If your truly insane then does your awareness of self disappear
No, but if your truly insane then you think you're OK, and everyone else is nuts.
But its a lot easier to blame everything on being trans
It is. I've watched that happen IRL and on the net now for over 3 decades. In some, almost blessed cases, it's that one thing, and that one thing alone. Often though it's not. And, to be candid, a lot of that stuff might well be a milestone like getting an M or F on the old DL, but to everyone else, perhaps not so much. Calling you by a name, any name, you choose is easy, and that is 'acceptance' on one level, but it's not being part of the group, or the crew, nor does a name, or a letter on the DL make you 'one of the boys' or 'one of the girls.' That kind of acceptance takes time, effort, and no doubt, some pretty radical thinking for a lot of people.
To the degree that a lot of this become self-absorbing (or that self-absorbed people find their way into it - both are true) is perhaps the greatest liability that all of this entails. And the best advice, perhaps the only way out of that that I'm aware of, is to get involved in something much bigger than yourself.
