Its not about how AI is taking over or how robots are going to stuff humans into a simulated reality, or that we might already be in a simulated reality.
Its just about how trans people go through intense trauma from divorcement from their internal needs that the brains response is to dissociate from the world so nothing feels real and pretransition they will literally take part in simulating a reality that doesnt feel right but they wont understand why until they realise they're trans and stop simulating being a different person entirely.