The U.S. Transgender Survey of 2015 Supports Rapid-Onset Gender Dysphoria: Revisiting the “Age of Realization and Disclosure of Gender Identity Among Transgender Adults”

“Rapid-onset gender dysphoria” (ROGD) describes a presentation in a recent cohort of adolescent and young adults who first became gender dysphoric or trans-identified during or after the onset of puberty (Littman, 2018 , 2021 ). The ROGD hypotheses are, briefly stated, that this relatively new and distinct clinical presentation of late-onset gender dysphoria exists, and that psychosocial factors, including social influences (social media, social and peer contagion, etc.), maladaptive coping mechanisms, mental health conditions, and other stressors can contribute to its appearance in some individuals (Littman, 2018 , 2021 ).