Why?

(Try to find out what feelings and needs are alive in the other person: empathic resonance)

Do you feel uncomfortable/worried when you see someone not behaving the way you believe a 'normal' man/woman should?
Do you like it to have a clear order?
What I’m hearing is that you are not comfortable by people who declare themselves as transgender, because you think that they are supposed to be either a man or a woman. Do you like to have some kind of clarity or ‘normality’? Am I right by saying it this way?

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What if?

(‘Mirror questions’: how would it be if you were standing in the shoes of that person)

Do you know a person who cannot fully identify with the sex assigned to him at birth?
Can you imagine how they are feeling when they are called sick?

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Self-reflection

(Questions you can ask yourself in silence to support yourself in understanding the other person)

How important is social comfort/clarity for me?
When do I have the need for it?
How do I feel when this need is not fulfilled?

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Empowerment

(More information on the issue and tips how to explore the problem and continue the discussion)

The WHO disqualified homosexuality as a mental illness in 1990, but it took almost 30 more years for transsexuality to follow the same way. Since the publication by the WHO of ICD-11 in 2018, the general classification of diseases, gender identity disorders are renamed gender dysphoria and moved from the category of personality disorder and cognitive disorder to "sexual health conditions". Therefore, being a transsexual is not a disorder, although some disorders, mainly stress, anxiety or depression, can be suffered because of the intolerance and discrimination that these people often perceive.
The variability of gender or gender identity in human beings is a variable and broad-spectrum, as transcultural analysis has shown. Gender variance is built through interaction within specific historical, social and cultural contexts.