As a child, Sam had gender dysphoria. Now 26, and feeling trapped in a man's body, he wants to become a woman. Which of the following statements accurately describes Sam's prognosis?
A. Sam will accept his dysphoria but live his adult life identifying as a male.
B. Sam is at significant risk of suffering from self-injury and suicidal thoughts.
C. Sam will need to undergo sex reassignment surgery if he wishes to live a happy life.
D. Sam will overcome his dysphoria through ongoing and intense psychotherapy.
Answer: B
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