A 16-year-old transgender male (assigned female at birth) is referred to the PMHNP for evaluation of depression and anxiety. He came out to his parents eight months ago and reports that while his mother is 'trying to understand,' his father refuses to use his chosen name or pronouns and has stated he is 'going through a phase.' At school, he has experienced verbal harassment in the locker room, and a teacher repeatedly uses his birth name despite being corrected. He describes hypervigilance in social situations, constantly scanning for potential rejection, and has begun avoiding school cafeteria and social events. He has supportive peers who affirm his identity. GAD-7 score is 14 and PHQ-9 is 18. He denies suicidal ideation currently but reports passive death wishes three months ago. The PMHNP applies the minority stress model to conceptualize this patient's presentation. Which of the following most accurately reflects the application of the minority stress model to this clinical assessment?