Gender Euphoria: Between Descriptive Appeal and Scientific Delimitation
DOI:
https://doi.org/10.12923/2353-8627/2026-0008Keywords:
euphoria, gender, gender-diverse, transgender, well-beingAbstract
Introduction: In recent years, gender euphoria - defined broadly as a positive sense of alignment or affirmation in relation to one’s gender identity - has emerged as a proposed positive counterpart to gender dysphoria. This development forms part of a broader effort to move beyond distress-centered models of transgender and gender-diverse (TGD) experiences. Despite the term’s rapid adoption in research and clinical discourse, its conceptual and empirical status remains debated.
Material and methods: In this opinion paper, we critically analyze controversies linked to gender euphoria. Specifically, we (1) examine the definitional boundaries of gender euphoria, (2) discuss the implications of using the term “euphoria”, (3) review whether gender euphoria reflects a state, trait, or process, and (4) investigate its relationship to related constructs such as transgender congruence and gender affirmation.
Results: Definitions of gender euphoria vary widely, often conflating affective elevation, identity congruence, social affirmation, and relief from dysphoria. Prevalence and population distribution of gender euphoria are unknown, its temporal stability has not been established, and its specificity to TGD populations relative to broader identity-congruence processes remains unclear. Although recent work has begun to operationalize the construct psychometrically, its distinctiveness relative to related psychological domains has yet to be fully clarified.
Conclusions: Elucidating the boundaries, measurement properties, and the theoretical status of gender euphoria may be necessary for it to be considered a coherent construct within psychological science, rather than solely as a rhetorical counterpoint to dysphoria.
References
1. Reisner SL, Pletta DR, Harris A, Campbell J, Asquith A, Pardee DJ, et al. Exploring gender euphoria in a sample of transgender and gender diverse patients at two U.S. urban community health centers. Psychiatry Res. 2023;329:115541. https://doi.org/10.1016/j.psychres.2023.115541
2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed., text rev. Washington (DC): American Psychiatric Association Publishing; 2022. https://doi.org/10.1176/appi.books.9780890425787
3. World Health Organization [homepage on the Internet]. Geneva: World Health Organization; 2016 [cited 2026 Aug 19]. International statistical classification of diseases and related health problems, 10th revision. Available from: https://icd.who.int/browse10/2016/en
4. World Health Organization [homepage on the Internet]. Geneva: World Health Organization; 2019 [cited 2026 Aug 19]. International statistical classification of diseases and related health problems, 11th revision. Available from: https://icd.who.int/
5. Reed GM, Drescher J, Krueger RB, Atalla E, Cochran SD, First MB, et al. Disorders related to sexuality and gender identity in the ICD-11: revising the ICD-10 classification based on current scientific evidence, best clinical practices, and human rights considerations. World Psychiatry. 2016;15(3):205–221. https://doi.org/10.1002/wps.20354
6. Robles R, Keeley JW, Vega-Ramírez H, Cruz-Islas J, Rodríguez-Pérez V, Sharan P, et al. Validity of categories related to gender identity in ICD-11 and DSM-5 among transgender individuals who seek gender-affirming medical procedures. Int J Clin Health Psychol. 2022;22(1):100281. https://doi.org/10.1016/j.ijchp.2021.100281
7. Austin A, Papciak R, Lovins L. Gender euphoria: a grounded theory exploration of experiencing gender affirmation. Psychol Sex. 2022;13(5):1406–1426. https://doi.org/10.1080/19419899.2022.2049632
