It is very hard for me to imagine what it would be like growing up in such countries where the option of transition as you put it, is made to seem easy and risk-free. My recent interest in the issue, as I am sure, for quite a few on this sub, was conditioned by my own desire as a teenager to somehow be a boy. For a child it may seem as a solution to all problems. And the key word here is "child". Add to that neurodiversity, of which we are only beginning to scratch the surface, body dismorphya and perhaps even the possibility of some hormonal influences on the brain during pregnancy (who really knows?). It is very hard to untangle which influence here is primary and which is secondary and so on. I would also like to add that it seems neurodiveristy has been with us since the dawn of time, and body dismorphya as an issue (especially in women) is also historically pretty well documented - the difference is that people now are encouraged to put these experiences into certain frameworks and have the time and what seems most strange to me, the agency from a pretty early age, to focus on these instead of dealing with the prosaic business of getting on with life. I also think parents in the West are in an extremely unenviable position - there seems to be little time for quality parenting (work eats all) and few opportunities for kids to have a meaningful and rich social life offline.