title: Gender monitoring and gender reassignment of children and adolescents with a somatic disorder of sex development.
abstract: Individuals born with a somatic disorder of sex development (DSD) have high rates of gender-atypical behavior, gender uncertainty, gender dysphoria, and patient-initiated gender change in childhood, adolescence,and adulthood. This article addresses the issues a mental health services provider has to consider in evaluating and assisting such patients and provides examples of assessment-method batteries. To date, the World Professional Association for Transgender Health's Standards of Care, 6th version, for non-DSD patients with gender dysphoria, may be cautiously used for guidance, taking into account the considerable differences in presentation and medical context between gender dysphoric patients with and without a DSD.
authors: New York State Psychiatric Institute, Department of Psychiatry, Columbia University, 1051 Riverside Drive, New York, NY 10032, USA. meyerb@childpsych.columbia.edu
authors: Heino F L
authors: HF
authors: Meyer-Bahlburg
mesh_terms: D000293:Adolescent; D002648:Child; D012734:Disorders of Sex Development / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D005783:Gender Identity; D006801:Humans; D057830:Gender-Affirming Surgery / Q000523:psychology* / Q000592:standards*