I think social media more broadly is to blame. Puberty is an awkward time as is, and it's a vulnerable, confusing, and even sometimes scary time, especially for teenage girls. And now we live in a culture where the emphasis on your appearance has been amplified. The ability to make targeted attacks against people has been amplified in the form of social media and cyberbullying. And I think a lot of teenage girls are having a very difficult time navigating through all of that.

Remember when the dialogue not too long ago was how harmful all of those photoshopped models on the magazines were? Now think of how many photoshopped images of people's faces and bodies we see a day compared to then thanks to Instagram and Facebook. It's increased tenfold.

While I do think there is an organic rise in trans identification as a result of rising acceptance, there is no doubt in my mind that social media has sowed extreme confusion, anxiety, and fear into teenagers. And that being trans is seen as a way to cope with a pubescent experience that is three times as uncomfortable and embarrassing as it used to be.