The more narrow and restricted a person's life style and awareness of life, the greater the level of guilt. For the transvestite and transsexual repression is a great source of guilt. Then, on the other hand, when a TV or TS is more self accepting, he or she experiences a higher level of existential guilt due to a heightened awareness of freedom, responsibility, and choice. The former form of guilt is more likely to be unhealthy, the later healthy. Both can be disturbing.
Guilt often highlights an inner conflict between personal experience and one's social persona.
Again, denial of this conflict and its associated feelings of guilt will lead to unhealthy guilt. It is better to face and attempt to resolve the conflict through learning more about gender issues, joining a support group, or seeing a knowledgeable therapist. One's inner experience cannot be ignored. A healthy life permits a dialogue between the social persona and inner experience. We cannot blame others for our guilt feelings.