Except when they want to chat with more than one person at once. Telegram does not have any support for encrypted group conversations.
Otherwise a good read. Telegram is not a bad app, but it does not suit my threat model. I'm willing to forgo cloud backups and some usability to have default encryption for all my conversations, which I think is something Signal provides. None of these apps are perfect, it comes down to what combination of trade-offs works best for you.