Yep that's why the years of counseling the requirements to live as the opposite sex for at least a year before starting transition and all the other "gatekeeping" policies used to be in place. I don't think the research ever was conclusive but I think it's reasonable to assume that for some small segment of the population the gender disphoria is their main issue and that living as the other gender does help to alieviate that. But you've got to filter out the people who might not actually be that. They might have some other mental health issues or challenge and mistakenly think it is some kind of gender dysphoria. Or perhaps they actually do have gender dysphoria but it isn't the root cause of the problems and is merely a symptom of some deeper underlying problem. And when these problems aren't solved then they become despondent when the gender transition doesn't work after making great sacrifices and life changing decisions there that are ultimately useless for them. It's really sad. The real transphobia in society I think comes from the fear of anyone to really try to look at these issues critically. The average person merely parrots what they've been told. Self identification of a mental health condition and conflating it with an identitarian political bend is exactly the kind of situation that leads to disaster and trauma. And ultimately it's a ripe field for opportunistic unscrupulous individuals to harness the capitalistic medical machine to reinact a real life version of the Sneeches.