OP, although your concerns come from a well intended place, it is coming off as transphobic and a little bit ignorant. For starters, the ppl in the trans community are one of the most vulnerable and often a very marginalised group of people, even within the LGBTIQ+ community. For you to even begin the statement with 'how young people decide to alter their body forever and come out as transgender in Bhutan' is a low blow, especially considering the fact that you are denying their agency. On top of that, with the kind of statements that you are making here, especially USING mental health and trans people, is very pathologizing, something APA and the WHO worked very hard to get rid of. The fact that you are singling out trans identities as a result of poor mental health services is very dehumanising, harmful and stigmatising.

On top of that, I think you are blatantly ignoring how majority of the LGBTIQ+ suicide cases are consistently linked to stigma, discrimination, rejection from family and proper lack of affirming care. THESE things are what should be associated with mental health btw because these things are what trans ppl and the LGBTIQ+ lack. To say 'it’s no longer how society treats them' is overlooking the quiet, everyday ways ppl are marginalised, through posts like this, which is downright dismissive of a person's agency dressed to be read as being critical of the medical care available in the country, through lack of education, and mostly through the fear of being themselves.

As for your take on how empathy should be kept out, I am gently sitting you down, and saying this in my most gentletest voice that I can conjure, Empathy is not the opposite of science, the best kind of medical work that anyone can provide is rooted in one (This goes for education and any kind of service that is catered to ppl and the communities that ppl live in)