A client reports having a strong desire to live and be treated as the opposite sex and is uncomfortable with the current anatomical sex.

A client reports having a strong desire to live and be treated as the opposite sex and is uncomfortable with the current anatomical sex. Based on the client’s comments, for what psychiatric condition will the nurse assess? transvestic disorder paraphilia disorder gender dysphoria sexual dysfunction

Based on the client’s comments about a strong desire to live and be treated as the opposite sex, as well as discomfort with their current anatomical sex, the nurse should assess for gender dysphoria.

Explanation:
Gender Dysphoria is characterized by a marked incongruence between an individual’s experienced/expressed gender and their assigned sex at birth, leading to significant distress or impairment in social, occupational, or other important areas of functioning. The key components include a strong desire to be of the other gender and discomfort with one’s own sex characteristics .
Distinction from Other Options:
Transvestic Disorder involves deriving sexual pleasure from cross-dressing, which is not necessarily related to a desire to be the opposite sex.
Paraphilia Disorder encompasses atypical sexual interests that may or may not be distressing, but it does not specifically address the gender identity aspect.
Sexual Dysfunction refers to issues related to sexual performance or desire and is not applicable to the described feelings of gender identity.
Further Reading:
For more information on gender dysphoria and related psychiatric assessments, you can refer to the DSM-5 criteria or resources such as the American Psychiatric Association or the World Professional Association for Transgender Health (WPATH).

American Psychiatric Association. (n.d.). Gender Dysphoria. Retrieved from APA
WPATH. (n.d.). Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People. Retrieved from WPATH