Exactly this. I think very few of the people diagnosed (by the extremely flawed diagnostic criteria) actually have true, organic gender dysphoria. I think most are just depressed, anxious people with bodily dysmorphia (especially the female-to-male ones), whose delusions are affirmed by doctors that are obligated by their law or company policies. These policies come into place because people are threatened by extreme transgender activists to enact "gender-affirming care" policies that don't allow doctors to disuade a patient