I've met and worked with quite a few, and it tends to be like 60/40 sane/crazy. It's a small group, and it's a radically d  29ae  ifferent group from the majority of society, so it tends to attract people who want to be trans* but are not. Some of the crazy people are just pre-treatment and have gone through some awful things, and they get a lot better once they feel it is safe to act and present themselves as their true selves. Some of the crazy people just need to go to a doctor to get their brain problems sorted- and that is as often as not just talk therapy. And about half of the crazy people are just fucking nuts, trans or no trans. My favorite was the guy who insisted he was intersex, despite multiple tests (including chromosomal) that showed he was not. He wanted everyone to call him "xe" and insisted he was a woman. Last I saw, he had gotten committed for attacking a clinic doctor who was trying to get him to see a psychiatrist. Crazy is crazy, and the trans* community unfortunately attracts some of the worst of them.