The DSM-IV says a diagnosis for GID can be made if: (1) someone has a strong and persistent cross-gender identification; (2) feels a persistent discomfort with his or her sex; (3) this discomfort is not due to being intersex or hermaphroditic; and (4) the discomfort causes significant distress or impairment in their life.
Even Jazz's pediatrician told the Jennings that they had a serious problem on their hands. According to Renee, their doctor said, "'Yes, I believe your child has gender identity disorder, and I recommend that you go to a professional.' And I was -- my mouth opened up and you literally had to scrape me off the floor," Renee said.
Dr. Marilyn Volker, a therapist who specializes in sex and gender issues, later confirmed Jazz's diagnosis.
"When we began to talk, and I used -- whoops -- the pronoun 'he,' I was corrected," Dr. Volker said. Jazz told the therapist, "I'm a girl. I'm she."
Dr. Volker then brought out anatomically correct male and female dolls for Jazz to play with, and asked him to point out which one looked like his body. According to Dr. Volker, Jazz pointed to the male doll and said, "This is me now," and then pointed to the female doll and said, "This is what I want."