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Dr. Warren Ng, a professor of psychiatry at Columbia, said that many of the young people he treats have had difficulty getting their medications month to month.

Individuals with NPD can, with appropriate therapy and a genuine desire to improve their relationships and lives, make meaningful changes," says Dr. Ryan Sultan.

Gender dysphoria typically begins in childhood, sometimes as early as 3 years old, according to the American Psychiatric Association. But symptoms can occur anytime, said Jack Drescher, MD.

Any excessive fear can be considered a phobia, but most phobias are "highly circumscribed," meaning they're very specific, says Franklin Schneier, MD, special lecturer in psychiatry.