Other Specified Gender Dysphoria 459
pressive disorders. In prepub ertal children, increasing age is associated with having more
behavioral or emotional problems; this is rela ted to the increasing non-acceptance of gen-
der-variant behavior by others. In older chil dren, gender-variant behavior often leads to
peer ostracism, which may lead to more be havioral problems. The prevalence of mental
health problems differs among cultures; these differences may also be  related to differences
in attitudes toward gender variance in child ren. However, also in  some non-Western cul-
tures, anxiety has been found to be relatively  common in individuals with gender dysphoria,
even in cultures with accepting attitudes to ward gender-variant be havior. Autism spec-
trum disorder is more prevalent in clinica lly referred children with gender dysphoria than
in the general population. Clinically referred adolescents with gender dysphoria appear to
have comorbid mental disorders, with anxi ety and depressive disorders being the most
common. As in children, autism spectrum disorder is more pr evalent in clinically referred
adolescents with gender dysphoria than in the general population. Clinically referred
adults with gender dysphoria may have coexisting mental he alth problems, most commonly
anxiety and depres sive disorders.
Other Specified Gender Dysphoria
302.6 (F64.8)
This category applies to presentations in which symptoms characteristic of gender dys-
phoria that cause clinically significant distress or impairment in social, occupational, or other
important areas of functioning predominate but do not meet the full criteria for gender dys-
phoria. The other specified gender dysphoria category is used in situations in which the
clinician chooses to communicate the specific reason that the presentation does not meet