The Future of GID NOS in the DSM 5: Report of the GID NOS Working Group of a Consensus Process Conducted by the World Professional Association for Transgender Health

• Published in: The international journal of transgenderism Vol. 12; no. 2; pp. 86 - 93
• Main Authors: Rachlin, Katherine, Dhejne, Cecilia, Brown, George R.
• Format: Journal Article
• Language: English
• Published: Taylor & Francis Group 20-09-2010
• Subjects: castration; cross-dressing; disorders of sex development; DSM; DSM 5; gender dysphoria; gender identity disorder (GID); gender identity disorder not otherwise specified (GID NOS); gender variance; genderqueer; intersex; transsexual
• ISSN: 1553-2739; 1434-4599
• DOI: 10.1080/15532739.2010.509209

The DSM-IV-TR diagnosis Gender Identity Disorder Not Otherwise Specified (GID NOS) is used to describe individuals who have gender issues but do not meet the current criteria for GID. As part of a consensus process conducted by the World Professional Association for Transgender Health, the authors make the following recommendations for DSM 5: removal from the chapter on sexual disorders, more specific diagnostic criteria, retention of clinical significance criteria, and removal of exclusionary criteria of Intersex/Disorders of Sex Development. Changes to the existing clinical examples were also recommended, suggesting additional clinical examples that encompass a broader range of gender-variance and more commonly found transgender presentations. The diagnosis must reflect the severity of the clinical issues that represent legitimate identity experiences and possible need for gender-confirming treatments.