I think it's autism mixed with some other factor like narcissism. For those that are serious about it, anyway. The one I know is a male, works in tech, is a vegan and only eats certain things. Needs everything planned out. Takes hormones to grow tits. Isn't really a fun addition to any group hang but is OK, considering he never brings it up beyond wearing skirts and jewelry. Very boring to talk to though.

I don't know, man.