However, some people do need psychological help re: their gender and I always think help in some form is a good thing before transition. If it’s not needed then fair enough but it’s good to check in.
Most trans people need therapy to cope with an ignorant, bigoted world. Not to receive “expert confirmation” of who they are. It isn’t that trans people have “gender issues”. It’s that cis people take issue with our genders. Tremendous difference between the two. Even for trans people who are struggling with their identities, that struggle exists because our world is built for binary-normative cis people and that bias is enforced with emotional and physical violence.