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Crossing Boundaries: Unraveling the Link Between Gender Dysphoria and Autism

Published online by Cambridge University Press:  26 August 2025

C. M. Grego*
Affiliation:
Psychiatry and Mental Health Department, Local Health Unit of Aveiro Region, Aveiro, Portugal
A. I. Gomes
Affiliation:
Psychiatry and Mental Health Department, Local Health Unit of Aveiro Region, Aveiro, Portugal
G. Simões
Affiliation:
Psychiatry and Mental Health Department, Local Health Unit of Aveiro Region, Aveiro, Portugal
A. Tarelho
Affiliation:
Psychiatry and Mental Health Department, Local Health Unit of Aveiro Region, Aveiro, Portugal
*
*Corresponding author.

Abstract

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Introduction

Gender dysphoria (GD) and Autism Spectrum Disorder (ASD) are two complex conditions that can significantly impact an individual’s identity and well-being. Emerging research suggests a notable overlap between these two conditions, yet the nature and implications of this relationship remain underexplored. This paper aims to investigate the intersection of gender dysphoria and autism, considering both psychological and social dimensions.

Objectives

The primary objectives of this study are to: (1) analyze the prevalence of gender dysphoria among individuals with autism, (2) explore the psychosocial factors contributing to the co-occurrence of GD and ASD, and (3) examine the implications for treatment and support strategies.

Methods

A comprehensive literature search was conducted across multiple databases, including PubMed and Google Scholar, focusing on studies published between 2000 and 2024. Inclusion criteria centered on peer-reviewed articles that discuss the relationship between GD and ASD. Data were extracted and analyzed to identify common themes, prevalence rates, and psychosocial factors.

Results

Preliminary findings indicate that individuals with ASD may experience higher rates of gender dysphoria compared to the general population. Factors such as social communication difficulties, rigid thinking patterns, and heightened sensitivity to social norms appear to influence the experience of gender identity. Qualitative data reveal that many individuals navigate significant challenges in accessing appropriate support and validation, often feeling marginalized within both the autistic and gender-diverse communities.

Conclusions

This study highlights a critical intersection between gender dysphoria and autism, emphasizing the need for tailored support systems that acknowledge the unique experiences of individuals at this intersection. Increased awareness and understanding among healthcare providers can lead to more effective interventions and improved outcomes for those navigating both gender identity and autism. Future research should continue to explore this relationship to inform policy and practice, ultimately fostering a more inclusive environment for all individuals.

Disclosure of Interest

None Declared

Information

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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