Peacho – the mental health community and the secular world at large is inching towards an ideology where gender is completely in the mind, and that transgender treatments (“gender affirming care”) is being labeled not to treat a disorder, but as a viable option for anyone who decides that they want to be a different gender.
Many people suffer from gender confusion, and no one is belittling that struggle, but what can be belittled – and should be – is how the disorder is being treated and the results thereof. Leitzanusa d’avodah zara, mocking idol worship, includes mockery of all things Hashem hates. And people who mutilate themselves and cause themselves to be sterile – a horrible, selfish affront to “lesheves yatzarta”(Hashem created the world to be inhabited) are reshoim, no matter what led them to that path.
Child molesters don’t wake up one morning and decide to abuse children, and they almost always don’t want it – they struggle, and if they fail, they are regarding (rightfully) as reshoim. Aside from a “it doesn’t hurt anyone” knee jerk reaction, what is really the difference? They’re both reshoim whose mental health struggles led them to do abominable acts.