8. Beischel WJ, Gauvin SEM, van Anders SM. "A little shiny gender breakthrough": community understandings of gender euphoria. Int J Transgend Health. 2022;23(3):274–294. https://doi.org/10.1080/26895269.2021.1915223
9. Bradford NJ, Rider GN, Spencer KG. Hair removal and psychological well-being in transfeminine adults: Associations with gender dysphoria and gender euphoria. J Dermatolog Treat. 2021;32(6):635–642. https://doi.org/10.1080/09546634.2019.1687823
10. Kulesza S, Riggs DW, Dahlenburg SC. Exploring understandings of trans people's experiences of gender euphoria: a systematic review and metasynthesis. Int J Transgend Health. 2025;27:1704–1719. https://doi.org/10.1080/15532739.2025.2462585
11. Jacobsen K, Devor A. Moving from gender dysphoria to gender euphoria: trans experiences of positive gender-related emotions. Bulletin of Applied Transgender Studies. 2022;1(1–2):119–143. https://doi.org/10.57814/ggfg-4j14
12. American Psychological Association. (2023, March 9). Understanding transgender people, gender identity, and gender expression. https://www.apa.org/topics/lgbtq/transgender-people-gender-identity-gender-expression
13. Drabish K, Theeke LA. Health impact of stigma, discrimination, prejudice, and bias experienced by transgender people: a systematic review of quantitative studies. Issues Ment Health Nurs. 2022;43(2):111–118. https://doi.org/10.1080/01612840.2021.1961330
14. Kia H, Kenney K, MacKinnon KR, Abramovich A, Salway T, Ferlatte O, et al. "It saves lives": peer support and resilience in transgender and gender diverse communities. SSM Qual. Res Health. 2023;3:100264. https://doi.org/10.1016/j.ssmqr.2023.100264
15. Radford G, Byrne J, Staiger P, Karantzas G. Unmet needs, minority stress and mental health outcomes among transgender individuals: the mediating role of schema domains. Clin Psychol Psychother. 2024;31:e2983. https://doi.org/10.1002/cpp.2983
16. Bird K, Arcelus J, Matsagoura L, O'Shea BA, Townsend E. Risk and protective factors for self-harm thoughts and behaviours in transgender and gender diverse people: a systematic review. Heliyon. 2024;10(5):e26074. https://doi.org/10.1016/j.heliyon.2024.e26074
17. Shelemy L, Cotton S, Crane C, Knight M. Systematic review of prospective adult mental health outcomes following affirmative interventions for gender dysphoria. Int J Transgend Health. 2025;26(3):480–500. https://doi.org/10.1080/26895269.2024.2333525
18. Doyle DM, Lewis TOG, Barreto M. A systematic review of psychosocial functioning changes after gender-affirming hormone therapy among transgender people. Nat Hum Behav. 2023;7:1320–1331. https://doi.org/10.1038/s41562-023-01605-w
19. Grant R, Amos N, Cook T, Lin A, Hill A, Carman M, et al. From euphoria to wellbeing: correlates of gender euphoria and its association with mental wellbeing among transgender adults. Int J Transgend Health. 2025;26(4):1111–1119. https://doi.org/10.1080/26895269.2024.2324100
20. Domínguez S Jr. Gender euphoria. In: The SAGE Encyclopedia of LGBTQ+ Studies. 2nd ed. Thousand Oaks (CA): SAGE Publications, Inc; 2024. https://doi.org/10.4135/9781071891414.n194
21. Leitch J, Nguyen V, Potter S. Beyond dysphoria and stress: a theory of gender euphoria and gender fulfillment. Int J Transgend Health. 2025;27:1178–1191. https://doi.org/10.1080/26895269.2024.2447786
22. Richter JA, Phan D, Segond von Banchet I, Brandl LD, Woggon A, Noske AL, et al. "Like fitting a circle into a circle-sized hole"—trans adolescents' experiences of gender euphoria. Int J Transgend Health. 2026. https://doi.org/10.1080/26895269.2026.2629467
23. Mary Angelene J, Alamelu C. Gender euphoria reimagined: toward an extended theory of trans-identity. Front Psychol. 2026;17:1738195. https://doi.org/10.3389/fpsyg.2026.1738195
