Table 70-6 Differential diagnosis of gender dysphoria

Primary and secondary transsexualism
Transvestism with depression, regression, or substance abuse
Schizophrenia with gender identity disturbance
Effeminate homosexuality with adjustment disorder
Homophobic homosexuality
Career female impersonators
Borderline personality disorder with severe gender identity issues
Body dysmorphic disorder
Gender identity disorder, nontranssexual type
Atypical gender identity disorder
Ambiguous gender identity adaptation
Malingering
Endocrine disorders, genetic or prenatal exposures
Ambiguous genitalia, pseudohermaphroditism