> As to "get attention"... I have a 13yo niece that did exactly this for two months. She was "transgender" and asked people to call her by a different name and pronoun, seemingly dead serious to even her parents

I doubt that a therapist would have written her a letter of recommendation for an endocrinologist to start puberty blockers or HRT. Children can also claim to hear voices and you do not give them medication for schizophrenia without a diagnosis. Adults can start hormone replacement therapy since the enlightened consent path without a therapist since it allows an adult to make the decisions they see as the best for themselves. No therapist would be caught dead risking their entire career to agree with the whims of a child. I went to therapy as an adult and it was only after two years of monthly visits that they wrote me the recommendation letter. I have read the testimonials of children who claimed to be transgender in such a way and they pretty much all saw their quality of life decrease as their treatment advanced[1]. I don't have the source at hand but I've seen claims that desisters are 2% to 5% of the children who take blockers. That's a very small percentage of a small population (0.6%[2]) so I don't believe that we should see transition as a "danger to children". This is also to be expected since blockers are used to create an environment where the child can calmly explore all options and some of those options are not transitioning.

> I guess the question I have is how is Gender Dysphoria different from Body Dysphoria?

Gender Dysphoria is multifaceted and touch more of a person's life than Body Dysmorphia which I assume is your actual question. "Body dysmorphic disorder involves a distressing or impairing preoccupation with an imagined or slight defect in appearance. Individuals do not consider themselves a different gender, but find a part of their body (possibly the genitalia or breasts) to be abnormal and want them removed."[3] Gender Dysphoria is much more pervasive than that in an individual's life.

Body dysphoria is one of the facets of gender dysphoria. It is not different from gender dysphoria because it is part of it. Gender dysphoria may be experienced as body dysphoria, social dysphoria, or both.

"Gender dysphoria involves a conflict between a person's physical or assigned gender and the gender with which [...] they identify. People with gender dysphoria may be very uncomfortable with the gender they were assigned, sometimes described as being uncomfortable with their body [...] or being uncomfortable with the expected roles of their assigned gender."[4]

"Gender dysphoria in adults and children is considered a disorder if the person also experiences significant distress or impairment in major areas of life as a result of the incongruence. Identifying with a gender different from the one that was assigned is no longer considered a mental disorder in itself."[5]

Gender dysphoria will flare up from social encounters. A person who has had all the surgeries done and has the physical body of a model of their identified gender will still suffer if put in the opposite gender's roles.

It can also manifest in relation to a person's inner emotional life. A "boy" identifying as female being told to man up while crying is an example. In my case, I had stumped my emotional life to pretty much nothing and was coldly going through the motions.

> If you are proposing to treat Gender Dsyphoria in children by giving them drugs to stop the natural development process.

Puberty blocker are used when the child shows significant distress with their incoming puberty. Suicidal idealization, self-mutilation, substance-related disorders, etc. They are coupled with therapy and will allow the therapist to explore all possible options with the patient without the stress of a ticking clock.

> Why would anyone treating anorexia with daily supplements to keep them at a dangerously low weight but alive be different?

Identifying with a gender different from the one that was assigned is no longer considered a mental disorder in itself. The patient will likely cease to suffer from the destructive effects of gender dysphoria after transition or at the very least reach a point where the issue is manageable when coupled with therapy should the transition stop at a point where the individual is unable to pass as their transitioned gender.

> There is no answer to that because we just flat out don't understand gender dysphoria yet, imo. Phsycology has a replication crisis, so posting phsyc journals and trans blogs isn't doing much for me.

Assuming you meant Trans PULSE project as the "trans blog", possibly because their site is hosted on WordPress? "The Trans PULSE Project is a community-based research (CBR) project that is investigating the impact of social exclusion and discrimination on the health of trans people in Ontario, Canada." See their team's credentials here: http://transpulseproject.ca/about-us/meet-the-team/

If you choose to ignore current research from scientific journal there isn't much I can do to convince you. The literature is not very much exhaustive because this is a relatively new field of study. The "Institut für Sexualwissenschaft" studied the topic back in 1919 and coined the term transsexualism but the Nazi Party launched its purge in 1933, destroyed the research and sent the founders to concentration camps. Source say that around 20,000 books and journals, and 5,000 images, were destroyed. After that, most of the studies were done from the point of view that identifying with a gender different from the one assigned at birth was a disease of the mind. Transgender individuals were mixed up with transvestism and cross-dressers and were seen as fetishist. The research was on how to cure those "poor depraved souls". It is only recently that transgender individuals were recognized as sane individuals.

