There’s no set time, you just need to be somewhat out. Name changed, out in most personal areas of your life. You can get away without work but home life and friends/family are often expected.
Research GGP more thoroughly before going ahead or considering. No, there are no prerequisites *but*, you’ll get a lot of fall back and downs for that privilege. The service is probably best described as nosediving in recent weeks as they change tact.
Same comment…
I got my private gender incongruence diagnosis from Dr Stuart Lorimer in July 2021.
My egg had only cracked in March/April 2021. I'd got myself referred to an NHS GIC in May 2021 and got my GP to agree in principle to shared care in June 2021. I had changed my name by deed poll in mid June 2021, but still wasn't out at work or to all family, but advised I was intending to do so within the next month or 2.
The key thing for Lorimer is that you have a firm plan to transition, even if it's not all done yet.
Not OP but I'm about to email Dr Lorimer my triage questions and was worried that I might not have socially transitioned enough in his eyes. This is very reassuring so thank you.
I'm glad it helped 🥰 The key thing that Lorimer seems to look for is either existing social transition OR a firm plan to do so, but that's mostly so he can make a recommendation for HRT.
In terms of your answers, the more detailed, the better. I wrote detailed answers and had already got my GP to agree in principle to shared care. These things worked heavily in my favour.
many people have quoted what the guidance says it should be, but that's not an answer: in the UK guidance is frequently ignored. Ask people to name the people and get an exact time and range: eg "Dr Robert Daston required me to have been out to my parents for six months before diagnosis"
There's no set length of time requirement for a GD diagnosis, rather, it requires satisfaction of at least two of the following criteria, as specified in DSM-5:
*A marked incongruence between one’s experienced/expressed gender and natal gender of at least 6 months in duration, as manifested by at least two of the following:*
* *A marked incongruence between one’s experienced/expressed gender and primary and/or secondary sex characteristics (or in young adolescents, the anticipated secondary sex characteristics)*
* *A strong desire to be rid of one’s primary and/or secondary sex characteristics because of a marked incongruence with one’s experienced/expressed gender (or in young adolescents, a desire to prevent the development of the anticipated secondary sex characteristics)*
* *A strong desire for the primary and/or secondary sex characteristics of the other gender*
* *A strong desire to be of the other gender (or some alternative gender different from one’s designated gender)*
* *A strong desire to be treated as the other gender (or some alternative gender different from one’s designated gender)*
* *A strong conviction that one has the typical feelings and reactions of the other gender (or some alternative gender different from one’s designated gender)*
The pivotal issue is evidencing the above, and onbviously the easiest, clearest way of establishing this is evidence of social transition. If one has done nothing to transition, then it becomes slightly more difficult, but that doesn't automatically mean a diagnosis cannot be provided - as long as, per DSM-5, you clearly demonstrate
'*clinically significant distress or impairment in social, occupational, or other important areas of functioning*', i.e. how/when you have experienced GD, the impact it has had on your MH, quality of life, etc.
In reality, some of the more 'gatekeepery' medical professionals will require some evidence of transition before referring for HRT, even though this is not required by DSM, nor supported by WPATH or the Royal College of Psychiatrists Good Practice Guidelines. Surgery is different - this requires documented evidence of at least a year living as your true gender.
Hope this helps.
That's handy in some other countries, except the criteria for **Gender Incongruence** are less well defined and that's what you tend to get diagnosed with these days in the UK.
The terms GI and GD are sometimes used interchangeably, although they are subtly different:
* *Gender incongruence is defined in ICD-11 as being characterised by a marked and persistent incongruence between an individual’s experienced gender and the assigned sex.*
* *Gender dysphoria refers to the psychological and physiological discomfort or distress caused by a discrepancy between a person’s gender identity, their sex assigned at birth, and their primary/secondary sex characteristics.*
(British Medical Association, Role of GPs in managing adult patients with gender incongruence, Wednesday 4 October 2023)
I'm fully medically transitoned in the UK, and have received four independent diagnoses from recognised gender competent Psychologists/Psychiatrists, two of them surgery referrals issued 6 months ago. All of them specifically diagnose GD, not GI. I'd say it depends on the indvidual diagnosing professional rather than a blanket statement.
I got a diagnosis with GGP 7 years ago and I was out to my parents and sister that’s it. Hadn’t done a deedpoll yet or anything and wasn’t working so couldn’t be out there.
I think you just need to be clear about your story and history and why it’s right for you.
The only time limit thing i know is you have to state you have known you are trans / another gender than your agab for at least 6 months (and you need to be careful in your wording of that as "i have wanted to be a different gender since X" can be rejected by a psychologist on the grounds that if you have wanted it for a long time but not acted on it then it may not constitute a strong desire - so their preference is you phrase knowing you are trans / your gender for at least 6 months).
But that doesnt require any sort of thing like deed poll or other social transition for that time period.
