Home > Symptoms > Gender Dysphoria

Gender Dysphoria

A gender: we are all assigned one at birth. But maybe the gender you were born with doesn’t feel quite right. It doesn’t fit you. You wish to be of the opposite gender. Or you don’t identify at all with the binary genders of male or female. When your birth gender doesn’t match who you are, we call this gender dysphoria.
Simone Bosters
Latest medical review by:
Nine Gramberg 15 April 2025

What is gender dysphoria?

Gender dysphoria occurs when you are not satisfied with the gender you were born and raised with. You may have been born in a male body but feel like a woman. Or vice versa: you were born in a female body but feel like a man. It is also possible that you don’t identify with either gender, which is called non-binary.With gender dysphoria, your personal experience of yourself and the gender you assign to yourself (gender identity) does not match the gender you were born with. 

In what ways can you experience dissatisfaction if you have gender dysphoric feelings?

If you feel that your gender does not align with your birth gender, you may experience dissatisfaction in various areas.For example, you may be bothered by your:

  • Gender.
  • Voice.
  • Body shape.
  • Body hair.

 

What are the characteristics of gender dysphoria?

Everyone’s experience is personal and different, just as it is for cisgender men and women. Not every characteristic applies to every transgender person. However, there are several common characteristics. 

Characteristics of gender dysphoria in children and adolescents:

  • A child has a strong desire to be of the opposite gender.
  • A gender-dysphoric child often prefers to wear only clothing typically associated with the desired gender.
  • During role-playing, a gender-dysphoric child prefers to play as someone of the desired gender.
  • A gender-dysphoric child has a strong preference for toys or activities stereotypically associated with the opposite gender.
  • Friendships are often formed with peers of the desired gender.
  • Children may feel discomfort with their own physical sex characteristics and wish to have those of the other gender.

 

Characteristics of gender dysphoria later in life

Young adults with gender dysphoria may experience:

  • A strong urge to be of a different gender than their birth gender.
  • A strong aversion to their own physical sex characteristics and a desire to have different ones.
  • The desire to be treated as another gender.

 

How is the diagnosis made?

If you feel that your birth gender does not suit you, your general practitioner will refer you to a psychiatrist or psychologist from a gender team. Through assessments, conversations, and questionnaires, the psychiatrist or psychologist examines your situation. You will also discuss possible treatments and which one suits you best.Since this is a highly precise process and feels different for everyone, ample time is taken. Once the psychiatrists and psychologists have gathered enough information, they discuss it in a multidisciplinary team. This is followed by a consultation where the diagnosis and treatment options are discussed. 

What causes gender dysphoria?

There are indications that a disrupted hormone balance during pregnancy plays a role in the development of gender dysphoria. There are also suggestions that its origin lies in DNA. However, the exact cause of gender dysphoria remains unknown. 

How does gender dysphoria affect daily life?

Gender dysphoria can significantly impact your mental well-being. This often relates to how others perceive and respond to gender differences and roles. For example, transgender or non-binary people experience the following situations:

  • You feel like you don’t belong anywhere.
  • You often feel misunderstood.
  • You can feel lonely.
  • You think you are worth less than others or don’t accept yourself as you are.
  • You find it difficult to make connections and build friendships.
  • You can develop mood disorders and anxiety.
  • You may experience intimacy as difficult.
  • Your identity development follows a different path.

 

Help

Do you have questions about the treatment of gender dysphoria? Or are you unsure about when to see a psychologist?

  • Have you tried many things yourself and still experiencing symptoms? Feel free to call us at 085-1308900 or contact us online. This way you can feel if there is a click and if you feel comfortable.

  • Or read more information about our approach and how exactly the intake and treatment process works at iPractice. iPractice is located in 10 major cities.

  • CBT and ACT are effective treatments that help you learn to cope with the psychological challenges associated with gender dysphoria. On average, treatment with us lasts 6 to 9 months.

  • Most health insurers cover the costs with a referral letter from your GP and when the official diagnosis of gender dysphoria has been established.

FAQ

What is the difference between gender dysphoria and transsexuality?

In the case of transsexuality, a boy feels like a girl, and a girl feels like a boy. Gender dysphoria means you are not happy with the gender you were born with. You may identify with the opposite gender, but it is also possible to be non-binary and not identify with either of the binary genders (male/female).

How common is gender dysphoria?

So far, no large-scale studies have been conducted to determine the exact prevalence of gender dysphoria in the Netherlands. However, some studies have made estimates based on limited samples.

A study conducted by the Social and Cultural Planning Office (SCP) in collaboration with Amsterdam UMC estimated the prevalence of transgender people in the Netherlands at approximately 4 in 1,000 people, which equates to about 0.4% of the population.

Is gender dysphoria a disease or a mental disorder?

No, gender dysphoria is not a disease. Since 2019, the WHO has removed it from the DSM, meaning it is no longer classified as a mental disorder.

Can gender dysphoria fluctuate?

Often, it can worsen or lessen during puberty.

Can non-binary people experience gender dysphoria?

Non-binary people do not identify as male or female. Gender dysphoria can occur in both transgender and non-binary individuals.

Is gender dysphoria something only transgender people experience?

No, anyone can experience gender dysphoric feelings. Whether these feelings are persistent and what treatment options feel right for you determine your path, including the choice of gender-affirming surgery.

What is the difference between gender dysphoria and dissociative identity disorder?

Dissociative identity disorder involves having two or more alternating personalities, which may differ in gender and name. Gender dysphoria, on the other hand, does not involve multiple personalities; rather, the gender you experience differs from your birth gender, but it remains part of your single, authentic identity.

nine gramberg ipractice psycholoog
GZ- Psychologist
Nine Gramberg
Nine is a Healthcare Psychologist at iPractice. She emphasises the importance of building a safe and trusting psychologist-client relationship, working with you to look at all the factors in order to see the bigger picture.
Register at iPractice
  • Reimbursed care with a rating of 9+
  • Immediate help without waiting
  • Free advice without obligation

Get help from a Gender Dysphoria psychologist

Contact one of our psychologists today without obligation. You can talk about feelings and symptoms. In addition, you will receive information about a suitable treatment that suits you.

Register at iPractice
  • Reimbursed healthcare with a rating of 9+
  • Direct help without long waiting times
  • Free, no-obligation treatment advice