I do recall there was a recent court ruling that due the wording of the law requiring "continuous" residence or something similar, that you had to have literally not stepped foot outside the state for the residency period for it to count. Not sure if that has been fixed yet. No one was happy about it and it wasn't the intent of the law, but a judge ruled that that's what the wording said.
I can't speak to what the actual organisation is like, but I know a trans woman from America who now lives in Ireland set up this website to help trans people emigrate: https://www.transemigrate.org/
I don't really know how hard it is for a given American to get permanent residence or citizenship though. I think the woman who set that up was able to get citizenship through having an Irish grandparent.
voxpoplar wrote
Reply to Do you ever feel like "wow! being on the internet has made me insane" by neku
no but it definitely helped me understand my brain problems