A trans person I used to know is definitely narcissistic and dysfunctionally hungry for validation. It's sad because I cared about this person only to watch the toxicity slowly grow over the years until I made the decision to cut contact. And it's sad because people like this need actual help but get roped into TRA nonsense. Whether someone so narcissistic can be helped is debatable, but I watched this person slowly decline into worse and worse behavior that got reinforced instead of called out. It could have gone differently. I imagine it's much the same for others.