I have been struggling with gender dysphoria issues for years (I'm 22, its been going on since I was in middle school to different degrees), having gone to a therapist, elected to not take hormones because I thought I could adapt to my gender without them, and now am struggling again. However, I don't feel like I am, at this moment, a woman. I feel like I would be more congruent with my gender if I was female, and I continuously think about how I want a female body, and I have a near impossible time relating to most strongly gendered males. I feel like I have a mind which is innately strong, directed, and feminine, but I couldn't possibly tell someone that I am a girl right now.
My real question is still whether you need to actively feel like you are the opposite gender to have gender identity disorder. I feel more like a girl (tomboy I guess you could say) but I'm a very literal person and I'd have a hard time saying that I am a girl. So input on that would be helpful, especially from anyone who is trans.