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Both of those profiles would cause me to personally put them well within the "genuine" category. The small fraction of trans people I wouldn't don't match either of those. It's the lack of self-awareness which so strongly echoes manic delusion that prompted this hypothesis in the first place. They become upset when other people don't match their idea of how their gender should act, presenting in a boom/bust cycle where they go from overconfident to a breakdown and back.

Does your course of treatment change?

Is there a useful difference in the course of treatment? I don't know, but I can't think of one.

Social I think the biggest difference is having an explanation and knowing it isn't their fault. My hypothesis is a defense against bigots who use certain examples of the trans population as weapons to argue against the rights and validity of trans people as a whole.




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