Transgender Europe is pressing for the abolition of a mental health diagnosis required in many European countries so that people who identify as transgender can get their official records changed.

It says such a requirement “violates the right of every person to determine their own gender identity.” The website warned a mandatory diagnosis “will further stigmatise, exclude and discriminate against people.”
Cianán Russell, a Senior Policy Officer from ILGA-Europe, an international LGBT association, told Euronews “forced medical and psychiatric exams can be classified as torture or inhuman treatment”.

“As with all human rights violations, individual consequences vary from person to person, so it is not possible to provide a blanket answer to this question,” they added. “However, the more important issue to note is that all forced medical and psychiatric exams represent a violation of the individual’s fundamental human rights.”
In Europe, 33 countries require a mental health diagnosis before identity documents can be adapted including the UK, Sweden and Spain.Other countries such as Ireland, France, Portugal and Greece do not have such a requirement.

And countries such as Cyprus, Albania and North Macedonia are not offer reliable gender recognition procedures at all.
A relevant bill has been drafted for Cyprus but has still to progress through the House of Representatives.

Euronews, which ran a story on issue gave two examples:
 
The United Kingdom

In the UK, people have to apply for a “Gender Recognition Certificate” which can be obtained by those over the age of 18 under three different scenarios and at a cost of £140 (€151).
Scenario 1: They must be diagnosed with gender dysphoria, which is defined as “a person having an unpleasant sense of their gender not matching the body into which they were born”. They must have lived in their acquired gender for at least two years and intend to keep it for the rest of their lives.
This means that transgender people must, for example, prove with official documents such as a passport, driving licence or payslips that they have already changed their name.
Scenario 2: If they live in a protected marriage or protected civil partnership in England, Wales or Scotland, in addition to the above criteria, they must prove that they have lived in their acquired gender for six years.
Scenario 3: The third route holds if a person’s acquired gender has been legally accepted in an “approved country or territory” and they have documents to prove it.
Greece
In Greece, a person can change their registered gender under the following conditions:

  • The person concerned must be 18 years old, otherwise, they need the consent of their parents.
  • If they are younger than 17 but older than 15 an additional interdisciplinary committee must agree to the change.
  • This committee must include a paediatric psychiatrist, a psychiatrist, an endocrinologist, a paediatric surgeon, a psychologist, a social worker and a paediatrician.
  • Furthermore, transgender people who wish to change their gender cannot be married.
  • A medical diagnosis of a person’s mental health is not necessary in Greece but they must explain their reasons for the decision in person to a court.

Being transgender no longer on WHO’s list of ‘mental illnesses’

The World Health Organisation (WHO) removed transgender health issues from its list of mental illnesses in 2018 — a move welcomed by the transgender community.

It is now called “gender incongruence” and was reassigned to a new category: Category 17 — conditions related to sexual health, which also includes paedophilia and exhibitionism.

The new categorization is a “possible model for all those who talk about transsexual bodies in the same breath as paedophiles,” activist Sarah Unger wrote in an article in German daily Tagesspiegel.

“It will take years for this new version of the International Classification of Diseases (ICD-11) to be implemented globally, with some countries, such as the USA, indicating that they have no short-term intention to implement the new system,” Russell said.

 

Edited by Bouli Hadjioannou