Sexual identity crisis. Computer artwork of a male symbol casting a shadow of a female symbol. This image represents the concept of a sexual identity crisis. This is a psychological condition that may include trans-sexuality, bisexuality and homosexuality, where a person may be in crisis with their sexual orientation. In trans- sexuality the subject may have chronic feelings of belonging to the opposite sex while rejecting the appropriateness of their own sex. This can start before puberty. Sometimes this can cause major psychological problems and gender re- assignment surgery may be required.