DSM-V GID survey

Vrije Universiteit (VU) Medical Centre



Please return your response by November 5th as a Word format to

Given our limited resources, we can only process one survey respondent
per organization, who ideally is an officially designated spokesperson
for the organization.

Please note that the opinions expressed in response to this survey
will not be released to the public, except in anonymous aggregated


1.Name of Organization: Gendercare Gender Clinic

2.Country: Brazil

3.Name of Person Completing Form . Dra. Wal Torres, MSc., Ph.D.

3a. Role in Organization; Founder and Director

4.Does your organisation believe GID should stay in the DSM?

Arguments for keeping GID in the DSM (use this space only)

Very rarely - yes, VERY RARELY - a self-perception of gender dysphoria may be related to a real mental disorder.

So... even very rarely, it is necessary a place for SOME RARE GID SITUATIONS . I prefer to consider GIDNOS - not otherwise specified - in DSM-V.

From our point of view, there is NO GID, but natural developed gender dysphoria diversity, and very rarely GIDNOS conditions - that need a place in DSM-V.

Arguments for taking GID out of the DSM (use this space only)

The most majority of gender dysphoria CONDITIONS are derived from a NATURAL diverse development of life. Gender dysphorias are related to gender Diversity almost all the times - nearly 100 % of cases are not related to mental causes.

So I believe it is important to have in DSM-V a condition we may name GIDNOS - and surely for all persons with a gender dysphoria, a possible GIDNOS needs always be verified "a priori" of any body change and hormonization. In our Gendercare Clinic we do exactly that way for more than 7 years now, with absolutely success. We evaluate all completely as fast as possible - but very very few show any real mental disorder - and it is very very rare to see a mental causality for amy gender dysphoria condition. But may happen that very rare causality.

5.If GID was taken out of the DSM, would mental health care
be reimbursed in your
No Uncertain

6.If GID was taken out the DSM, would physical health care
be reimbursed in your



Nowadays there are no reimbursements for the patient by private health security plans in Brazil to treat any GID or GIDNOS condition, officially.

7.In your country, is a DSM diagnosis of GID used for official or
legal purposes?
(examples: anti-discrimination laws; marriage; military service)

If yes, how is the diagnosis used in these situations in your country?

In Brazil, we have an official program to consider these situations. MtF situations, not FtM up until now. The program considers GID as consider DSM-IV and ICD-10th. But there are no laws, only personal considerations from Ministry Departments that established that program. And private practitioners are nore free to decide about so doubtiful matter. Really in Brazil nowadays, each judge judges based on the proper conscience and beliefs.

8.If GID remains a disorder listed in the DSM, would you prefer to
change the name?


If yes, what name would you favour?


9.If criteria for GID for children did not contain cross-gender
behaviors per se, would you favour keeping it in the DSM?



10.How many registered members does your organization have?
( Number:) ; We evaluated and treated more than 500 patients in the last 6 years from all around the world, because we developed a method for web-based evaluations and counseling in 4 languages. Most of our patients are Brazilians and US cirizens, but also a lot of Europeans and Asians. We have patients from the 5 continents. We evaluate and follow - up children and youths.

11.Did your responses to this survey reflect the official, written
position of your organization?
There is no official, written position of this organization, but I
have consulted with (number:)
cccc members of the society
No, I gave my personal opinion

12.We have had difficulty identifying representative transgender
organizations in several parts of the world, such as Eastern Europe,
Africa, Latin America and the Caribbean, the Middle East, and Asia.

If you know of organizations in these regions, please list them below,
with as much contact information as possible, so that we may solicit
their feedback with this survey.