That's the issue. Identifying as a different gender isn't a disorder, but the dysphoria that often accompanies it is.
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That would fall under "conflict with society". If a job had a dress code and the trans person could just dress as their biological sex, then there is no problem. If they were reluctant to dress as their biological sex because it caused distress, then you're back to the diagnosis.
Yes, we seem to be getting back to it! So, now, what if a trans person refused to follow sexist dress codes because they had a strong sense of justice and wished to live freely and advocate for a better world, but felt distressed by the discrimination and financial insecurity?
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Presumably the psychiatrist would have a long discussion with them and probe their motivations for their actions. If they surmised that the patient was doing it as an act of political/social protest rather than from a personal discomfort with their gendered self-conception...
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...then they would have reason not to diagnose them with a disorder. This is assuming a competent doctor who takes this seriously. What you'd encounter in real life varies tremendously. The spirit of the guidelines is to provide a general framework.
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