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Gender identity disorder is when an individual have very strong feelings of the opposite sex. They experience discomfort within their own sex and somewhat yearns for the identification of the opposite sex. The condition has also been called “transsexualism.” But this term is outdated. Some consider it offensive. Now “transgender” is often used to describe someone who feels his or her body and gender do not match For instance someone who is a male may often dress up like a woman even feeling like one. They may experience many different identity issues throughout their lives. Identity conflicts need to continue over time to be considered gender dysphoria. The feeling of being in the body of the "wrong" gender must last for at least 2 years for this diagnosis to be made. A history and psychiatric evaluation can confirm the person's constant desire to be the opposite sex. How the gender conflict occurs is different in each person. For example, some people may cross-dress while others want sex-change surgery. Some people of one gender privately identify more with the other gender.Someone who has gender identity disorder may often cross dress and even and seek sex change operations. Many individuals with this disorder seem to become very isolated socially and very separated from everyone. The social isolation sometimes causes major depression. Adults may display anxiety and depressive symptoms. Some adult males have a history of transvestic fetishism as well as other paraphilias. Associated personality disorders are more common among males than among females being evaluated at adult gender clinics. Some males with gender identity disorder resort to self-treatment with hormones and may (very rarely) perform their own castration or penectomy. Especially in urban centers, some males with the disorder may engage in prostitution, placing them at a high risk for human

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