Social strain, distress, and gender dysphoria among transgender women and Hijra in Vadodara, India.

There is immense diversity among transgender people in India with respect to ethnicity, sub-culture, and gender expression. This study examines psychological distress, gender dysphoria, transgender congruence, and social strain among transgender women, and explores their reflections on self and community using a mixed-method approach. Gender dysphoria, psychological distress, and transgender congruence were assessed with standardized scales while the participants' reflections were captured using semi-structured interviews.