Let’s for a minute not question the validity of using an illness model to discuss the gender spectrum. Let’s assume that gender identity disorder is a thing.

What ELSE could it mean when someone AFAB tells you they’ve been deliberately presenting as male for months and months just because that is in line with how they feel comfortable and that is how they see themselves and want to be seen? Assuming that the person isn’t lying or actively delusional.

Really it doesn’t strike me as being that deep. People are who they say they are.