he doesn’t have a mental condition- he has a sin condition- His heart is desperately wicked, and he decided at some point to give his life over to the abomination of transexualism with the full knowledge that what he was doing was immoral and disgusting- He shook his fist in God’s face and declared that He, Bruce, would not be told what to do by the Holy spirit, and he, Bruce, would live out his disgusting sexual deviancy despite the consequences
He is a sinner who is a sexual pervert who will go into hell shaking his fist in God’s face unless he repents and Accepts Christ as his Savior-