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Sometimes people (guys and gals) may feel as if they can't relate to anyone, and after a long time are in grave despair. Seeking out a group that will accept them if they "realize" they are like said group "saves" them. Sometimes it may be a chronic need to just belong. 
More people are isolating themselves with less need to venture outside due to the internet. They find online communities that embrace them. Thing is, they adopt the beliefs of that community to integrate more. Which would be fine if said path didn’t lead to medical intervention.
The Internet (social media) is a big factor. I have a niece that has always had issues with depression and not belonging since her parents divorced. She grew up like most other little girls. It wasn't until she was 16 she suddenly "realized" she felt more like a boy. (1/2)
If she's happy with this community and group of people, more power to her, but I hope that she doesn't go as far as changing her body. I was close enough to her to know that I don't think this would be a long-term wise choice.
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