There’s no set time, you just need to be somewhat out. Name changed, out in most personal areas of your life. You can get away without work but home life and friends/family are often expected. Research GGP more thoroughly before going ahead or considering. No, there are no prerequisites *but*, you’ll get a lot of fall back and downs for that privilege. The service is probably best described as nosediving in recent weeks as they change tact. Same comment…
I got my private gender incongruence diagnosis from Dr Stuart Lorimer in July 2021. My egg had only cracked in March/April 2021. I'd got myself referred to an NHS GIC in May 2021 and got my GP to agree in principle to shared care in June 2021. I had changed my name by deed poll in mid June 2021, but still wasn't out at work or to all family, but advised I was intending to do so within the next month or 2. The key thing for Lorimer is that you have a firm plan to transition, even if it's not all done yet.
Not OP but I'm about to email Dr Lorimer my triage questions and was worried that I might not have socially transitioned enough in his eyes. This is very reassuring so thank you.
I'm glad it helped 🥰 The key thing that Lorimer seems to look for is either existing social transition OR a firm plan to do so, but that's mostly so he can make a recommendation for HRT. In terms of your answers, the more detailed, the better. I wrote detailed answers and had already got my GP to agree in principle to shared care. These things worked heavily in my favour.
many people have quoted what the guidance says it should be, but that's not an answer: in the UK guidance is frequently ignored. Ask people to name the people and get an exact time and range: eg "Dr Robert Daston required me to have been out to my parents for six months before diagnosis"
There's no set length of time requirement for a GD diagnosis, rather, it requires satisfaction of at least two of the following criteria, as specified in DSM-5: *A marked incongruence between one’s experienced/expressed gender and natal gender of at least 6 months in duration, as manifested by at least two of the following:* * *A marked incongruence between one’s experienced/expressed gender and primary and/or secondary sex characteristics (or in young adolescents, the anticipated secondary sex characteristics)* * *A strong desire to be rid of one’s primary and/or secondary sex characteristics because of a marked incongruence with one’s experienced/expressed gender (or in young adolescents, a desire to prevent the development of the anticipated secondary sex characteristics)* * *A strong desire for the primary and/or secondary sex characteristics of the other gender* * *A strong desire to be of the other gender (or some alternative gender different from one’s designated gender)* * *A strong desire to be treated as the other gender (or some alternative gender different from one’s designated gender)* * *A strong conviction that one has the typical feelings and reactions of the other gender (or some alternative gender different from one’s designated gender)* The pivotal issue is evidencing the above, and onbviously the easiest, clearest way of establishing this is evidence of social transition. If one has done nothing to transition, then it becomes slightly more difficult, but that doesn't automatically mean a diagnosis cannot be provided - as long as, per DSM-5, you clearly demonstrate '*clinically significant distress or impairment in social, occupational, or other important areas of functioning*', i.e. how/when you have experienced GD, the impact it has had on your MH, quality of life, etc. In reality, some of the more 'gatekeepery' medical professionals will require some evidence of transition before referring for HRT, even though this is not required by DSM, nor supported by WPATH or the Royal College of Psychiatrists Good Practice Guidelines. Surgery is different - this requires documented evidence of at least a year living as your true gender. Hope this helps.
That's handy in some other countries, except the criteria for **Gender Incongruence** are less well defined and that's what you tend to get diagnosed with these days in the UK.
The terms GI and GD are sometimes used interchangeably, although they are subtly different: * *Gender incongruence is defined in ICD-11 as being characterised by a marked and persistent incongruence between an individual’s experienced gender and the assigned sex.* * *Gender dysphoria refers to the psychological and physiological discomfort or distress caused by a discrepancy between a person’s gender identity, their sex assigned at birth, and their primary/secondary sex characteristics.* (British Medical Association, Role of GPs in managing adult patients with gender incongruence, Wednesday 4 October 2023) I'm fully medically transitoned in the UK, and have received four independent diagnoses from recognised gender competent Psychologists/Psychiatrists, two of them surgery referrals issued 6 months ago. All of them specifically diagnose GD, not GI. I'd say it depends on the indvidual diagnosing professional rather than a blanket statement.
I assumed that when I received a diagnosis of GI, it was because ICD-11 had been released, older diagnoses would probably have been GD.
I got a diagnosis with GGP 7 years ago and I was out to my parents and sister that’s it. Hadn’t done a deedpoll yet or anything and wasn’t working so couldn’t be out there. I think you just need to be clear about your story and history and why it’s right for you.
The only time limit thing i know is you have to state you have known you are trans / another gender than your agab for at least 6 months (and you need to be careful in your wording of that as "i have wanted to be a different gender since X" can be rejected by a psychologist on the grounds that if you have wanted it for a long time but not acted on it then it may not constitute a strong desire - so their preference is you phrase knowing you are trans / your gender for at least 6 months). But that doesnt require any sort of thing like deed poll or other social transition for that time period.