A 15-Year-Old Boy Is Brought to the Office by His

A 15-year-old boy is brought to the office by his parents due to concern about his development.  The patient has had a long-standing interest in fashion and a preference for having girls as friends, and his parents noticed that he recently bought women's underwear and shoes and went out to meet friends wearing makeup.  They worry that he is being bullied since moving to a new high school last year.  When interviewed privately the patient says, "I have always wanted to be a girl."  He is distressed that his voice is deepening and that he is developing facial and pubic hair, which he shaves regularly.  Which of the following is the most likely explanation of this patient's behavior?

A) Bisexuality
B) Body dysmorphic disorder
C) Fetishistic disorder
D) Gender dysphoria
E) Transvestic disorder

Correct Answer:

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