Table 1 Diagnostic and statistical manual of mental disorders, 4th ed (DSM‐IV) criteria for diagnosis of gender identity disorder4.
| • A strong and persistent cross gender identification (not merely a desire for any perceived cultural advantages of being the other sex) |
| • A persistent discomfort with his or her sex or a sense of inappropriateness in the gender role of that sex |
| • The disturbance is not concurrent with a physical intersex condition |
| • The disturbance causes significant distress or impairment in social or occupational or other important areas of functioning |