Name of the Condition

• Dual Role Transvestism (F64.1)

Summary

• Dual Role Transvestism refers to the practice of dressing and acting in a style or manner traditionally associated with the opposite gender, without the desire for permanent sex change. It is primarily characterized by cross-dressing for psychological satisfaction.

Causes

• The exact causes of dual role transvestism are not well-understood. It is believed to arise from a complex mix of psychosocial factors, potentially including identity exploration and psychological needs for gender expression.

Risk Factors

• There are no definitive risk factors, as it varies greatly among individuals. However, societal and cultural influences or personal identity exploration may play a role.

Symptoms

• Wearing clothes typically associated with the opposite gender.
• Experiencing comfort or fulfillment when presenting as the opposite gender.

Diagnosis

• Primarily diagnosed through psychological evaluation and patient history, assessing the reasons behind and feelings associated with cross-dressing.

Treatment Options

• Psychotherapy or counseling may be offered to explore gender identity and personal feelings.
• Emphasis is often on support and understanding, rather than changing the behavior, unless distress is associated.

Prognosis and Follow-Up

• The outlook is generally positive if the individual is not experiencing significant distress or social impairment.
• Regular mental health support may be beneficial for emotional well-being.

Complications

• Social stigmatization or personal distress if the behavior conflicts with societal norms or personal relationships.

  Lifestyle & Prevention

• Maintaining open communication and seeking support groups or therapy can help balance personal identity with societal interactions.

When to Seek Professional Help

• If experiencing significant distress, anxiety, or depression related to gender expression or societal pressure.

Additional Resources

• World Professional Association for Transgender Health (WPATH)
• Local LGBTQ+ support groups for community and psychological support.

Tips for Medical Coders

• Confirm the absence of a desire for permanent sex change before coding as F64.1.
• Ensure differentiation from related identities or disorders, which may have distinct codes or characteristics.