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Help us improve your experience by providing feedback on this. In the meantime, please refer to the Guidelines for Psychological Practice with Transgender and Gender Nonconforming People PDF, KB for more up-to-date language regarding transgender and gender nonconforming people.

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 ased at birth. Gender refers to the socially constructed roles, behaviors, activities, and attributes that a given society considers appropriate for boys and men or girls and women. These influence the ways that people act, interact, and feel about themselves. While aspects of biological sex are similar across different cultures, aspects of gender may differ. Various conditions that lead to atypical development of physical sex characteristics are collectively referred to as intersex conditions.

Transgender persons have been documented in many indigenous, Western, and Eastern cultures and societies from antiquity until the present day. However, the meaning of gender nonconformity may vary from culture to culture.

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Many identities fall under the transgender umbrella. The term transsexual refers to people whose gender identity is different from their ased sex. Often, transsexual people alter or wish to alter their bodies through hormones, surgery, and other means to make their bodies as congruent as possible with their gender identities.

This process of transition through medical intervention is often referred to as sex or gender reasment, but more recently is also referred to as gender affirmation. People who were ased female, but identify and live as male and alter or wish to alter their bodies through medical intervention to more closely resemble their gender identity are known as transsexual men or transmen also known as female-to-male or FTM.

Conversely, people who were ased male, but identify and live as female and alter or wish to alter their bodies through medical intervention to more closely resemble their gender identity are known as transsexual women or transwomen also known as male-to-female or MTF. Some individuals who transition from one gender to another prefer to be referred to as a man or a woman, rather than as transgender.

People who cross-dress wear clothing that is traditionally or stereotypically worn by another gender in their culture.

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They vary in how completely they cross-dress, from one article of clothing to fully cross-dressing. Those who cross-dress are usually comfortable with their ased sex and do not wish to change it. Cross-dressing is a form of gender expression and is not necessarily tied to erotic activity.

Cross-dressing is not indicative of sexual orientation. The degree of societal acceptance for cross-dressing varies for males and females. In some cultures, one gender may be given more latitude than another for wearing clothing associated with a different gender. The term drag queens generally refers to men who dress as women for the purpose of entertaining others at bars, clubs, or other events. The term drag kings refers to women who dress as men for the purpose of entertaining others at bars, clubs, or other events. Other of transgender people include androgynousmultigenderedgender nonconformingthird genderand two-spirit people.

Exact definitions of these terms vary from person to person and may change over time, but often include a sense of blending or alternating genders. Some people who use these terms to describe themselves see traditional, binary concepts of gender as restrictive. There is no single explanation for why some people are transgender. The diversity of transgender expression and experiences argues against any simple or unitary explanation. Many experts believe that biological factors such as genetic influences and prenatal hormone levels, early experiences, and experiences later in adolescence or adulthood may all contribute to the development of transgender identities.

It is difficult to accurately estimate the of transgender people, mostly because there are no population studies that accurately and completely for the range of gender identity and gender expression. Gender identity and sexual orientation are not the same.

Transgender people may be straight, lesbian, gay, bisexual, or asexual, just as nontransgender people can be. Some recent research has shown that a change or a new exploration period in partner attraction may occur during the process of transition. However, transgender people usually remain as attached to loved ones after transition as they were before transition. Transgender Washington DC classified woman looking for sex usually label their sexual orientation using their gender as a reference.

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For example, a transgender woman, or a person who is ased male at birth and transitions to female, who is attracted to other women would be identified as a lesbian or gay woman. Likewise, a transgender man, or a person who is ased female at birth and transitions to male, who is attracted to other men would be identified as a gay man. Transgender people experience their transgender identity in a variety of ways and may become aware of their transgender identity at any age.

Some can trace their transgender identities and feelings back to their earliest memories. Others become aware of their transgender identities or begin to explore and experience gender-nonconforming attitudes and behaviors during adolescence or much later in life. Some embrace their transgender feelings, while others struggle with feelings of shame or confusion. Those who transition later in life may have struggled to fit in adequately as their ased sex only to later face dissatisfaction with their lives.

Some transgender people, transsexuals in particular, experience intense dissatisfaction with their sex ased at birth, physical sex characteristics, or the gender role associated with that sex. These individuals often seek gender-affirming treatments. Parents may be concerned about who appears to be gender-nonconforming for a variety of reasons.

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Some children express a great deal of distress about their ased sex at birth or the gender roles they are expected to follow. Some children experience difficult social interactions with peers and adults because of their gender expression. It is helpful to consult with mental health and medical professionals familiar with gender issues in children to decide how to best address these concerns.

It is not helpful to force the child to act in a more gender-conforming way. Peer support from other parents of gender-nonconforming children may also be helpful. Transitioning from one gender to another is a complex process and may involve transition to a gender that is neither traditionally male nor female. People who transition often start by expressing their preferred gender in situations where they feel safe.

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They typically work up to living full time as members of their preferred gender by making many changes a little at a time. Because of this, many factors may determine how the individual wishes to live and express their gender identity.

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Finding a qualified mental health professional who is experienced in providing affirmative care for transgender people is an important first step. A qualified professional can provide guidance and referrals to other helping professionals. Connecting with other transgender people through peer support groups and transgender community organizations is also helpful. The World Professional Association for Transgender Health WPATHa professional organization devoted to the treatment of transgender people, publishes The Standards of Care for Gender Identity Disorderswhich offers recommendations for the provision of gender affirmation procedures and services.

