GID Reform Advocates
Because our identities are not disordered

GID (Adult)
GID (Child)
The Book

Gender Madness in American Psychiatry Gender Madness in American Psychiatry: Essays from the Struggle for Dignity,
by Kelley Winters (2008)

Sexual and Gender Diagnoses of the Diagnostic and Statistical Manual (DSM), A Reevaluation , Karasic and Drescher, Eds. (2005)
Order from IFGE
Transgender Emergence
Therapeutic Guidelines for Working With Gender-Variant People and Their Families
Arlene Istar Lev (2006)
More Information
The Color of Sunlight
Michelle Alexander RN, and Michelle Diane Rose
More Information

Calling for reform of the classification of gender diversity as mental disorder

Headlines from the GID Reform Blog:

An Update on Gender Diagnoses, as the DSM-5 Goes to Press DECEMBER 5, 2012

Third Swing: My Comments to the APA for a Less Harmful Gender Dysphoria Category in the DSM-5 JUNE 19, 2012

New Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People SEPTEMBER 25, 2011

The Proposed Gender Dysphoria Diagnosis in the DSM-5

Ten Reasons Why the Transvestic Disorder Diagnosis in the DSM-5 Has Got to Go


Please review our responses by Professionals Concerned With Gender Diagnoses in the DSM to the proposed diagnostic categories of Gender Incongruence and Transvestic Disorder for gender variant children, adolescents and adults in the DSM-5. You may submit comments on these blog pages

GID Reform Advocates are medical professionals, caregivers, scholars, researchers, students, human rights advocates, and members of the transgender, bisexual, lesbian and gay communities and their allies who advocate reform of the psychiatric classification of gender diversity as mental disorder.

What is GID?

"Gender Identity Disorder" (GID) is a diagnostic category in the Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association. The DSM is regarded as the medical and social definition of mental disorder throughout North America and strongly influences the The International Statistical Classification of Diseases and Related Health Problems published by the World Health Organization. GID currently includes a broad array of gender variant adults and children who may or may not be transsexual and may or may not be distressed or impaired. GID literally implies a "disordered" gender identity.

"Transvestic Fetishism" (TF) is another DSM diagnostic category that labels crossdressing by heterosexual males as sexual fetish and paraphilia. Deletion of the TF diagnosis from the DSM is also the focus of GID Reform Advocates.

Why reform transgender psychiatric classification?

Thirty-Four years after the American Psychiatric Association (APA) voted to delete homosexuality as a mental disorder, the diagnostic categories of "gender identity disorder" and "transvestic fetishism" in the Diagnostic and Statistical Manual of Mental Disorders continue to raise questions of consistency, validity, and fairness. Recent revisions of the DSM have made these diagnostic categories increasingly ambiguous, conflicted and overinclusive. They reinforce false, negative stereotypes of gender variant people and at the same time fail to legitimize the medical necessity of sex reassignment surgeries (SRS) and procedures for transsexual women and men who urgently need them. The result is that a widening segment of gender non-conforming youth and adults are potentially subject to diagnosis of psychosexual disorder, stigma and loss of civil liberty.

Why are GID issues needlessly divisive?

The transgender community and civil rights advocates have long been polarized by fear that access to sex reassignment procedures would be lost if the GID classification were revised. This division over issues of psychiatric stigma versus access to SRS has allowed little dialogue and no progress on GID reform in over two decades. In truth, however, transsexual individuals are poorly served by a diagnosis that both stigmatizes them unconditionally as mentally deficient and undermines the legitimacy of sex reassignment procedures that have been easily dismissed as "elective" and "cosmetic" by insurers, governments and employers. GID reform is not a question of less stigma versus improved SRS access, it is a question of less stigma and improved SRS access. We need dialogue among people who wish to move beyond division and polarization to proposals for diagnostic reform that will lead to consensus and forward progress.

Petition to Remove Transvestic Disorder from the DSM-5

Petition to remove Transvestic Disorder

The International Foundation for Gender Education (IFGE) has posted an online petition at calling for removal of the Transvestic Disorder diagnosis (302.3) from the DSM-5. Please help us put an end to this defamatory and hurtful psychiatric label by adding your name and spreading the word to your organizations, friends and contacts.

The vision of GID Reform

It is time for the medical professions to affirm that difference is not disease, nonconformity is not pathology, and uniqueness is not illness

It is time for culturally competent psychiatric policies that recognize the legitimacy of cross-gender identity and yet distinguish gender dysphoria as a serious condition, treatable with medical procedures.

It is time for diagnostic criteria that serve a clear therapeutic purpose, are appropriately inclusive, and define disorder on the basis of distress or impairment and not upon social nonconformity.

It is time for medical policies which, above all, do no harm to those they are intended to help.

Are you an Advocate for Psychiatric Policy Reform?

Our Advocates page lists individuals and organizations who support the reform of the current psychiatric categories of TF and GID. We'd love to hear from you or your organization. Please fill out our web form. Do you have an issue to share or paper to post here? Let us know. Do you have a web site? Please help us with a link to this site.

About your hostess

Kelley Winters, Ph.D., is a writer on issues of transgender medical policy, founder of GID Reform Advocates and an Advisory Board Member for the Matthew Shepard Foundation and TransYouth Family Advocates. She is the author of Gender Madness in American Psychiatry: Essays from the Struggle for Dignity (2008) and has presented papers on the psychiatric classification of gender diversity at the annual conventions of the American Psychiatric Association, the American Counseling Association and the Association of Women in Psychology. Her articles have appeared in Psychiatry On-Line, the Journal of Psychology and Human Sexuality, and the books, Taking Sides: Clashing Views on Controversial Issues in Sex and Gender, edited by Elizabeth Paul (2001) and Sexual and Gender Diagnoses of the Diagnostic and Statistical Manual (DSM), A Reevaluation , edited by Dan Karasic and Jack Drescher (2005). Kelley may be reached at

it is time for medical policies which, above all, do no harm to those they are intended to help

GID Reform Advocates, Calling for reform of the classification of gender diversity as mental disorder

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Copyright © 2000,2010 Kelley Winters, GID Reform Advocates