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== Co-occurring conditions == Among youth, around 20% to 30% of individuals attending gender clinics meet the DSM criteria for an [[anxiety disorder]].<ref>{{Cite book |vauthors=Janssen A, Leibowitz S |url=https://books.google.com/books?id=DLZcDwAAQBAJ&q=ADHD+gender+dysphoria |title=Affirmative Mental Health Care for Transgender and Gender Diverse Youth: A Clinical Guide |date=May 22, 2018 |publisher=Springer |isbn=978-3-319-78307-9 |pages=8 |language=en |access-date=August 6, 2021 |archive-date=October 15, 2021 |archive-url=https://web.archive.org/web/20211015105910/https://books.google.com/books?id=DLZcDwAAQBAJ&q=ADHD+gender+dysphoria |url-status=live}}</ref> Gender dysphoria is also associated with an increased risk of [[eating disorders]] in transgender youth.<ref>{{cite journal | vauthors = Coelho JS, Suen J, Clark BA, Marshall SK, Geller J, Lam PY | title = Eating Disorder Diagnoses and Symptom Presentation in Transgender Youth: a Scoping Review | journal = Current Psychiatry Reports | volume = 21 | issue = 11 | pages = 107 | date = October 2019 | pmid = 31617014 | doi = 10.1007/s11920-019-1097-x | quote = Significantly higher rates of eating disorder symptoms were documented in transgender youth compared to cisgender youth. | s2cid = 204542613 }}</ref> A widely held view among clinicians is that there is an over-representation of [[Neurodevelopmental disorder|neurodevelopmental conditions]] amongst individuals with GD, although this view has been questioned due to the low quality of evidence.<ref name=":1">{{cite journal |vauthors=Thrower E, Bretherton I, Pang KC, Zajac JD, Cheung AS |title=Prevalence of Autism Spectrum Disorder and Attention-Deficit Hyperactivity Disorder Amongst Individuals with Gender Dysphoria: A Systematic Review |journal=[[Journal of Autism and Developmental Disorders]] |volume=50 |issue=3 |pages=695β706 |date=March 2020 |pmid=31732891 |doi=10.1007/s10803-019-04298-1 |url=https://doi.org/10.1007/s10803-019-04298-1 |access-date=August 6, 2021 |url-status=live |s2cid=208061795 |archive-url=https://web.archive.org/web/20220609011012/https://link.springer.com/article/10.1007/s10803-019-04298-1 |archive-date=June 9, 2022}}</ref> Studies on children and adolescents with gender dysphoria have found a high prevalence of autistic traits or a confirmed diagnosis of [[autism]].<ref name="york"/><ref name="kyriakou"/> Adults with gender dysphoria attending specialist gender clinics have also been shown to have high rates of autistic traits or an autism diagnosis as well.<ref name="kyriakou">{{cite journal |vauthors=Kyriakou A, Nicolaides NC, Skordis N |title=Current approach to the clinical care of adolescents with gender dysphoria |journal=Acta Bio-Medica |volume=91 |issue=1 |pages=165β175 |date=March 2020 |pmid=32191677 |pmc=7569586 |doi=10.23750/abm.v91i1.9244}}</ref> It has been estimated that autistic children were over four times as likely to be diagnosed with GD,<ref name=":1" /> with autism being reported from 6% to over 20% of teens referring to gender identity services.<ref name ="Kaltiala-Heino" /> Children and adolescents with gender dysphoria are also <!--in addition to anxiety, eating disorders, autistic spectrum--> more likely to have [[ADHD]], [[Depression (mood)|depression]] and histories of [[Suicide|suicidality]], [[self-harm]] and [[adverse childhood experience]]s.<ref name="york">{{Cite journal |url=https://adc.bmj.com/content/early/2024/04/09/archdischild-2023-326681 |title=Characteristics of children and adolescents referred to specialist gender services: a systematic review |last1=Taylor |first1=Jo |last2=Hall |first2=Ruth |last3=Langton |first3=Trilby |last4=Fraser |first4=Lorna |last5=Hewitt |first5=Catherine Elizabeth |display-authors=etal |journal=Archives of Disease in Childhood |year=2024 |volume=109 |issue=Suppl 2 |pages=s3βs11 |doi=10.1136/archdischild-2023-326681 |doi-access=free |pmid=38594046 }}</ref>
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