Gender Dysphoria in Adolescents

Gender dysphoria is a sense of unease that a person may have because of a mismatch between their sex assigned at birth and gender identity. In adolescence, especially around puberty when young teenagers’ bodies are changing, and they begin exploring their sexual and romantic identities, gender dysphoria typically increases around this time. Included below are some helpful definitions to include in discussions around gender dysphoria, a visual aid tool to discuss how someone may feel if they experience gender dysphoria, and helpful resources from transgender people talking about their gender identity.

Definitions to incorporate while discussing gender dysphoria:

  • Biological sex – label assigned at birth based on physical characteristics (e.g., chromosomes, hormones, and reproductive organs)
  • Primary sex characteristics – changes in the reproductive organs (males: growth of testes, penis, scrotum, and spermarche; females: growth of the uterus and menarche)
  • Secondary sex characteristics – visible physical changes that occur during puberty (males: broader shoulders, a lower voice; females: breast development, hips broaden)
  • Gender Expression – learned roles, behaviors, and actions of women/girls and men/boys (i.e., how society expects certain genders to act and look like)
  • Gender identity – our sense of who we are and how we see and describe ourselves
  • Transgender – people whose gender identity does not match their sex assigned at birth

*For clarification: based on your biological sex (what physical characteristics you are born with), society assigns you a gender (how you should act, what you should be interested, and your role in the world)*

Title: Gender Dysphoria. A single text box titled "What is it?" with the definition below: gender dysphoria is a sense of unease a person may feel when their gender identity does not match their biological sex. A single-column table titled "How you may feel:" In descending order: your gender identity conflicts with your biological sex, you are comfortable only when in the gender role of your preferred gender identity, a strong desire to hide or be rid of physical signs of your biological sex (e.g., breasts or facial hair), discomfort with your body or anatomy, and/or a preference for gendered clothing.

Helpful Resources:

Teen Vogue has an article discussing what it’s like to be transgender and living with gender dysphoria.

The Guardian also has an article where people who identify as transgender discuss their experience with exploring their gender identity. Although gender dysphoria is not the main focus, it is thoroughly discussed in the experiences of the transgender people featured.

This article from BuzzFeed includes people with disabilities exploring their gender identity and how it intersects with their disability. Gender dysphoria is mentioned, but the article mainly focuses on how society has created barriers for transgender people with disabilities. It would still be beneficial to use, as it brings attention to an often overlooked area of the disability and transgender community.

Tools for Teaching Gender Identity

Sometimes when we teach human sexuality we don’t get into issues of gender identity.  Even though this can be a complicated topic it is important for individuals with autism as they are able.  Sometimes individuals with autism get hung up on rules and categories.   A simplistic set of rules is a disservice as it doesn’t reflect the reality of individual experience.  Here we can use gender to assist with introducing more fluid thinking more generally.  When we teach this, we still use the idea of “rules” or “guidelines” we just provide a set of explanations that are more complex.

Teaching with gender identity is also important because you shouldn’t assume that you understand the gender identity of your students.  It opens the door for students to understand their own gender identity and gives them tools for discussing it.

Most educators discussion gender identity with sexuality, and physical sex.  Here’s a quick and simple video about the differences between gender identity, sexuality, and sex. There’s also a good intro to sexual orientation and romantic orientation.  Like many videos for general guidance, it goes a little fast for novices so you may want to have them watch it once and then watch it again with starting and stopping.  You can watch it here.

*In the video, Hank refers to a person named “John.” John Green (author) is Hank’s brother and this is part of a video series they have together where they refer to each other as their audiences.*

genderbread person

This can be used to explain the differences between identity, orientation, expression, and sex.

 

Here are some terms from the video that students may need defined and some suggestions for how to explain them.

  • Sex: In this video, sex is defined as the physical sex organs (genitalia).  A lot of time we think that everyone who has a penis is a man and everyone who has a vulva (or vagina) is a woman.  But man/boy woman/girl is bigger than that.  Would you consider yourself to be a boy or a girl?  What does that mean to you?  This is your gender.  We usually use the words male/female to refer to physical sex organs.
  • Intersex:  Every once an a while, the body grows male AND female sex organs.  If students want more depth, you could explain that this could mean having a penis and a vagina, or just an elongated clitoris and a vagina, or even having a penis and uterus, or a vulva and testicle.  To explain these two points together you could have two drawing of people and ask students to group the genitalia how people often expect it to be and then have them move things around to show how they can be different.  In discussing intersex, I like to reinforce that there is nothing wrong with being intersex but sometimes people may feel uncomfortable because it’s unexpected for many people.  You may want to mention that people use to use the word hermaphrodite, but now that word is considered offensive.
  • Gender Identity: What gender you feel you are. Gender is a wide spectrum and includes more than just girls and boys. There are people who identify as man/woman, neither, and in between. Learn more here using the Genderbread Person graphic.  To reinforce this concept, use their list from above.  Look for items on the list that could be true for either a boy or a girl.  Explain that for some people their gender identity matches their sex but for other people it doesn’t match.
  • Cisgender: When a person’s biological sex matches their gender identity. If a person with a penis identifies as a man, then they are a cisgender person.
  • Transgender: When a person’s biological sex does not match their gender identity. If a person with a penis identifies as a woman, then that person may identify as a transgender person.
    • It is important to note that this can be a sensitive topic for many people who do not identify as cisgender, and it is best to allow people to share their gender identity when they are comfortable.
  • Asexual: A person who does not experience sexual attraction. You can learn more at:
  • Sexual Orientation: Sexual attraction. This can include heterosexuality, gay/lesbian, bisexuality, pansexuality, asexuality, demisexuality, and many more.
  • Romantic Orientation: Romantic attraction. This does not have to be the same as sexual orientation. A person might be sexually attracted to men but mentally and romanticallygendery attracted to women.
  • Sexual Behavior: Sexual behavior is the physical actions that a person does to express their sexuality.
  • Gender Roles: Roles that people of a certain gender are expected to act. This can mean that boys are “supposed” to play with trucks while girls are “supposed” to play dress-up.
    • It is important to note that gender roles are not set in stone and it is okay to not follow gender roles.

Here you can download our Genderbread Person activity, which is a worksheet that can be used to help students in their process of understanding their own identities and the meanings of these terms. There is a copy of the Genderbread Person graphic attached so it could be used to visually help students understand these concepts.