The new DSM eliminates the term "gender identity disorder," long considered stigmatizing by mental health specialists and lesbian, gay, bisexual and transgender activists.
That old diagnosis meant that a man who believed he was destined to be a woman was considered mentally ill.
No longer so.
The new DSM refers to "gender dysphoria," which focuses the attention on only those who feel distressed by their gender identity.
"I think it's a significant change," said Jack Drescher, a member of the American Psychiatric Association group that made the recommendation after working on it for four years. "It's clinically defensible, but it reduces the amount of stigma and harm that existed before."
Drescher said there had been calls to remove the diagnosis altogether just as homosexuality was removed from the DSM in 1973. Drescher said he believes that removal changed world opinion on homosexuality.
But gender dysphoria was left as a diagnosis to ensure that a transgender person could still access health care if needed. Hormone treatment would be one example. Another would be counseling for those who need help dealing with their emotions.
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