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No. I've seen the video, and he never says he believes he's a 6-year-old girl or that he's a girl trapped in a man's body or anything like IIRC. He says that he lives a lifestyle where he pretends to be a 6-year-old girl because it makes him happy and helps him deal with shit that causes him stress, and his family is happy to comply with it.
You're right. I watched the uncut/unedited version of this interview. This man's pathology runs deep. Preliminary diagnostic impression would suggest Borderline Personality Disorder, but there may even be some real dissociation occurring, which would suggest Dissociative Identity Disorder; I don't think so though because he's fully aware of Stephanie and Paul, and does not see them as individual entities. In all my years working in psychiatric facilities I've never seen a true case of DID. It could even be a delusional disorder, but you'd have to to really work with him for a while to properly evaluate what is going on. While I would support his "play therapy" as a way of escaping his persistent suicidal thoughts and feelings of depersonalization, this is not a simple case of "no harm no foul." He abandoned his real family, including 7 children and a wife of 23 years.
"By not acting my age I don't have to deal with the reality that was my past." This guy has significant trauma, most likely in childhood. He says that his goal for this is to "eventually grow up." I believe it and I hope he does, but as long as he is escaping his pain he will continue to dissociate back into a child-like state when the past inevitability comes back. He likened it to drug/alcohol use as a means to escape. Well, the those are progressive diseases that continue to disrupt one's life until one works to explore and heal past pains, make amends, and plan for the future. He seems to have just skipped the difficult steps and went straight to planning a new future.