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Gen­der dys­pho­ria is when an in­di­vid­ual ex­pe­ri­ences dis­tress be­cause there is a mis­match be­tween their bi­o­log­i­cal sex and gen­der iden­tity. The first signs of gen­der dys­pho­ria can ap­pear at a very young age. For ex­am­ple, a child may refuse to wear typ­i­cal boys’ or girls’ clothes, or dis­like tak­ing part in typ­i­cal boys’ or girls’ games and ac­tiv­i­ties. Adults with gen­der dys­pho­ria can feel trapped in­side a body that doesn’t match their gen­der iden­tity. A di­ag­no­sis of gen­der dys­pho­ria can usu­ally be made after an indepth as­sess­ment car­ried out by two or more spe­cial­ists. It is also known in some cir­cles as Gen­der Iden­tity Dis­or­der (GID). It is not classed as a men­tal ill­ness.

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