Abstract
The concept of gender identity disorder (GID) is complex, children may hide their conflict and receive intense reactions when they do disclose. Currently both the World Health Organisation and the American Diagnostic and Statistic Manual of Mental Disorders are being rewritten; this process has highlighted the dilemmas posed by choosing a gender that differs from ones birth sex. The aetiology and prevalence of GID is yet to be fully elucidated. A brief questionnaire examining age, ethnicity, comorbidity and service use was cascaded to identify colleagues in Central Manchester and surrounding trusts. Seven trusts were approached and 19 cases identified, 11 children were female at birth. This small audit demonstrates that there is a need for local and specialist services to manage both GID and the accompanying psychopathology.
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