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[–]MaleFriedanFan 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (0 children)

Sometimes it is hard to gauge a person's seriousness because they are uncomfortable revealing the extent of the crisis. For some people, transitioning is their alternative to suicide. They have trouble seeing a way out of what they are struggling through, so when transitioning promises a solution it is very compelling.

So whatever you go with, it's important to provide another way out.

As you pointed out, she is considering this despite it causing family problems, which means that to her, the problem she is currently struggling with is big enough to make it seem worth it.