With regard to the gender dysphoria, critics of the present diagnostic system contend that much of the distress that transgender children experience comes from difficulties getting along with other kids and being accepted by them, not from their gender identity per se.

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Critics argue that social factors such as discrimination, bullying, and isolation may contribute to the distress experienced by transgender children, and that the focus on gender identity as the sole cause of their distress is overly simplistic.

With Regard to the Gender Dysphoria, Critics of the Present