Envisioning a future for transgender and gender-diverse people beyond the DSM

Br J Psychiatry. 2021 Sep;219(3):471-472. doi: 10.1192/bjp.2020.124.


This editorial describes current considerations regarding psychiatric diagnoses for transgender and gender-diverse (TGD) people. In addition to offering an assessment of the limitations in current diagnostic standards, the authors articulate a vision for psychiatric practice marked by renewed commitment to an affirmative framework that reduces stigma.

Keywords: Nosology; history of psychiatry; sexual and gender identity disorders; social functioning; stigma and discrimination.

MeSH terms

  • Gender Identity
  • Humans
  • Mental Disorders* / diagnosis
  • Social Stigma
  • Transgender Persons* / psychology