It isn't as simple as I have gender dysphoria and if I don't transition I will live a depressed, unfulfilled life. Life is complex.
Sure, living according to your true self is extremely important, but so is deep love for another. I have been married for 32 years and not so long ago came out to my wife. To make a long story short, she fell in love with a man(me) and is only attracted to men. Even if she stayed married to me she couldn't be intimate. I resented her and felt that she didn't understand what I was struggling with, until one day I realized that I am wired a certain way, but so is she. Why should I resent her for wanting to live according to her own true self. I also realized how very much I loved her and that a decision to transition would result in losing her and living alone.
I felt I was in a no win situation - if I transitioned I would be miserable and depressed because of losing her and likely other relationships in my life. If I didn't I would face years of gender dysphoria. It finally occurred to me that it is my life and I can chose to live it the way I wish. Instead of being mired in the no win situation, I chose to not transition, but accept myself for who I am. I was supposed to be a woman and am genetically and physically male. For me, I don't need to look like a woman to accept myself mentally. I also decided that my love for my wife and other people in my life is a strong force, as well. So now I am at peace, accepting myself without beating myself up over how I should look or behave and basking in the absolute beautiful light of love. I have stepped outside of myself to give my energy outward to those that I love so dearly and in return I have found their love to be that much more greater.