First off, this is the toughest thing to suggest, but the thing that many doctors would suggest. Go to a psych and DO NOT mention your meth use. Many meth addicts just have ADHD. I have untreated ADHD (can't handle any stimulant for more than a day though so I've had no real battle with stimulant addiction aside from cigs and coke weekends. I will forget to smoke, drink, any of my normal vices, for hours because I took a tiny amount of amphetamines, and meth does it too. Quite simply, your brain doesn't generate enough dopamine to keep you motivated, so meth objectively becomes an appealing option.

I know what you mean. It feels like people who agree that I'm trans are all just buying in on the delusion. It's like yeah, you might call me she, but I'm literally dating you and you won't grab my tits, even though other boys roasted me for having big tits for a "boy". She hasn't touched any part of me sexually other than my penis in months. Yeah, it makes me really fucking dysphoric and suicidal. But at some point, I had to accept that I literally do not value her opinion and want to be a pretty girl without her, and that's just how it is unfortunately. You're worth working towards.