And that's the major thing. It isn't about acceptance or mental health, it is people who are self-obsessed who want to display their fetish 24/7 and doing it in public is something they get off on. It's all about forcing people to confront it and making people, especially women, uncomfortable.
At least, that's why the men in dresses do it. For women, they just get super mega raped, or they're autistic and are trying to cope and sneed about being uncomfortable with their bodies during/after puberty.