A 16-year-old assigned female at birth presents to the PMHNP requesting a mental health assessment as part of a gender-affirming care pathway. The patient identifies as a transgender male and uses he/him pronouns. He reports persistent gender dysphoria since early childhood, with intensification at puberty onset. He describes significant distress related to his chest and menstrual cycle, social anxiety in school settings where he is frequently misgendered, and depressive symptoms with PHQ-A score of 14. He has strong parental support, consistent gender identity expression for over three years, and has been socially transitioned in all environments for the past 18 months. The PMHNP evaluates the clinical assessment approach. Which of the following most accurately reflects evidence-based mental health assessment considerations for this patient?