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Sounds about right.I listened to a podcast with Oprah Winfrey and a psychologist she had worked with and one thing they said was that not belonging and trying to fit in over an extended period of time can lead to PTSD that is just as bad as coming from a single traumatic event. You're constantly not able to regulate your emotions and feel safe and those micro traumas continually build up (I am writing from memory, so may not be explaining it exactly).
As a rule of thumb, everyone with gender dysmorphia has PTSD, as do a huge majority of the LGBTQ community, even if they've since worked their way through it