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What is the Difference Between Assigned Sex and Gender Identity?

Valerie Velarde, PsyD

December 16, 2024

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Question

What is the difference between assigned sex and gender identity?

Answer

Assigned sex refers to the classification of a person as male or female at birth based on physical characteristics, typically external genitalia, observed by medical professionals. This classification is recorded on legal documents such as a birth certificate and traditionally operates within a binary framework, although some jurisdictions now allow more flexibility, such as an "X" marker.

In contrast, gender identity encompasses a person’s deeply felt sense of their own gender, which may or may not align with the sex they were assigned at birth. Gender identity develops over time and can include considerations of how a person experiences their body, emotions, and social role, which are influenced by a combination of biological, cultural, and individual factors. For instance, a person whose gender identity aligns with their assigned sex at birth is referred to as cisgender.

 

This Ask the Expert is an edited excerpt from the course, Special Considerations When Working with LGBTQ+ Identified People, presented by Valerie Velarde, PsyD

 


valerie velarde

Valerie Velarde, PsyD

Dr. Valerie Velarde (pronouns they/she) is a postdoctoral fellow at Freelife Behavioral Health in Chicago, IL. Born and raised in Salt Lake, Utah, Valerie graduated magna cum laude from the University of Utah in 2014, where they spent much of their time providing cultural sensitivity education throughout Salt Lake County. From there, Valerie obtained a graduate certificate in LGBT Health Policy and Practice from George Washington University in Washington, D.C., before attending The Wright Institute’s Psy.D. program in Berkeley, California. Valerie dedicated their academic and practicum experiences to antiracism efforts on campus and working with societally disadvantaged groups, including those who are housing vulnerable, incarcerated, and living with serious mental illness.

Dr. Velarde graduated in 2023 and now enjoys providing psychotherapy to LGBTQ+ individuals and couples seeking greater life satisfaction and meaning. Valerie also teaches undergraduate psychology courses at Roosevelt University and, in her free time, loves to read or listen to podcasts and spend time with her cats.


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