Datun "Is this the binge/purge effect Trans Widows describe".
In my experience, there are times that the transgender feelings are heightened and need to be indulged to the exclusion of everything and everyone else - like a psychotic drug. But, the drug wears off, and when it does the AGP person is left "hung-over" feeling foolish, sick and knowing that they have gone too far. Deep shame at the hurt they have inevitably caused by their own bad behaviour, which they see all too clearly in the cold light of day.
Then the hang-over recedes, but the shame is still there, and to make themselves feel better they take another hit of their favourite drug - the one thing that makes them feel good/sexy/un-anxious. Dressing and playing at being a "cartoon" woman is fun, then they gradually progress to it being needed all the time just to feel the same as when they first put on a pair of panties. Rinse and Repeat - Pink Fog Binge followed by Self-Loathing Depressive Purge.
This person is an extreme example as they have the money and no one (that they respect, ie not women/partners/wives) to talk them into reality. In fact, it is in most peoples interest to indulge him as he rewards them with wads of cash - if you don't have an emotional connection with this person that is a good deal - if you do have an emotional connection the only outcome is to distance yourself - as his family have - as he will only want to pay you off and not give you any of his emotional labour.
FYI Not too dissimilar to Alcoholism really - never free of the compulsion, but understanding that the drug of choice is destructive and not to be used - as it leads to personal unhappiness and loneliness.
I've reread this and I've come across as a rambling mess, hopefully someone can read and pick the bones of what I'm trying to say in a more concise/intelligent way.