It doesn't cause extreme mental anguish, I just... don't have to play along with childish games like pretending someone can be the opposite sex. I just don't! However easy or respectful you think it would be for me to play make believe, or even just pay two-faced lip service.
That seems to really wind people up but since the executive order today (I'm not American incidentally), everyone is going to have to get used to it.
I don't sneer, by the way. Never have, never will! I'm more of a smirker. ;)