Wait I thought people could be trans without medical treatments and counseling because gender identity is a construct and not reliant on one's secondary or primary sex characteristics but rather reliant on their decision to identify with a gender they were not assigned at birth. Like I get it is the onion, but I thought people who think you have to have gender dysphoria or medically transition are called "transmedicalists," and much like "terf" I'm fairly sure "transmedicalist" isn't a compliment.
I'm not trans though so I could be wrong, but this is how it was clearly described to me by a nonbinary individual, a trans man, and a trans woman, all of whom I am friends with and one of whom I was dating at the time, so if I misunderstand so do they, I didn't make it up myself.