One delusion is believing you're born in the wrong body with the wrong sex despite the biology, chromosomes and DNA.
And the other is believing you're born in the wrong body because despite you being
Christopher Weston Chandler you think you're Jesus.
Notice the pattern? Both are delusions. Both demonstrations of a delusional behaviour. Just that one is nowadays empowered by the society and the other not that much.
Look at this. Its clearly self-mutilation and extreme delusion.
CWCki Self Wound (China) (Disgusting)