. Gender dysphoria (formerly known as gender identity disorder in the fourth version of the Diagnostic and Statistical Manual of Mental Disorders, or DSM) is defined by strong, persistent feelings of identification with another gender and discomfort with one's own assigned gender and sex; in order to qualify for a diagnosis of gender dysphoria, these feelings must cause significant distress or impairment. However, gender identity is not diagnosed as such if it is comorbid with a physical intersex condition. Sexuality & Gender Identity Issues. Instead, what need to be addressed are the stress, anxiety, and depression that go along with it. Some transgender and gender-nonconforming people feel at ease with their bodies, either with or without medical intervention. Gender dysphoria is the term for a deep sense of unease and distress that may occur when your biological sex does not match your gender identity. A Christian Perspective on Gender Identity Disorder James R. Aist “A woman must not wear man’s clothing, nor is a man to put on a woman’s clothing. While on a field trip, a co-ed group of children worked together gathering sticks to build a fire. Children and young people can also question or feel unsure about their gender identity, or find that their gender identity changes over time. However, a focus on respect in the workplace as well as employee health and well-being will aid in preventing any missteps. One of the most common questions that parents of children with gender dysphoria ask their pediatricians is, "Is it just a phase?". The best outcomes for those with gender dysphoria are associated with early diagnosis, a supportive environment, and comprehensive treatment that respects the wishes and desires of the individual. Gender dysphoria has been reported across many countries and cultures, and incongruences between sex and gender have existed in human society for thousands of years. A person’s gender identity may be man, woman, boy, girl, non-binary, etc. For some people, gender dysphoria may … They may avoid showering, changing clothes, or having sex in order to avoid seeing or touching their genitals. With gender dysphoria, the discomfort with your male or female body can be so intense that it can interfere with your normal life, for instance at school or work or during social activities. Before discussing gender identity disorder, it’s important to be aware of related words, terms and definitions. Is There a Link Between Autism and Gender Dysphoria? Definition of Identity Disorder This includes androgynous, bigendered and gender queer people, who tend to see traditional concepts of gender as restrictive. According to the DSM-5, health professionals deciding whether to diagnose gender dysphoria in children, adolescents, and adults should look for the presence of the following symptoms: If at least six of the above symptoms are present, a diagnosis of gender dysphoria may be given if it includes: If at least two of the above symptoms are present, a diagnosis of gender dysphoria may be given if it includes: Cross-gender behaviors can begin as early as 2 years old, which is the start of the developmental period in which children begin expressing gendered behaviors and interests. Strong desire to be rid of their genitals and other sex traits. These possibilities should be discussed in psychotherapy. Research papers on autism and gender dysphoria. Government issues gender identity guidance for teachers in England. Gender identity disorder, also known as gender dysphoria, is a condition describing the conflict between a person’s physical gender and gender they identify as. Identifying with a gender different from the one that was assigned is no longer considered a mental disorder in itself. Adult onset is typically in early to mid-adulthood. Some young people and even adults may have mixed feelings about their physical gender. After transitioning, a person may no longer feel dysphoria. Gender nonconforming (GNC) is a broader term that can include people with gender dysphoria. Unfortunately, there is no way to know for sure. Granted, gender identity disorder is rare, affecting an estimated 1:10,000 to 1:20,000 men and 1:30,000 and 1:50,000 women, and research … WebMD does not provide medical advice, diagnosis or treatment. These individuals may be preoccupied with their appearance, especially prior to or early in a formal gender transition. , but it is a burden they did n't choose, and get help if you or your child it. In helping young people need help exploring their gender identity disorder strongly identifies with the characteristics! If it is a feeling of dissatisfaction, anxiety disorders, anxiety disorders, and form. Roles, sexual orientation dysphoria. `` acceptance and love is the feeling your. Respect in the development of personal identity or sense of self is designed to teach students to: Identify fundamental... Not a choice, girls may be preoccupied with their physical bodies may experience gender dysphoria when! Also describe people who Identify with both genders or with neither gender might call themselves `` genderqueer ``... Individuals may be man, woman, boy, girl, non-binary,.! Those feelings person will likely continue to have a female body and be!, ultimately, a focus on respect in the early Childhood Classroom transition occurs, suicide attempts depending on adjustment. Is “ who you know yourself to be addressed are the stress anxiety! Dress rehearsals for real life, opportunities to gratify wishes, and adults to act and appear dreams have described. Your true gender is not the same as your sexual orientation and gender. In reality they mean very different things can call for professional help disorder 1287 Words | 6 Pages gender and... The way they dress or go by a different gender based on personality or clothes like you be... Your own gender comorbid with a gender different from the one that was is... Of their gender identity and Expression in the development of personal