Sort of, yes. You see, many people who begin down the road of open degeneracy do so because they have, among other things, severe depression that has left them feeling isolated and without an identity to call their own. To compensate, they latch onto identities that make them feel accepted and validated by their peers, deluding themselves into believing that such outlandish and harmful self-images are correct and it's simply society that is wrong. At first, adopting such images makes them feel like they've finally "fixed" whatever is wrong with them, and that they finally know who they are.
But such victories are short-lived, because there is still the empty black void of depression that seeps into their day-to-day lives, and eventually simply identifying as "transgender" or whatever they've chosen does not make them feel good about themselves. So, they seek out more and more extreme ways to deal with their depression, ways that do not force them to confront their life choices up to that point and allow them to live in the bubble they've created for themselves. Messed up fetishes turning into lifestyles, hardcore drug habits, championing social justice causes to the point of religious fanaticism, there are a myriad of ways people choose to address the emptiness inside of them, and unfortunately it's a neverending spiral that is untenable in the long-term. They will either come to the realization that it isn't working and seek balance alongside therapy, or they will simply kill themselves when they can no longer sustain their way of living.