24. Blacklock C, Tollit M, Pace C, Elphinstone B, Zwickl S, Cheung A, et al. Sociodemographic and gender affirmation factors associated with gender euphoria: a cohort study. EClinicalMedicine. 2026;97:104039. https://doi.org/10.1016/j.eclinm.2026.104039
25. Jones T. Euphorias! Positive feelings within negative conditions. In: Euphorias in Gender, Sex and Sexuality Variations. Cham: Palgrave Macmillan; 2023. https://doi.org/10.1007/978-3-031-23756-0_1
26. Tobin DD, Menon M, Menon M, Spatta BC, Hodges EVE, Perry DG. The intrapsychics of gender: a model of self-socialization. Psychol Rev. 2010;117(2):601–622. https://doi.org/10.1037/a0018936
27. American Psychological Association. VandenBos GR, editor. APA dictionary of psychology. 2nd ed. Washington (DC): American Psychological Association; 2015. https://doi.org/10.1037/14646-000
28. Henry C, Phillips M, Leibenluft E, M'Bailara K, Houenou J, Leboyer M. Emotional dysfunction as a marker of bipolar disorders. Front Biosci (Elite Ed). 2012;4(7):2622–2630. https://doi.org/10.2741/e578
29. Jazaieri H, Urry HL, Gross JJ. Affective disturbance and psychopathology: an emotion regulation perspective. J Exp Psychopathol. 2013;4(5):584–599. https://doi.org/10.5127/jep.030312
30. Skelton S, Riggs DW, Pullen Sansfacon A, Katz-Wise SL, Arora M, Thibeault CA. "It just feels really nice when people call me by my name": accounts of gender euphoria among Australian trans young people and their parents. J Gend Stud. 2024;33(4):470–482. https://doi.org/10.1080/09589236.2023.2285984
31. Duncan AL. Euphoria. In: Zeigler-Hill V, Shackelford T, editors. Encyclopedia of Personality and Individual Differences. Cham: Springer; 2017. https://doi.org/10.1007/978-3-319-28099-8_515-1
32. Blacklock CA, Tollit MA, Pace CC, Elphinstone B, Zwickl S, Cheung AS, et al. The Gender Euphoria Scale (GES): development of a tool to measure gender euphoria. Int J Transgend Health. 2025;27(1):447–458. https://doi.org/10.1080/26895269.2024.2447768
33. Kozee HB, Tylka TL, Bauerband LA. Measuring transgender individuals' comfort with gender identity and appearance: development and validation of the Transgender Congruence Scale. Psychol Women Q. 2012;36(2):179–196. https://doi.org/10.1177/0361684312442161
34. Flynn SS, Touhey S, Sullivan TR, Mereish EH. Queer and transgender joy: a daily diary qualitative study of positive identity factors among sexual and gender minority adolescents. Psychol Sex Orientat Gend Divers. 2026;13(1):187–201. https://doi.org/10.1037/sgd0000733
35. Wurm M, Lundberg T, Mejias Nihlén T, Malmquist A. Minority joy, minority growth, and minority peace: transgender and gender diverse people's varied positive lived experiences. Int J Transgend Health. 2026;27(1):608–623. https://doi.org/10.1080/26895269.2024.2445094
36. The Trevor Project. Gender euphoria and mental health among TGNB young people. 2026. https://doi.org/10.70226/CWMM4632
37. Pollitt AM, Ioverno S, Russell ST, Li G, Grossman AH. Predictors and mental health benefits of chosen name use among transgender youth. Youth Soc. 2021;53(2):320–341. https://doi.org/10.1177/0044118X19855898
38. Russell ST, Pollitt AM, Li G, Grossman AH. Chosen name use is linked to reduced depressive symptoms, suicidal ideation, and suicidal behavior among transgender youth. J Adolesc Health. 2018;63(4):503–505. https://doi.org/10.1016/j.jadohealth.2018.02.003
39. Lewis T, Doyle DM, Barreto M, Jackson D. Social relationshipexperiences of transgender people and their relational partners:a meta-synthesis. Soc Sci Med. 2021;282:114143. https://doi.org/10.1016/j.socscimed.2021.114143
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