Dysphoria and sexuality

Gender dysphoria cannot be unglued entirely from sexuality because the latter forms an integral part of every human. If the brain does the thinking, then the genitals seem to channel a primordial sensuality through which joy can be expressed. 

Historically, when patients seeking transition were pleading their cases before gatekeepers they made sure to leave out any sexual overtones because they had been educated to think that sexuality somehow negated their feelings. Religious and societal prudence had left sexuality outside of boundary of heterosexual wedlock as perversion when the reality is that it can serve as an emotional release for many.

But the point wasn't whether some sexual energy was present but instead what was behind it. If the questioning of identity lay underneath it was worth exploring since the occassional sexual arousal could be seen as a manifestation of an underlying yearning which the brain was exploring and for which emotional release was sometimes required. Not all gender variant people need or want to medically transition but they all need to understand whether behind any sexual energy lies a much bigger portrait. Is it simply a pleasant reward which comes with playing gleefully with gender expression or is there much more? 

Blanchard got it wrong because he stopped at the surface after he found what he was looking for which was dysfunction, but today's clinicians dig below the surface to find that something more which ultimately only you know the answer to.