The American Psychiatric Association defines as Gender dysphoria Gender disphoria involving a conflict between a person's physical or assigned gender and the gender with which he/she/they identify. This diagnosis includes a person having significant distress and/or problems functioning associated with this conflict between the way they feel and think of themselves (referred to as experienced or expressed gender) and their physical or assigned gender. Does this type of diagnosis open the door to other diagnosis of conflicts. I am thinking of Nkechi Amare Diallo a white women of European Ancestry who identified herself to being African American. Hiding her history, and developing a life as an African American women. When she was outed it made news all over the country, There is a long history of “passing” between the races. Might the APA develop a diagnosis of race dysphoria or some variation?