1. | For 6 months or more, individual’s gender-related feelings and/or behaviors is at odds with those of his or her assigned gender, as indicated by two or more of the following symptoms: • Gender-related feelings and/or behaviors clearly contradict the individual’s primary or secondary sex characteristics • Powerful wish to eliminate one’s sex characteristics • Yearning for the sex characteristics of another gender • Powerful wish to be a member of another gender • Yearning to be treated as a member of another gender • Firm belief that one’s feelings and reactions are those that characterize another gender. |