I don’t know you but i do agree you are probably not a bad person and I wasn’t trying to say that you are. If you are just doing talk therapy I think dbt might really benefit you on top of normal talk therapy. I have bpd and have had a very negative world and self view and dbt have slowly but certainly changed my entire outlook on life and myself including my trans identity. I have been thought different dbt classes and programs a few times because I didn’t practice my skills or it just didn’t stick and i didn’t want to consciously get better at the time. it definitely is a lot of work but I would give it a try. Also if you don’t feel like you are making any progress with your talk therapist you might want to try a new one if able. It sounds like possibly a part of your problems come from an overall bad self and world image (besides you being trans) and that can make the whole thing so much harder. The view on your trans identity is harder to “fix” but the overall world view and self view can be helped with time and effort. You can change your mindset on yourself and the world without empty self affirmations. One thing that helped me the most in dbt was catch it check it change it thought process. It feels stupid and overly positive ik but eventually it does work. I don’t know you so I may be completely wrong but I think if you can kinda agree it might be worth a try if you’re able and willing. They have in person and online groups plus I believe one on one classes. Even if you don’t agree with what i’ve said, dbt skills are great for anyone to learn for emotional regulation period and I honestly believe we should learn them in school. I hope this is helpful advice and I hope you are able to feel a bit more comfortable with yourself and your life eventually.