They may honestly believe it all their life.
But if you have a female who ends up with chronic issues around bone density and atrophy from their twenties and thirties and a dawning realisation that everyone else settled down, had kids and have their health and you are looking at disabling issues and being increasingly isolated, that's not really kind to have lied and affirmed unquestioningly. Or you do manage to have a family and realise that and the realistic issue that taking those drugs probably is going to be life limiting and likely to result in your life being shorter and you want that time and a decent quality of life.
And you start to realise that no one told you this properly because they were too busy affirming you and not giving you accurate information which we do know now because everyone was too bloody scared of TELLING THE TRUTH.
This is the problem. It is inescapable. We can't divorce our minds from our bodies! We can't suspend the reality of the consequences of taking these drugs. We can pretend all we like and force others to go along with it via emotional blackmail or coercion but it doesn't actually change anything.
We can have extreme cosmetic surgery but that doesn't change our bone structure. It doesn't change our chemical make up.
It is an extreme form of avoidant type behaviour. This is a type of anxiety. The treatment for this is not to enable this constantly precisely because this becomes disabling in its own right - being trans is a form of avoidant behaviour. So I do believe it's real but I don't think it's something that can not should be just gone along with because this causes harms.
No matter how much we would like to.
That means the parents who tell us we are harming their children by not being honest about this also have an issue and are frankly abusive / also have avoidant type behaviour because they are unwilling to support their child through this and admit that sex does matter. They are just kicking the can down the road to a later date when this realisation will kick in, in some form. It's better this comes earlier pre-medicalisation. That's the bottom line. There will always be something of a cliff edge where you realise that actually you will never actually be the opposite sex despite efforts.
I say this frequently. There is nothing more I would like to do than being able to wave a magic wand and people could change sex. But we can't. And it always comes back to this point where reality ultimately kicks it.
We should not be sacrificing women and women's rights to people who will still ultimately have this same issue where they can't actually be the opposite sex. It doesn't change this immovable 'wall of reality'.
He's sad he's not a female. I'm sure his invisible sister is just completely happy...
It's like gravity and Icarus. Icarus ignored the warnings and he knew better. And he ultimately fell to his death.
There is a whole cohort ignoring the reality of sex and telling us they know better and they won't be affected by reality. This is DENIAL . It is a LIE. We aren't being unkind saying this. We don't help anyone by pretending to the contrary. Indeed it's harmful to do this. We are trying to HELP and to SAVE young people from this inevitably. We ARE kind. It's just that what we are saying is difficult and not necessarily what they want to hear. Even if they persist in a trans identity they STILL will have to terms with this reality at some point or at some level. Because human relationships and reproduction or medical conditions and presentation don't change because you have an identity crisis.
It doesn't stop what we are saying being TRUE. And that's the ultimate problem.
It doesn't matter what the reasons are for any of it. We go back to being unable to divorce ourselves from our bodies. We might be able to divorce our personality from our presentation in terms of online identity or trying to pass to a certain extent but it's still a façade and it is a poor solution to a problem that can't fully be resolved.
To fail to admit this, is to fail children and to fail women and to fail gay people. (And this is why it's not the same as being gay either).