There's no difference any more. The extremists have taken over the whole conversation around it and we're getting increasingly unhinged takes on their 'struggle' - to the point where they use words like genocide, which is absolute madness. Being gay or trans in the 80s, now that was a struggle.
Nobody does LGBTQ people more harm than their own activists. The same as most causes these days. You've now got this 'LGB without the T' movement going because of all the clearly mentally ill blokes sticking a wig on and signing up as lesbians on dating sites