Monty has been experiencing extreme distress for the last 10 years regarding his gender variance and has sought professional help from a counselor. Using the DSM-5 guidelines, this counselor will most likely diagnose Monty with

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Gender dysphoria is diagnosed based on the distress or impairment that is associated with a discrepancy between an individual's experienced or expressed gender and the gender they were assigned at birth. Monty's experience of extreme distress regarding his gender variance for a prolonged period fits the criteria for gender dysphoria as outlined in the DSM-5.

Monty Has Been Experiencing Extreme Distress for the Last 10