[Animats]

That's an escape hatch for religion.

[jl6]

I always wondered if there was a clinical basis for that escape hatch or if the drafting committee felt it was just too contentious to go there.

[Animats]

Probably the latter. Homosexuality was removed from the DSM as a diagnosis in 1973, by a vote of 5,854 to 3,810. Gender identity disorder was removed from the DSM in 2017.