This girl: - is scared to get on birth control because it might feminize her body - is scared to go to the gynecologist because it makes her "uncomfortable" - is too poor to afford a binder, but plans on dumping what little money she has into her "identity" - needs to "punish" anyone who pokes holes in said identity

This is why affirming is bad. She can barely barely function on the internet, let alone in the real world, because the simple fact that her body is female is deeply distressing to her.