You don't. There's no real safe places to get therapy or talk out those kinds of feelings. Never have been. If you're confused about it you can either go with the affirming types who will push you into the transition path. Or you shut up and do and say nothing.

It's quite bad because we don't really provide the common sense answers anymore. It's totally fine if you aren't happy with your body, hell it's normal, every kid going through puberty feels that way I think, it's also totally fine to be unhappy with your sex I guess? I mean I don't really know what that means but if you say, don't like menstruation or something, don't like how your back hurts from breast growth, don't like uncomfortable unwelcome erections or hair growth, whatever the consequences of puberty are, congratulations, you're normal.

I think in western society there's just long been this really, I want to say disgust, abhorrence, of basic bodily functions. So far as we consider words like piss and shit to be curse words. Sex is another one where there seems to be this just prudish attitude towards the whole thing that varies from people who want to bury their heads in the ground and pretend it doesn't exist to the opposite who think anything short of brave new world is an imposition on their freedom. All mad really.

So between the hardline conservative views where they try to have the strict gender rolls but tend to want to pretend sex doesn't exist at least to the kids, and the hardline liberal types that say everyone is the same and that all sexual expressions are equally valid, I think we've basically created the kind of environment where kids grow up, experience unhappiness, and think "wow there's something wrong with me" instead of just accepting that it's normal to feel unhappy. It's normal to to be like totally psyched about everything. And it's normal to be uncomfortable with yourself as you grow. Those feelings will pass eventually.

So I don't know really how you help those kids in today's world. I think you need to start asking some really uncomfortable questions about why they feel like they are the other sex, and I think the answers are often going to come down to other unrelated criteria, depression due to feeling unloved, unwanted, inadequate, for whatever reason. Could be due to being raised in strict gender rolled societies, I can see why a masculine woman or an effeminate man in a strict Muslim society may feel they are the opposite sex because they don't conform with the social ideal. Could be that they are merely gay and can't accept that aspect of themselves. Or maybe they are neither and just don't feel fulfilled in life and are desperately searching for answers. Maybe the comparison to addictions isn't that far off. Alcohol is an answer to that feeling many people find, though it's neither a good answer or a long term fix. Some seek it out through sex I think. Even marriage in the traditional sense as many prefer to settle with a suboptimal partner rather than face the world alone.

I'm not really sure what the answers to fix the issues are. I think that society in general is deeply broken. A lot of people are coming out of broken homes, families, into broken school systems, broken societies, broken economies, broken governments. And everyone wants to find some meaning in their existence as the current cultural zeitgeist of amoral materialist nihilism is hardly satisfying beyond the initial high you get from understanding that your problems aren't really as big a deal in the big picture of things as they seem to you, which is a good thing to know but it doesn't actually fix your problems.

I think in the end the only real answer to this is "community". Not big C cultural utopian revolutionary bullshit. None of this we are all equal and property is theft and nonsense like that. You need friends, you need family, you need your "church" or temple, or university, you need some job or task that makes you feel useful, you need all these aspects of your life working together. That's hard to do, but I think at some point our society started to really lose communal ties, the communists say it's due to capitalism, I think they may be right, the economic system has created a world where interpersonal relationships are secondary to profit relationships, yet that isn't entirely the whole picture. The communists were idiots who thought the state could somehow take the roll as the sole communal authority bypassing all other ties, but what is the state except a different kind of corporate organization? Albeit a larger one without voluntary association?

No the only thing to do for it I think, is to have a party. Get together with your neighbors, have a feast. Build relationships, rebuild social ties from the bottom up. And let the gender harpies and the antisocial crazies be miserable and sad by themselves.