What do gender dysphoria and gender euphoria mean?

When we talk about transgender and non-binary people, terms like ‘gender dysphoria’ and ‘gender euphoria’ are often used. But what do these terms actually mean?

Gender dysphoria as a medical term
Gender dysphoria is the term used in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) to describe the psychological distress that occurs when someone’s gender identity does not match the sex they were assigned at birth. Although gender dysphoria is not classified as a mental disorder, it is recognized as a diagnosis to help people access medical care if they need it. The term is used in the medical field to identify transgender and non-binary people who are eligible for gender-affirming care.

To access this care, gender dysphoria must be officially diagnosed by a psychologist or psychiatrist, who must follow the criteria in the DSM-5. This system often places gender psychologists and psychiatrists in the role of gatekeepers, meaning transgender and non-binary individuals often have to prove they are “trans enough” to receive the support needed. Many transgender and non-binary people, as well as some gender psychologists and psychiatrists, find the DSM system stigmatising and view the diagnosis requirement as an obstacle to receiving care.

In this blog, however, we want to focus on the individual experiences of gender dysphoria and gender euphoria. While we can criticise the system, we aim to make it better understandable to those who experience either discomfort or joy related to their gender identity.

The definition of gender dysphoria and gender euphoria
Gender dysphoria refers to the discomfort or psychological distress that someone feels when their gender identity doesn’t align with their assigned gender at birth. This can be both physical and social: gender dysphoria might come from feeling dissatisfied with one’s body or from social situations where a person’s gender is not recognized or affirmed.

Gender euphoria refers to the positive feelings, inner joy, and peace someone experiences when their gender identity is fully expressed. This can also be both physical and social: gender euphoria can come from physical changes that align better with one’s identity or from social recognition and validation of who someone truly is.

Examples of body dysphoria and euphoria
Body dysphoria occurs when a person feels discomfort because their body doesn’t match their gender identity. This could include feeling unhappy with one’s breasts, genitalia, or body characteristics like body hair or muscle mass that don’t align with how they see themselves. A person’s voice can also be a source of dysphoria, as well as body shapes that don’t match the desired gender identity.

Body dysphoria is generally a personal experience, but it can also occur during interactions. For example, someone might feel uncomfortable if they are touched on their shoulders or hips. In many cases, this leads to the desire for medical interventions, like surgeries or hormone treatments, to make the body align more with one’s gender experience. These physical changes can lead to body euphoria, which is the joy or satisfaction someone feels when their body or expression matches their gender identity. Examples of body euphoria include the happiness someone feels when their body changes through hormone treatment or when they feel proud and comfortable in clothing that reflects their gender identity.

Examples of social dysphoria and euphoria
Social dysphoria can occur when someone is not treated as the gender they identify with. This type of dysphoria might happen when someone is misgendered with the wrong pronouns or forced to choose between gendered spaces, such as public restrooms or changing rooms. Social euphoria happens when someone feels seen and heard by others or in certain spaces. By addressing someone with their correct name and pronouns, you contribute to the social gender euphoria of transgender and non-binary people.

Do you need to experience dysphoria to feel euphoria?
No, you don’t have to experience dysphoria to experience euphoria, or vice versa. Not everyone feels bodily or social dysphoria. For example, some demigirls and demiboys may identify with being female or male physically but not with the social gender norms, roles, and expectations attached to those identities. Cisgender people might experience gender euphoria but usually don’t experience gender dysphoria, as they typically don’t encounter situations where their gender is misinterpreted.

Not every gender identity will experience the same types of dysphoria or euphoria, as these experiences vary from person to person. For example, not all transgender men experience body dysphoria related to their primary sex characteristics. Some people think that with a certain gender identity, there should come certain expectations—for example, transgender women should have a higher voice, breasts, no facial hair, and a vulva, or non-binary people should appear androgynous and not “too masculine” or “too feminine.” These are stereotypical norms that come from the binary gender system that dominates society, and it’s important to let go of these assumptions.

Gender dysphoria and gender euphoria are personal experiences, so don’t make assumptions. What you can do is ask someone what can make them feel dysphoric and how you can contribute to their gender euphoria.