Finally, there are lots of folks who mingle in among the transgender community but who aren't easily "classified" as, or recognized as, being transgender. One large diffuse grouping consists of people who have done poorly in life, who can't hold their own among other men, who feel like "failures as men", and who then somehow get into their heads that "maybe they should have been women instead". Perhaps they did a little crossdressing in the past, and then hear about transgenderism and think "Aha! That's the explanation for all my problems!" Or perhaps they envy the dependent "kept status" that some young pretty women achieve, and wish they could find a sugar daddy to take care of them too. In a state of confusion about such things, these people sometimes join TG support groups, or come into TG shelters and clinics in the large cities, and seek help for a "sex change" by claiming that they are "transgender".
These "underachievers" are a very difficult group to sort out and to help. Many suffer from mental illness, others are substance abusers, many are in poor health, and most have other complex psychosocial adjustment problems. Many of these people think that they can be turned into pretty women if only the "doctors would give them hormones and perform surgery on them", thinking that they themselves don't have to do anything but undergo the treatments. Presenting as "victims", they often throw themselves onto the clinics and welfare systems pleading for help.
Unfortunately, such dependent people make very poor candidates for gender transition, since they lack the problem-solving abilities and personal development skills to handle such a complex project, independent of whether such a project makes any sense for them. Lacking clear-cut female gender identities, their transition attempts usually fail disastrously, resulting in further social marginalization. These "underachievers" often haunt the edges of many TG/TS support groups, where they may remain for years (and their visible presence in support groups often frightens young transitioners from approaching such groups). These are sad cases for which there are now no ready solutions.