I mean the first and foremost principle of the DSM is that if the patient is not reporting or experiencing a debilitating ability to live a functional life, and is otherwise happy with their own lived experience, then whatever symptoms they have aren't a problem.

There's obviously a gulf of potential argument in that definition, but a unique form would be people who report hearing voices, but they're not hostile or angry..so actually it's not a problem.

Well put, very true! I think (?) the technical term is “distress”. This is also their out for not getting rid of “transvestic disorder” yet, which they swear is totally unrelated to trans people, it’s just for men who feel compelled to wear dresses and are sad about it…