@roadriverrail I'm not super familiar with all the gender trauma arguments but I suspect it gets into the last bit of what I said. Because the medical system is looking for a disease to treat, the medical definitions and diagnoses focus on things like depression and anxiety. You have to prove you're in enough gender-related pain to be worth it for them to pay to treat you. 🙄 Before transition, I would lay awake nights wishing I could be a girl and fantasizing about how that could happen. They don't care one iota about my desire, just the fact that I was losing sleep. It's the worst sort of capitalist gatekeeping. In that sense, maybe the symptoms they're looking for would be better described by the word "trauma" but that's because they're largely looking for the wrong things.
When you instead shift from a disease and treatment model to asking "what does this person need to thrive and what's standing in their way?" we can look at things in a far more nuanced way. I can say "I'm far happier on estrogen" and that's enough of a reason for me to be on HRT without having to prove that I'm miserable on testosterone.