> I just don't agree that we should make changes to the body because of something we don't understand in the mind.

We may not understand the root cause with certitude but we know that transition raise the quality of life of patients. There has been many studies on the topic and health professionals will collaborate with them based on their experience in the field. I have never seen a study claiming the opposite other than the cases where misdiagnosis are used as if the non transgender patient was transgender and the wording written in such a way as to push a transphobic agenda.

It would be unethical not to attempt to treat a segment of the population that has rates of suicide attempts as high as 40%[6] simply because the exact cause of their issue is undetermined.

All I can do is claim from my anecdotal experience on the topic that my quality of life augmented, my substance-abuse issues stopped, my suicidal idealization and self-mutilation issues ceased and the heavy veil of negativity that was pervasive through my entire life dissipated once my testosterone levels dropped and my estrogen levels raised to cis female levels. It even cured my lifelong addiction to nails biting in the first week of hormonal therapy.

> Let me ask you a totally serious question - if tomorrow a pill is released to "fix" gender dsyphoria, it's 100% effective and the person sees their body as their own, hears their voice as their own, etc. Would it be right to treat the symptoms by stopping adolescence or would that be seen as a barbaric / the very wrong thing to do? Would you take that pill or would that in your opinion remove who you are?

I'm not quite certain what you mean here with "as their own". In the case of a trans person, that would be their identifying gender. Assuming you meant a pill that fully transition you, this is actually a question that is often asked at the beginning of therapy. All the trans individuals I've talked to would take that pill.

If you meant a pill that magically cures gender dysphoria while keeping the person in the body of the gender they do not identify with, then you do not understand the crux of the issue. According to your description, a "male to female" person would perceive their body as a female's and hear their voice as a female's. This might solve the issue if they lived in a vacuum or alone in the wilderness but we live in a society. Everyone else around them would expect male gender's roles from them and their dysphoria would be at its worst. Some transgender individuals I've talked with are already in that very situation, where their own perception tells them "you are looking at a female" but everyone around them sees a male.

Should you mean a pill that rewrites your entire brain, habits, joys and manners along with sexual orientation then I'd say no without any speck of hesitation. The question is often asked to transgender individuals and I've seen many an online poll asking the same thing and most if not all ended up with a strong majority of no's. From my point of view, it is alike to electroshock therapy and frontal cortex ablation straight out of the 1950's. The only persons I've seen answer yes to that are those with abusive families and transphobic environment. They would rather delete their entire life and start over than live through the hate and violence.

Identifying with a gender different from the one that was assigned is not a mental disorder. There is nothing to be cured since it is not a disease. If we lived in a world where body transfer existed, in one where nanobots could rebuild our bodies from the inside or in one where genetic engineering was so evolved that you could change someone's chromosomes this would be a non-issue. Anyone born in a body they do not identify with would simply switch to the right one and the concept of "transgender" would not exist. Gender Dysphoria would not exist either since the new body would be indiscernible from a cis person's eliminating body related dysphoria and nobody would push gender roles or be transphobic which would eliminate sources of social related dysphoria.

I do not transition to be pretty nor I do not transition to become someone else. It is not exciting to transition but rather a chore. The reason I transition is to be myself without filters. To stop fabricating and improvising my life according to gender roles that are not natural to me. My entire life up to this point has been an exhausting constant imitation and mimicry of behaviors that does not come intuitively to me. Now I can simply stop thinking about anything, be my unadulterated self and fit one of society's box without effort -- that of a woman. In the same way that living your life as your current gender does not cause you any distress, exhaustion or ask any effort out of you.

> [...] That's not to say I'm an enemy. [...]

Never said or had the impression you were.

[1] https://ici.radio-canada.ca/info/2019/05/transgenre-sexe-det...

[2] How Many Adults Identify as Transgender in the United States" http://williamsinstitute.law.ucla.edu/wp-content/uploads/How...

[3] https://www.racgp.org.au/afp/2015/november/gender-dysphoria/

[4] https://www.psychiatry.org/patients-families/gender-dysphori...

[5] https://www.psychologytoday.com/ca/conditions/gender-dysphor...

[6] James, S. E., Herman, J. L., Rankin, S., Keisling, M., Mottet, L., & Anafi, M. (2016). The Report of the 2015 U.S. Transgender Survey. Washington, DC: National Center for Transgender Equality.