CHROMOSOMES define gonads, the presence of SRY gene, differentiate gonads
DHT (di-hydro-testosterone) efficient action trough androgen receptors (genes) define genitals
The consequences of that knowledge
Gender Dysphoria is not a mental disorder
Gender Dysphoria, when needs big body changes (hormones and surgeries) is a medical condition that needs a precise diagnosis as soon as possible of its typology and intensity to determine the necessity of medical intervention and care
As all pregnant mother needs medical help even it being not a disease, gender dysphorias needs also diagnosis, treatments, surgeries and a lot of medical care.
To prevent dangers and mistakes, and to protect clients and professionals, to transition and refer for surgeries it is mandatory a previous simple mental screening
We do that mental screening based on tests as MMPI and others of the same kind..
Face to face psycho therapy is necessary only if the patient suffers from real mental problems, not necessarily related to the gender condition
Then, and only in these rare situations, we suggest a face to face, or even at a distance, psycho therapy
Transition experiencing a real life of some months or one year at the desired gender is the best strategy to follow?
If desired and feasible, we suggest some months or if possible a year of real life existential and social experience at the desired gender. But if it will be impossible or difficult, due to work, family or any cause, we suggest and counsel the butterfly experience to hide the most time possible the transition.
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It is due mainly to a discord during the development of the fetus when genes and hormones may act differently conforming gonads, genitals and neural tissues. Gonads are determined by genes only. Genitals are differentiated by DHT action directly. The neural basal tissues are differentiated by aromatized Testosterone and may be in discord of gender due to these different hormonal processesGender Dysphoria may be diagnosed at a distance
It is not a mental disorder nor related to any mental disorder. It is a natural but unusual development when due to difficult gestation conditions the discord may happen. So to diagnose is to RECOGNIZE THE DISCORD CONDITION. If it could be possible, if we could see the inner brain fine grained structure of the basal brain, we could directly measure or evaluate the discord. But we may not act that way, we need to measure indirectly. So we did develop a way, when the patient shows us what happens inside ghe basal brain indirectly. And that we may do at a distance. Trough the web.