A lot of times what people need is just someone to listen to them and it helps them work out their problems on their own if they can just talk it out with somebody who is empathetic. You don't really need a degree for that. However if it's something serious like schizophrenia then they need a real psychiatrist to help them.
Yes but this woman is calling herself a 'counselor.' If she didn't go and have a child, maybe one could saw, she is trying to help people who suffer from the same gender dysphoria, but look at what she is doing to herself here, getting pregnant, after having transformed, to now raise a child under these corcumstances. It's not exercising the best of the judgment.