Transgenderism has been hijacked by loudmouthed grifters and/or sex pests with its biggest victims being true and honest trans people. Many of whom are aware they're unwell, and just want to deal with it as quietly and discreetly as possible.
This has been my experience as well, being intimately acquainted with the trans movement for many years. It's a sad thing, but the mental illness, if they are indeed not an individual transitioning due to a fetish, that causes you to not recognise your own body and sex, and to feel so crushed by internalised gender roles that transitioning seems to be the
only possible chance at freedom, runs very deep. It's a very elaborate method of escapism, it's why the old guard "true and honest" transsexuals express that they felt like a weight had been lifted from their shoulders, why they suddenly became a happier and more emotionally available person, and why they react so strongly to having their escapism shattered (misgendering, for example). There is trauma that runs very deep that is crushing, and being reminded that their constructed reality is not actually
true triggers a flooding back of whatever deep-seeded childhood abuse, sexual abuse, or other mental scars, which they try so very hard to keep buried.
Typically, these "true trans" individuals were non-conforming in one area or another from early childhood, maybe they were effeminate boys who were harshly punished for their emotional disposition and interests, or butch girls who were made to believe that they would never be good enough by being their natural selves, and were subjected to corrective punishment by their family or peers, sexual or otherwise. They believed, "if only I had been born a boy/girl, then I could be good enough, then I could do what I wanted without being punished". Even after you leave home physically, a part of you is still that scared kid, internally, and they still believe they can only truly be happy and free as a wo/man. They believe that their childhood nonconformity is evidence of them "really" being a boy/girl.
The mind does odd things to protect itself, and for these individuals, surgery and hormones and clothing, are
less dangerous than emotional vulnerability and tackling these issues. If you suppress this trauma rather than working through it, even at 55, you can still be reliving what was done to you half a century before. You must understand that transitioning is a palliative care to treat the symptoms of the disorder, without addressing the actual patient history that lead to their current mental state. No matter how much they alter their body, they will always carry their gender dysphoria with them, just like people with PTSD will always carry their trauma with them, no matter how far they run with it. Just talk therapy and happy pills can't do much for this kind of mental damage, and they're left feeling like they have no other option other than transitioning or suicide, because it is an omnipresent kind of mental anguish, and I'm inclined to believe that most people with it lack the courage and mental fortitude to address their past and learn to heal themselves.
However, in the same way that those with crippling PTSD have sought relief through psychedelics and healing themselves, I do not believe that transitioning is the only solution, or that getting better is impossible. I pity the transsexuals who still pursue transitioning, their will for escapism runs so deep most won't even consider any other alternative options, they want to believe that they were born trans and that it was an inevitable fate, to change their appearance so radically and to be afflicted with this mental illness. I am of the mind that the only "good" transsexual or transgender person is one who is not trans at all, but is pursuing mental and spiritual wellness and learning to face their demons. Easier said than done, of course, but I did it.
Every other trans person, by existing, propagates transsexuality via social contagion, presenting the idea that escapism is a healthy solution to mental illness, rather than confronting their issues head on. People will do as they will, it is their right, but it is in no way "good".