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Notes -
Right, but "Gender Dysphoria" is the name used for the overall condition in the DSM-5. "A strong desire to be rid of one’s primary and/or secondary sex characteristics" and "A strong desire for the primary and/or secondary sex characteristics of the other gender" are potential symptoms but not required ones. In fact diagnosing it in "Adolescents and Adults" only need 2 off this list, so for instance "A strong desire to be of the other gender" and "A strong desire to be treated as the other gender" are sufficient. (Diagnosing it in children requires 6 off a different list.) Of course in practice psychiatrists don't just do what the DSM-5 recommends and there is considerable variation.
So for those (including many psychiatrists) who believe self-identification is paramount to transgenderism, this means that a girl who comes in and says "I'm transgender" after the rest of her friend group did the same should be diagnosed with Gender Dysphoria even if she doesn't seem particularly upset with her body. (Not that discomfort with your body, particularly during puberty, is uncommon. Or believing yourself to be discomforted with it after learning that's how you should feel, or saying it after learning those are the magic words you should say to get past medical gatekeepers.) That people can genuinely feel that way and then have it go away after they ignore is obviously also important, but I was referring to the issues with the concept of transgenderism that claims self-identification is all-important.
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