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As of February 2014, the most recent version of the standards is Version 7.According to the standards of care, "gender dysphoria refers to discomfort or distress that is caused by a discrepancy between a person’s gender identity and that person’s sex assigned at birth (and the associated gender role and/or primary and secondary sex characteristics)...

Sex offender treatment is offered by therapists who specialize in working with adults and youth with sexual behavior problems. People can and do learn to change behavior with specialized treatment.

Treatment may still be appropriate and necessary in cases of significant comorbid psychopathology, as "cases have been reported in which the individual was both suffering from severe co-occurring psychopathology, and was a 'late-onset, gynephilic' trans woman, and yet experienced a long-term, positive outcome with hormonal and surgical gender transition." However, some transsexual people may suffer from co-morbid psychiatric conditions unrelated to their gender dysphoria.

The DSM-IV itself states that in rare instances, gender dysphoria may co-exist with schizophrenia, and that psychiatric disorders are generally not considered contraindications to sex reassignment therapy unless they are the primary cause of the patient's gender dysphoria.

Under 40-39-203(a)(2), regardless of an offender’s date of conviction or discharge from supervision, an offender whose contact with this state is sufficient to satisfy the requirements of subdivision (a)(1) of T. It could mean that the offender has been terminated from the registry after meeting the criteria for termination as outlined in T. Those sex offenders being released from prison should register with the Tennessee Department of Correction within 48 hours prior to their release from incarceration.

40-39-203, and who was an adult when the offense occurred is required to register or report in person as required by this part, if the person was required to register as any form of sexual offender in another jurisdiction prior to the offender’s presence in this state. Sex offenders should register with their local police department or sheriff’s office depending on where they live within the county.

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40-39-202 (28); or has another qualifying conviction as defined by T. “Violent sexual offenders” are required to register for life.

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