Rachel Sorrow, a transgender woman, smiles as she attends a therapy session with Dr. Dan Karasic, a psychiatrist with the Center of Excellence for Transgender Health, at San Francisco G

 

              Rachel Sorrow, a transgender woman, smiles as she attends a therapy session with Dr. Dan Karasic, a psychiatrist with the Center of Excellence for Transgender Health, at San Francisco G
Rachel Sorrow, a transgender woman, smiles as she attends a therapy session with Dr. Dan Karasic, a psychiatrist with the Center of Excellence for Transgender Health, at San Francisco General Hospital in San Francisco, Friday, July 20, 2012. The nation’s psychiatric establishment is wrestling with questions on proper treatment of transgender people as it works to overhaul its diagnostic manual for the first time in almost two decades. Advocates have spent years lobbying the American Psychiatric Association to rewrite or even remove the categories typically used to diagnose transgender people, arguing that terms like Gender Identity Disorder and Transvestic Fetishism promote discrimination by broad-brushing a diverse population with the stigma of mental illness. (AP Photo/Marcio Jose Sanchez)