One problem is we're treating transgenderism as a condition when it is a symptom of several other conditions. One of those is identity disorders like schizophrenia. A patient will come in and have complaints like "my thoughts are really disorganized and sometimes I feel like other people are putting thoughts into my head and I don't really know who I am like maybe I'm a ghost or a girl". Then the strip mall psychiatrist will latch onto the very last word and tell the patient that obviously this means they're transgender. Then give them hormones that will wildly destabilize their mood and tell them that all of their problems are actually society out to get them.

Similarly there was the case of the topps grocery store shooter, who had obvious psychotic symptoms (animal torture, the reddest of red flags). But he also said he felt sad, so the hack psychiatrist loads him up with anti-depressants - drugs that we know will increase suicidal ideation.

We've got this idea that because "the science" tells us that these drugs are safe, that they never cause harm. 99% of the time they are. 99% of the time, water puts out a fire. Until one day you spray it on burning magnesium.