Does a woman who strongly believes she was meant to be a man have a mental condition or a medical problem?
The nation’s psychiatric establishment is wrestling with that question, among others, as it works to overhaul its diagnostic manual for the first time in almost two decades.
Advocates have spent years lobbying the American Psychiatric Association to rewrite or even remove the categories typically used to diagnose transgender people. They argue that terms like Gender Identity Disorder promote discrimination by broad-brushing a diverse population with the stigma of mental illness.