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Gender dysphoria, also known as gender identity disorder, is a psychological disorder in which a person identifies as another gender and experiences distress from the discordance between gender identity and actual anatomy. Many people who have gender dysphoria become transgender, although this is not always the case. Chris was officially diagnosed with the condition in 2016, after he made efforts to gender transition prior to this point.

Chris's gender identity has been the subject of intense discussion by observers, and it's been debated whether his feelings of gender dysphoria are real and the logical conclusion of Chris's own feelings and lived experiences (given that he overemphasized his own "straightness" and acted like what he thought was a stereotypical man, before feeling more comfortable acting like a stereotypical woman and embracing being transgender and bisexual instead), whether they are just the result of a combination of a warped understanding of gender dynamics stemming from being exposed to too much fiction combined with years of gaslighting and manipulation by trolls, or whether they are just just an elaborate attempt by Chris to find a boyfriend-free girl (or boy), although there is evidence for these different interpretations. No matter what the case may be, the reality is that Chris has began showing preference to crossdressing in early 2011 and later fully committed to a transgender lifestyle since the end of 2014, with some evidence of Chris's gender dysphoria becoming clearer with the power of hindsight.

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