Gender dysphoria is emotional distress at reminders of the physical signs that one associates with the gender they were assigned as at birth as opposed to the gender one knows their self to be. The distress can make everyday activities feel impossible. When one's body doesn't reflect their true gender, the distress can cause anxiety and depression, interfering with school, work, or social life. The goal of therapy is not to attempt to change how one identifies. The goal is to help with coping with the anxiety and depression.