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The term “transgender” is not a psychiatric diagnosis. It is used to refer to a person whose sex assigned at birth (usually based on the appearance of external genitalia) does not align with their gender identity (one’s psychological sense of their gender). Some people who identify as transgender do experience “gender dysphoria,” a DSM-5-TR psychiatric diagnosis that refers to the psychological distress that results from an incongruence between one’s sex assigned at birth and one’s gender identity. Though gender dysphoria can sometimes begin in childhood, some people may not experience it until after puberty or much later.
