Projection. These people can only write therapy sessions to exorcise their angers, frustrations, and many failures in life.
Remember: they claim to be happy as troons, but if they did take hormones, it messed up their bodily functions (sex hormones do more than just make one grow facial hair - they are also involved in many key metabolic processes), and sex reassignment surgery leads to nu-vadge or nu-phallus that do not work like the real things. They will always have a painful reminder that they do not function as the sex they left behind as well as the sex that they have embraced. There is a very real reason why therapy used to the mainstay of treating gender dysphoria and sex/hormone treatments are considered the last resort - there is no return once you begin, and you will exist in a state of half- and half- of each gender but never really any of them.
Also, many current trans don't really have gender dysphoria. They conflate their own autism, failures, or issues that make them feel unhappy with their lives as "Oh, this means I'm not really myself, I'm a boy/gal in the wrong body!" and imagined transitioning would magically cure all their issues. Spoiler: it won't.
So yeah, always angry, always needing love and respect that rarely comes. Because of this, their trans status becomes their entire identity - because it's all they have left.
Except for non-binary - those are just straight or gay mutants making up a tag to be super extra attention whores. Fuck off, Patrick Weekes. Staff Taash up your ass.