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I never went to university lumigan discount coupons Replacing homosexuality as a diagnosis, the next publication of the DSM included sexual orientation disturbance.  Individuals that were comfortable and accepting of their sexual orientation were not considered mentally ill.  Those that were in conflict with their orientation were considered to have a mental disorder.  Critics thought it was unlikely that anyone who was unwilling to accept being a homosexual would seek treatment to become homosexual.  The next version of the DSM included ego-dystonic homosexuality instead, which included distress at homosexual arousal.  This, too, was met with controversy and was removed in 1987.