True story: when I was in college and working part-time in a coffee shop, two of my regular customers were studying to become psychiatrists. They were friends, always came in together, both very effeminate in their mannerisms. BOTH started cross-dressing and were planning to have sex change operations. This was back in 1973!!!!
I was only 17 years old, had been brought up in a “normal” nice protective home, I had no idea what these two guys were about. They were nice enough, though, always left a tip, but JUST D@MN!!
Yeah, well I used to be a dental hygienist and it was an oft repeated fact that dentists had the second highest rate of suicide of all professionals. Psychiatrists had the first.