Gender and Diagnosis: Struggles and Suggestions for Counselors

Abstract

Concerns have been raised related to the intersection of gender and diagnosis, particularly with respect to biases in diagnoses made according to the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; American Psychiatric Association, 2000). The authors review the literature on the prevalence of diagnoses by gender, sex bias in diagnosis, the problematic impact of particular diagnoses on women, and the relationship of diagnosis to socialization and social conditions. Alternative diagnoses, diagnostic procedures, and diagnostic foci that can help counselors to most effectively avoid gender bias are offered.