| Gender Identity Disorder | Gender Dysphoria |
| A strong persistent cross-gender identification (not merely a desire for any perceived cultural advantages of being the other sex). In children, the disturbance is manifested by four (or more) of the following: | In children, gender dysphoria diagnosis involves at least six of the following and an associated significant distress or impairment in function, lasting at least six months: |
| 1. Repeatedly stated desire to be, or insistence that he or she is, the other sex. | 1. A strong desire to be of the other gender or an insistence that one is the other gender |
| 2. In boys, preference for cross-dressing or simulating female attire. In girls, insistence on wearing only stereotypical masculine clothing. | 2. A strong preference for wearing clothes typical of the opposite gender |
| 3. Strong and persistent preferences for cross-sex roles in make believe play or persistent fantasies of being the other sex. | 3. A strong preference for cross-gender roles in make-believe play or fantasy play |
| 4. Intense desire to participate in the stereotypical games and pastimes of the other sex. | 4. A strong preference for the toys, games or activities stereotypically used or engaged in by the other gender |
| 5. Strong preference for playmates of the other sex. | 5. A strong preference for playmates of the other gender |
| | 6. A strong rejection of toys, games and activities typical of one’s assigned gender |
| | 7. A strong dislike of one’s sexual anatomy |
| | 8. A strong desire for the physical sex characteristics that match one’s experienced gender |
