The most recent Diagnostic and Statistical Manual (DSM-5) reports an expected incidence of gender dysphoria at .005–.014 percent for natal males, and a much lower .002–.003 percent for natal females, based on the numbers of those who, a decade ago, sought medical intervention.22 This is an incidence of fewer than 1 in 10,000 people. In the last decade, as Dr. Littman began to discover, adolescent gender dysphoria has surged across the West. In the United States, the prevalence has increased by over 1,000 percent.23 Two percent of high school students now identify as “transgender,” according to
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