As vicious as it gets: -Transvestism in the Diagnostic and Statistical Manual (DSM)

Granted, head-shrinks have modernized their business approach to cross-dressers. By calling them cross-dressers instead of transvestites.

Nevertheless under the hood it's business as usual.

Transvestism is not a mental health condition and is not listed in the DSM. However, transvestic disorder, which is described as the practice of cross-dressing when accompanied both by sexual excitement and emotional distress or social impairment as a result of the excitement, is listed as a paraphilic disorder in the DSM.

--More of that here.

An incredibly vicious circular self-priming business model.

• Sexual excitement: Fresh news for the psychology tradesmen:
  -Women have a sexuality. So what's the point in stigmatizing crossdressers who adopt, clothes besides, those traits of female behavior as well? 
• Emotional distress and social impairment: Isn't it exactly what cross-dressers are bound to feel within the boundaries of a society perpetually conditioned to consider them as immoral and mentally impaired in need of treatment?

Further from the same source.

the fetish is not treated unless it causes feelings of anguish or psychological turmoil for the individual experiencing it

Same player shoot again.

• Fetish: Essential part of the magic trick that turns crossdressing from an inner voice of love and into a purely technical sexual deviation.
• Anguish: Exactly what any cross-dresser feels when coming-out, need we say more ?
• Turmoil: What often occurs when cross-dressers are spotted. Turning heads, dire faces, degrading remarks, politically correct statements. Arrest and stoning/hanging/beheading in some places. How reassuring is that ?

Ka-ching....