I'm also very disturbed at how the second box states " strong desire to be the other gender"
Yet no where does it suggest looking into why.
I've said before, it doesn't take a genius to work out that given the extremely high rates of girls being sexually harassed on way to and at school , it wouldnt be at all surprising if girls attempted to identify out of this shit
Especially as instead if dealing with the poor behaviour if the men and boys harassing them the girls are blamed for asking fir it for wearing skirts that are " too short"
As if it doesnt happen in trousers 
Girls are also routinely used as a behaviour control method in classrooms.
If you had so much responsibility whilst still trying to learn and do the work yourself and being held responsible for everything that happens to you , it must he hugely tempting to shave your head wear a football kit and strap your breasts down.
What other mental illness is treated this way?
Yes you are fat?
Yes there really are bugs crawling all over your skin lets shower you in raid.
Yes everyone really is out to get you.
Yes aliens are coming for you.
Listen to the voices do as they tell you.
.........