Dual role transvestism
ICD-10 F64.1 is a billable code used to indicate a diagnosis of dual role transvestism.
Dual role transvestism is characterized by the practice of dressing in clothing typically associated with the opposite gender, often for the purpose of expressing one's gender identity or for sexual gratification. Individuals with this condition may alternate between their assigned gender and the gender they present as through clothing. This behavior is not merely a fashion choice but is often linked to deeper psychological factors, including aspects of personality disorders and impulse control issues. The individual may experience significant emotional distress or impairment in social, occupational, or other important areas of functioning due to their dual role. It is essential to differentiate dual role transvestism from other gender identity disorders, as it does not inherently involve a desire to permanently transition to the opposite gender. The condition can be associated with maladaptive behaviors, where the individual may struggle with societal acceptance and personal identity, leading to potential conflicts in relationships and self-esteem.
Thorough psychiatric evaluation, including history of gender identity issues and any co-occurring mental health conditions.
Patients presenting with distress related to gender identity, dual role transvestism, or related maladaptive behaviors.
Cultural competence in understanding gender identity and expression is crucial for accurate diagnosis and treatment.
Assessment of hormonal treatments if applicable, and documentation of any related health issues.
Patients seeking hormone therapy or other medical interventions related to gender identity.
Coordination with mental health professionals for comprehensive care.
Used for therapy sessions addressing dual role transvestism.
Document the patient's history, treatment goals, and progress.
Psychiatrists should ensure cultural competence in discussions about gender identity.
Dual role transvestism involves dressing in clothing associated with the opposite gender for various reasons, including self-expression, without necessarily desiring to transition. In contrast, gender dysphoria involves a strong desire to be of the opposite gender and may include significant distress related to one's assigned gender.
