Yes, you are quite correct: I am not at the end of my rope and I don't know if I am transsexual, but I am certainly transgender. I have transitioned to the degree I have because I have needed to in the present day.
I did not feel the same way in childhood: I was sure then that I was male ("innate sense of identity") -- but I did wonder why the other males had to be so strange.
I have been on hold recently, not needing to go further during that time, but I can tell it is creeping up on me. It was 15 months ago that I started HRT, which dampened my dysphoria considerably, and I have been adjusting and processing with the new brain chemistry.
By coincidence my workplace has been very very stressful during most of my time on HRT, quite hard on everyone. I find out today if my job is definitely gone or is provisionally gone or will continue. When contemplating life after my present job, I realized that I have accepted that I will be going further, but the form and timing of that "further" are still open. I am not at the end of my rope yet, but my instincts are telling me that I will need to change more.
Yep, the story of my life: analyze, analyze, analyze, eventually come to some kind of logical conclusion, then throw away the logical conclusion and act on my heart. My regular (non-gender) therapist has been remarking on this topic.