Stark denial of reality is at the heart of transgenderism. It is fundamental to transgenderism. It has always been so.
Old-school transexuals recognised that they could not change sex, just their appearance. They recognised that the way the rest of society interacted with them was a response to the way they presented themselves and the way they behaved. They recognised that their surgeries did not change society.
Old-school cross-dressing men recognised that they did not change sex when they put on feminine-coded clothes. They recognised that their behaviour was purely about their own pleasure. Some, no doubt, denied that other people’s negative reactions enhance their own pleasure, but most recognised this, too.
Neither of these were transgenderism. It became transgenderism when these men began to insist that society join in with their fantasies, when their fantasies were given more weight than reality.
All I know about this young man is what I read in the article, but he does not strike me as belonging to either of those groups. He seems more like a pre-teen/teen struggling with the realities of puberty, or like a young gay man struggling with internalised homophobia, or who hasn’t yet understood that he is gay. He is another casualty of the stark denial of reality resulting from other men’s fantasies being given more weight than reality.