That’s because their mental illness isn’t being treated properly. Mutilating their genitals and giving them powerful drugs just makes the mental illness worse. But Josef Mengele wannabes don’t care as long as they’re getting rich off the suffering of their patients.
In more than twenty states it is AGAINST THE LAW to provide mental health therapy to help people with their gender dysphoria. And the main medical organizations say that the ONLY way to treat gender dysphoria is medically (hormones and surgeries).
Here in the state of Washington they just passed a law that if a child (14 to 17) wants to transition and they are afraid that their parents won’t agree with them, they can run away to a shelter and the state will take care of their procedures without telling the parents where the kids are or what they are doing.