Page:Adams ex rel. Kasper v. School Board of St. Johns County, Florida (2018).pdf/7

 The Medical Amici explain that “‘[g]ender identity’ refers to a person’s internal sense of being male, female, or another gender.” Doc. 119, Ex. A at 6. A transgender individual is someone who “‘consistently, persistently, and insistently’ identifies as a gender different than the sex they were assigned at birth.” at 7. A 2016 publication estimated that 1.4 million transgender adults are living in the United States, 0.6 percent of the adult population. at 4. “Gender identity is distinct from and does not predict sexual orientation; transgender people, like cisgender [non-transgender] people, may identify as heterosexual, gay, lesbian, bisexual, or asexual.” at 4–5.

“[M]any transgender individuals are diagnosed with gender dysphoria, a condition that is characterized by debilitating distress and anxiety resulting from the incongruence between an individual’s gender identity and birth-assigned sex.” at 7. Gender dysphoria is recognized by the Diagnostic and Statistical Manual of Mental