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Gender dysphoria is a mental problem, in the sense that it causes mental distress to be in the wrong body. The treatment is not therapy, it's surgery to correct the body to fit the mind. A therapist can help identify the cause of the distress, but if the cause is the body then that therapist will recommend surgery.
I recall seeing research suggesting that trans people's brainwaves more closely match that of their "desired" gender than that of their sex. It reinforces the idea that being transgender isn't a mental issue, it's a physical issue that causes mental distress.
A trans man isn't a woman who merely thinks she's a man, it's actually a man inside that skull. Only the body underneath it is wrong. It's as if tomorrow you woke up in the body of the opposite gender. That will (after the novelty wears off) start distressing you. Trans people didn't wake up like that, they were born with that feeling.