Except that undergoing hormone replacement is generally the accepted and recommended /treatment/ for the psychological condition known as gender dysphoria, and therefore IS part of the 'psychological help to overcome your issues' one might suggest.

I'm not sure I follow you here. Are you seriously the type of person who thinks all transgender people are "mentally sick" and that sex reassignment surgery is "mutilation," like what I often see from alt-right commentators? (if I see that "Black Pidgeon Speaks" guy show up in "related videos" on YouTube one more time I'm going to look up a "stop showing me the related videos sidebar" app for Chrome)