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=== Psychological treatments === {{Main|Psychotherapy}} Until the 1970s, psychotherapy was the primary treatment for gender dysphoria and generally was directed to helping the person adjust to their assigned sex. Psychotherapy is any therapeutic interaction that aims to treat a psychological problem. Psychotherapy may be used in addition to biological interventions, although some clinicians use only psychotherapy to treat gender dysphoria.<ref name="treatment review">{{cite journal |vauthors=Gijs L, Brawaeys A |year=2007 |title=Surgical Treatment of Gender Dysphoria in Adults and Adolescents: Recent Developments, Effectiveness, and Challenges |journal=[[Annual Review of Sex Research]] |volume=18 |issue=178–224|pages=178–224 |doi=10.1080/10532528.2007.10559851 }}</ref> Psychotherapeutic treatment of GD involves helping the patient to adapt to their gender incongruence or to explorative investigation of confounding co-occurring<ref name=":3">{{cite journal | vauthors = Kaltiala-Heino R, Sumia M, Työläjärvi M, Lindberg N | title = Two years of gender identity service for minors: overrepresentation of natal girls with severe problems in adolescent development | journal = [[Child and Adolescent Psychiatry and Mental Health]] | volume = 9 | pages = 9 | date = 2015 | pmid = 25873995 | pmc = 4396787 | doi = 10.1186/s13034-015-0042-y | doi-access = free }}</ref><ref>{{Cite web |website=Swedish National Board of Health and Welfare |date=Feb 2020 |title=Development of the diagnosis gender dysphoria |language=sv |url=https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/ovrigt/2020-2-6600.pdf |url-status=live |access-date=March 13, 2021 |archive-date=March 8, 2021 |archive-url=https://web.archive.org/web/20210308184807/https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/ovrigt/2020-2-6600.pdf}}</ref><ref>{{cite journal | vauthors = Kozlowska K, Chudleigh C, McClure G, Maguire AM, Ambler GR | title = Attachment Patterns in Children and Adolescents With Gender Dysphoria | journal = Frontiers in Psychology | volume = 11 | pages = 582688 | date = 2021-01-12 | pmid = 33510668 | pmc = 7835132 | doi = 10.3389/fpsyg.2020.582688 | doi-access = free }}</ref><ref>{{cite journal | vauthors = D'Angelo R, Syrulnik E, Ayad S, Marchiano L, Kenny DT, Clarke P | title = One Size Does Not Fit All: In Support of Psychotherapy for Gender Dysphoria | journal = Archives of Sexual Behavior | volume = 50 | issue = 1 | pages = 7–16 | date = January 2021 | pmid = 33089441 | pmc = 7878242 | doi = 10.1007/s10508-020-01844-2 }}</ref> mental health issues. Attempts to alleviate GD by changing the patient's gender identity to reflect assigned sex have been ineffective and are regarded as [[conversion therapy]] by most health organizations.<ref name="Lambda" /><ref name="merck manual">{{cite book|author=George R. Brown, MD|title=The Merck Manual of Diagnosis and Therapy|title-link=Merck Manual of Diagnosis and Therapy|date=July 20, 2011|publisher=[[Merck & Co.]], Inc.|isbn=978-0-911910-19-3|editor1=Robert S. Porter, MD|edition=19th|location=[[Whitehouse Station, NJ]], USA|pages=1740–1747|chapter=Chapter 165 Sexuality and Sexual Disorders|display-editors=etal}}</ref>{{rp|1741}}
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