an individual can control or voluntarily change or, doctor, as i would say, you can t pray it away, correct? yes. gender identity is a deeply felt sense of being male, female or another gender. it s not something where someone can just decide one day that they are not going to be transgender. number two. the lack of alignment between one s gender identity and their sex assigned at birth, gender incongruence, can cause significant distress. the medical term is gender dysphoria. the point i take away is it s a recognized medical condition, the sort of thing that you find in the dsm. true? yes. gender dysphoria is a diagnosis in the dsm-v. number three. gender dysphoria is a serious condition that if left untreated can result in other psychological conditions,
wrote, quote, rather than protecting children or safeguarding medical ethics the evidence showed that the prohibited medical care improves the mental health and well being of patients and prohibiting it the state undermined the interests it claims to be advancing. he added there is nothing unique about the risks of gender-affirming medical care for adolescents that warrants taking this medical decision out of the hands of adolescent patients, parents and doctors. he also dismissed most of the state s expert witnesses as unqualified. saying their opinions were, quote, grounded in ideology rather than science. joining me is dr. dan karasic who was a plaintiffs expert witness in the arkansas case as well as florida. a professor emeritus of psychiatry of the university of california san francisco. he has been providing care for trans people for more than 30 years. doctor, i read the opinion. the judge made a number of fact findings largely based on your testimony. i want to run through fo