Gender identity disorders
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F64 is a billable code used to indicate a diagnosis of gender identity disorders.
Gender identity disorders encompass a range of conditions characterized by a marked incongruence between an individual's experienced or expressed gender and the gender assigned at birth. This incongruence can lead to significant distress or impairment in social, occupational, or other important areas of functioning. Individuals may experience a strong desire to be of the opposite gender, a strong preference for cross-dressing, or a strong conviction that they have the typical feelings and reactions of the opposite gender. These disorders are not classified as a mental illness but rather as a condition that may require medical intervention, including hormone therapy or gender-affirming surgeries. The diagnosis is made based on clinical assessment, including the duration of the incongruence and the degree of distress experienced. It is essential to differentiate gender identity disorders from other conditions, such as personality disorders or impulse control disorders, as the treatment and management strategies differ significantly. Understanding the nuances of gender identity is crucial for healthcare providers to offer appropriate support and care.
Thorough documentation of the patient's mental health history, gender identity, and any co-occurring mental health conditions.
Assessment of gender dysphoria, treatment planning for hormone therapy, and evaluation for gender-affirming surgeries.
Cultural competence and sensitivity in discussing gender identity with patients.
Detailed records of hormone therapy prescriptions, monitoring of hormone levels, and assessment of treatment effects.
Management of hormone replacement therapy for transgender patients.
Understanding the patient's gender identity and its impact on treatment decisions.
Used for patients undergoing gender transition.
Document the patient's informed consent and treatment goals.
Endocrinologists should ensure ongoing monitoring of hormone levels.
Gender identity disorder is a broader term that encompasses various conditions related to gender identity, while gender dysphoria specifically refers to the distress experienced due to the incongruence between one's assigned gender and experienced gender.
