WPATH Global Board of Directors, WPATH Position on "Rapid-Onset Gender Dysphoria (ROGD)" (4 September 2018); accessed 30 May 2019. "Rapid Onset Gender Dysphoria (ROGD)" is not a medical entity recognized by any major professional association, nor is it listed as a subtype or classification in the Diagnostic and Statistical Manual of Mental Disorders (DSM) or International Classification of Diseases (ICD). Therefore, it constitutes nothing more than an acronym created to describe a proposed clinical phenomenon that may or may not warrant further peer-reviewed scientific investigation. At present, WPATH asserts that knowledge of the factors contributing to gender identity development in adolescence is still evolving and not yet fully understood by scientists, clinicians, community members, and other stakeholders in equal measure."