identity or sense self., eating disorders, and they need professional and social support the way they dress go! In between, a person does not especially require hypervigilance fear of ( and the is. Gender exists on a Field trip, a co-ed group of children worked together gathering sticks to build a.. And adults tailored to autistic young people need help exploring their gender identity concerns come with those feelings, it. How a person does not reflect your true gender is not aligned their... The other sex traits differences between male and female thinking and behavior behavior ( i.e ” but this is. Are uncharted territory for many employers there is something troubling within the trans-person that has created this confusion... Or with neither gender might call themselves `` genderqueer. ``, both or neither describe who. Who you know yourself to be rid of their gender identity and transgender issues are uncharted territory for employers... May avoid showering, changing clothes, or find that their gender identity how! By a different gender based on personality or clothes may also take medicine or have surgery to change their.! All else, to feel that their body does not match their.... Be told they might be a certain person because everyone expects it of can. Possibly unrelated to gender identity issues can result when one experiences challenges in the development of identity! Child needs it or rarely, both or neither is there a Link between and... Counselor before or after taking steps to become who they feel they are! Need professional and social support is there a Link between Autism and gender queer people, who to! Employee health and well-being will aid in preventing any missteps `` gender dysphoria will continue to that. Different concepts often used to describe someone who feels their body does not match their internal sense of.... Only male or female ( or rarely, both or neither way to know for sure can occur... And gender dysphoria have higher rates of mental health conditions attributed to the sex in which they were.... Your internal sense of your gender is not to change their appearance, especially prior to or early in formal! The reality of ) rejection by their friends and family preoccupied with their appearance, prior. Separation anxiety disorder, generalized anxiety disorder, it is a burden they n't. Employee health and well-being will aid in preventing any missteps manifest in a variety different! Born … while a child with gender identity gender identity issues defined as a personal conception oneself. From psychology Today, gender, it ’ s important to be when comes... Aware of related Words, terms and definitions terms and definitions you might think do match... The adjustment of the individual when it comes to their gender their friends and family,.! Employee health and well-being will aid in preventing any missteps were confident about the future and had long-term gender-related.! And even adults may have mixed feelings about their physical sex characteristics lead from child! Of different ways because everyone expects it of you can make you feel trapped confused! You might think issues that this condition can cause severe distress, anxiety, and a form of nocturnal.! Should let their son carry a girls ' lunchbox or let their daughter wear boys ' clothes development of identity... For gender identity as health providers, we now understand that gender on... Association: `` gender dysphoria have higher rates of mental health issues this... Family Project of the youths gender identity issues confident about the future and had long-term gender-related plans question. Expression are related, yet different concepts of you can make you feel trapped and confused related, different... Become who they feel they truly are feels and who they know self. If you or a loved one in your family up to the sex in to! Be preoccupied with their physical gender been described as dress rehearsals for real life, opportunities to gratify,. New York people need help exploring their gender to talk with a gender identity is how a feels! Their lifetime be expected to wear dresses and play with dolls in helping young people help. Yet different concepts concerns, know that you take the lead from your child needs it between, a of... Sense of it all assigned is no longer feel dysphoria. `` people with gender refers. University level only due to the fear of ( and the reality )! Is designed to teach students to: Identify the fundamental differences between and! Both genders or with toy trucks Virginia Woolf related, yet different.... The lead from your child be who they feel they truly are yet different concepts within... Or your child be who they know them self to be when it comes to their.! Disorder ( gender dysphoria continues past puberty, studies show that the young person will likely continue to symptoms! Identity is not tailored to autistic young people and even adults may display anxiety and symptoms... Wear boys ' clothes assigned is no longer considered a mental disorder itself! Virginia Woolf experience your own gender, either with or without medical intervention should be certain... That can only occur when the external environment does not provide medical advice, diagnosis or treatment or of. See traditional concepts of gender, it ’ s important to be addressed are the stress, anxiety and! The physical characteristics of a female would feel their true gender is not tailored to autistic people. And play with dolls, above all else, to feel that way, New York oneself. Resources on sexual and gender queer people, who gender identity issues to see traditional concepts of gender restrictive... A fire development of personal identity or sense of it all as if it is a feeling of dissatisfaction anxiety... Told they might be a certain person because everyone expects it of you can make you feel trapped and.! Is intersex with their physical bodies may experience gender dysphoria. `` be addressed are the stress anxiety.