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Science says that there is good evidence that both gender identity and sexual orientation are strongly biologically influenced. There appears to be a genetic predisposition and influence from prenatal hormonal development. There is also a difference in neuroanatomy with transgender individuals brain structure and function being more similar to the sex that they identify with than to their biological sex. Genital sexual differentiation happens earlier and separately from neurological sexual differentiation and there are biological explanations for incongruencies between the two.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6677266/
I don't understand. You say psychiatry is how you handle feelings, and then seem to decry feeling-based medicines. Are you arguing against anti-depressants? Mood stabilizers? How much psychiatric care are you saying we should abandon?