Mentally ill + low self esteem. Trannies by definition have low self esteem. It’s why they want to change. Then they realize changing made no difference to their self esteem, just made it worse.
And now it's coming out that the horrific side effects of the therapy and surgeries is a further reason to commit suicide when they realize they were lied to by therapists, counselors, Doctors and so called friends with a vested interest in perpetuating the scam.