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A psychological state is considered a mental disorder only if it causes ificant distress or disability. Many transgender people do not experience their gender as distressing or disabling, which implies that identifying as transgender does not constitute a mental disorder. For these individuals, the ificant problem is finding affordable resources, such as counseling, hormone therapy, medical procedures and the social support necessary to freely express their gender identity and minimize discrimination.

Many other obstacles may lead to distress, including a lack of acceptance within society, direct or indirect experiences with discrimination, or assault.

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These experiences may lead many transgender people to suffer with anxietydepression or related disorders at higher rates than nontransgender persons. According to the Diagnostic and Statistical Manual of Mental Disorders DSM-5people who experience intense, persistent gender incongruence can be given the diagnosis of "gender dysphoria.

Others argue that it is essential to retain the diagnosis to ensure access to care. The International Classification of Diseases ICD is under revision and there may be changes to its current classification of intense persistent gender incongruence as "gender identity disorder. Anti-discrimination laws in most U. Consequently, transgender people in most cities and states face discrimination in nearly every aspect of their lives. The National Center for Transgender Equality and the National Gay and Lesbian Task Force released a report in entitled Injustice at Every Turnwhich confirmed the pervasive and severe discrimination faced by transgender people.

Out of a sample of nearly 6, transgender people, the report found that transgender people experience high levels of discrimination in employment, housing, health care, education, legal systems, and even in their families. Transgender people may also have additional identities that may affect the types of discrimination they experience.

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Groups with such additional identities include transgender people of racial, ethnic, or religious minority backgrounds; transgender people of lower socioeconomic statuses ; transgender people with disabilities ; transgender youth; transgender elderly; and others. Experiencing discrimination may cause ificant amounts of psychological stress, often leaving transgender individuals to wonder whether they were discriminated against because of their gender identity or gender expression, another sociocultural identity, or some combination of all of these.

According to the study, while discrimination is pervasive for the majority of transgender people, the intersection of anti-transgender bias and persistent, structural racism is especially severe. People of color in general fare worse than White transgender people, with African American transgender individuals faring far worse than all other transgender populations examined. Many transgender people are the targets of hate crimes. They are also the victims of subtle discrimination—which includes everything from glances or glares of disapproval or discomfort to invasive questions about their body parts.

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Educate yourself about transgender issues by reading books, attending conferences, and consulting with transgender experts. Be aware of your attitudes concerning people with gender-nonconforming appearance or behavior. Know that transgender people have membership in various sociocultural identity groups e.

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If you have a reason to know e. Not all people who appear androgynous or gender nonconforming identify as transgender or desire gender affirmation treatment.

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Get support in processing your own reactions. It can take some time to adjust to seeing someone you know well transitioning.

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Having someone close to you transition will be an adjustment and can be challenging, especially for partners, parents, and children. Seek support in dealing with your feelings. You are not alone. Mental health professionals and support groups for family, friends, and ificant others of transgender people can be useful resources.

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Advocate for transgender rights, including social and economic justice and appropriate psychological care. Familiarize yourself with the local and state or provincial laws that protect transgender people from discrimination. ZIP: 20010 20011 20012 20015 20228 20520 20307 20418 20319 20024 20510 20593 20020 20427 20540 20240 20245 20204 20202 20390 20006 20005 20004 20003 20002 20009 20008 20535 20317 20405 20057 20052 20053 20017 20018 20565 20566 20560 20260 20064 20551 20553 20019 20230 20373 20007 20032 20036 20037 20506 20001 20045 20016 20013 20022 20026 20027 20029 20030 20033 20035 20038 20039 20040 20041 20042 20043 20044 20047 20049 20050 20055 20056 20058 20059 20060 20061 20062 20063 20065 20066 20067 20068 20069 20070 20071 20073 20074 20075 20076 20077 20078 20080 20081 20082 20090 20091 20201 20203 20207 20208 20210 20211 20212 20213 20214 20215 20216 20217 20218 20219 20220 20221 20222 20223 20224 20226 20227 20229 20232 20233 20235 20237 20238 20239 20241 20242 20244 20250 20251 20252 20254 20261 20262 20265 20266 20268 20270 20277 20289 20299 20301 20303 20306 20310 20314 20318 20330 20340 20350 20355 20370 20372 20374 20375 20376 20380 20388 20389 20391 20392 20393 20394 20395 20398 20401 20402 20403 20404 20407 20408 20410 20411 20412 20413 20414 20415 20416 20417 20419 20420 20421 20422 20423 20424 20425 20426 20428 20429 20431 20433 20434 20435 20436 20437 20439 20440 20441 20442 20444 20447 20451 20453 20456 20460 20463 20468 20469 20470 20472 20500 20501 20502 20503 20504 20505 20507 20508 20509 20511 20515 20521 20522 20523 20524 20525 20526 20527 20528 20529 20530 20531 20533 20534 20536 20537 20538 20539 20541 20542 20543 20544 20546 20547 20548 20549 20552 20554 20555 20557 20559 20570 20571 20572 20573 20575 20576 20577 20578 20579 20580 20581 20585 20586 20588 20590 20591 20594 20597 20598 20599 56901 56902 56904 56908 56915 56920 56933 56935 56944 56945 56950 56965 56966 56967 56968 56969 56970 56971 56972 56998 56999

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