I have great sympathy for young people in distress about their emergent adult body and/or their sexuality and/or the sex-stereotypes of presentation or behaviour (gender roles) that they are consequently expected to fulfil.
People struggling under the burden of distress need abundant talking therapy and and exploration of underlying reasons and the appropriate treatment for that for the anxiety or OCD or depression. As do other kids in distress for unrelated reasons and the underfunding of CAMHS is scandalous.
The rest of the solution is politics. Gender is a trap. Lesbophobia and Homophobia are wrong and need to be actively opposed . Misogyny and sexism are wrong and need to be actively opposed.
Gender requires political dismantling to make a healthy environment for all of us, regardless of our immutable sex. So making up individualistic solutions is both not evidenced to help personal distress, but also, while individuals have no obligations to help others, I think everyone should be aware that adopting a position of ‘I’m a special category, get me out of here’, is likely to makes things worse for others who may also have distress about gender expectations or their emergent adult body or their sexuality. Because it assumes (and encourages others to assume) that those who don’t adopt a ‘get me out of here’ label or who dont seek a medical solution to living in the trap of gender, or to homophobia or to sexism, are happy and content and are not also struggling in the trap.
Also, I think everyone in society does have a political or ethical responsibility not to perpetuate lesbophobia and misogyny, homophobia and sexism, and so we all need to consider where our personal solutions to the gender trap put us in discharging that responsibility. Obviously (bearing in mind structural inequality which is widening) there are reasons that make individual more or less able to act on this responsibility in their personal lives and I appreciate that. However, it does seem like we often tend to be talking about quite privileged people with lots of options and capital of various kinds taking an ‘identity’ approach to getting themselves (supposedly) free of the trap.
So I hope that (when well enough and with as much as possible else being equal) everyone who believes in individualistic approaches will also bring their talents and thoughtfulness and sensitivity to help to dismantle sexism, homophobia and gender stereotypes for the benefit of all of us.