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In Healthy People 2010: Companion Document for Lesbian, Gay, Bisexual and Transgender Health. LGBT people don’t necessarily feel they need special treatment, but they don’t want to have to explain or justify their lives or relationships, especially at a time when they may be in crisis or in need of personal care and support. The Department of Defense, which exists to keep the nation secure and at peace, must always be guided by this principle. One such voice, American psychiatrist Paul McHugh, goes so far as to suggest transgender people’s real difficulty is “underlying psycho-social troubles”, which constitute “a mental disorder that deserves understanding, treatment and prevention”.

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