>>82398722
it's this + autism. major autism identifier is being prone to binary thinking, 1s and 0s, thing can ONLY be THIS or THAT
so the scrawny autist is smart enough, and sees that he's not achieving success as a male. doesn't perform the gender correctly because of various individual reasons. well duh! obviously that's because they're not a man at all!
but unfortunately for them, it is not true. they remain male. they have male brains, they perceive and perform femininity through a male lens, unmediated by the experience of being socialized from birth as a female.
another piece of the male brain evidence is the logic of thinking that all this can be 'fixed,' like all their problems stem from a bad system-error, and if they self-administer hormones it will change everything. the blueprint remains the same.
autism also heavily comorbid with ADHD, meaning that even if the autist in question could maybe reason their way out of this cognitive trap, they won't because they lack executive function and are easily distracted and discursive.