<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 13-year-old boy is brought to the physician by his mother because she is concerned about her sons behavior. She reports that he has been wearing her dresses at home and asks to be called Lilly. He also stopped going to swim class because he doesnt feel comfortable in swim trunks. Since starting puberty about a year ago, he has not had any friends and the teachers report he is consistently being bullied at school. His academic performance has been poor for the last year even though he had maintained an A average the year before. The mother further reports that her son has had mainly female friends since preschool. She also mentions that as a child her son never enjoyed playing with typical boy toys like cars and instead preferred dressing up dolls. The patient was raised by his single mother from the age of 8 because his father left the family due to financial issues. He appears shy. Physical examination shows normal male external genitalia. There is scarce coarse, dark axillary and pubic hair. Upon questioning, the patient reports that he would rather be a girl. Which of the following is the most likely diagnosis?? A: Gender nonconformity, B: Sexual aversion, C: Body dysmorphic disorder, D: Gender dysphoria, E: Fetishistic disorder,  <response>: This is a question about gender identity disorder in an adolescent male. The key findings in the stem are:- The patient is a 13-year-old biological male who prefers to dress as a female, uses a female name, and expresses desire to be a female. - He avoids male gendered activities like swimming and playing with boy toys. - He has always had mostly female friends.- He is experiencing social isolation and bullying after starting puberty. - His academic performance has declined.- He was raised by a single mother from age 8.- Physical exam shows normal male genitalia and early pubertal changes.Based on these key findings, the most likely diagnosis is gender dysphoria. The other options can be ruled out:- Gender nonconformity refers to behaviors and interests that differ from gender norms but without distress. This patient is experiencing significant distress.- Sexual aversion, body dysmorphic disorder, and fetishistic disorder do not fit with the clinical presentation.D: Gender dysphoria 