Fascinating article in New Scientist suggests an alternative source of body dysmorphic disorder than 'being born in the wrong body':
https://www.newscientist.com/article/2441413-we-may-have-found-why-people-experience-body-dysmorphic-disorder/
https://archive.is/kpquK
Precis version:
The origin of body dysmorphic disorder has been traced to a specific bundle of neurons within the brain that are connected with processing visual information. The finding, if confirmed, could help the development of new treatments for the condition.
The researchers found that a bundle of nerve fibres connecting the dorsal visual stream with the ventral visual stream had a lower density in those with body dysmorphic disorder than in those without. The lower the density, the worse the symptoms.
Researchers said:“We’ve assumed for some time that imbalances in visual processing are at least partly responsible for the distressing distortions experienced by people with BDD [body dysmorphic disorder] when they look at their own face...(but this study shows) the imbalances may be attributable to a specific anatomical neuronal bundle”.