Author Topic: How long until the therapist hand me a letter?  (Read 240 times)

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Offline Vicente

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How long until the therapist hand me a letter?
« on: March 15, 2020, 05:26:25 am »
Hi everyone!

I got an appointment with a general practitioner and will ask for other specialists  (endocrinologist and psychologist included), this appointment will take nearly two months. My country do have a hospital specialized in trans care so probably I'll end up being taken there (it's a little far from where I live but it's doable). The health system is a bit precarious but "free" (we have one of the highest taxes around the world).

I was wondering, if I'm taken to a gender therapist, how long it will take until I get a letter to start HRT? Is it likely they will put it on halt until I move out my house since I live with transphobic family or they will give me the letter and I'll do as I see fit? (For the record, I don't think my family would physically assault me but they would be very vocal and that would deteriorate my mental health even further and then I would be at risk).

Things are slowly but surely getting into place and I'm a bit lost haha.

Offline Devlyn

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Re: How long until the therapist hand me a letter?
« Reply #1 on: March 15, 2020, 06:06:45 am »
There is no clear cut answer to this question. Some people need a lot of therapy to figure out who they are and what they want. Others are given a minimal evaluation. I didn't require a letter for HRT because my state has informed consent clinics. I showed up for my first appointment already socially transitioned (living full-time, name change on all documents). My two surgery letters were each given after a 45 minute session with a therapist first and a psychiatrist second. I had them the next day on both cases.
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Offline ChrissyRyan

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Re: How long until the therapist hand me a letter?
« Reply #2 on: March 15, 2020, 08:09:44 am »
Hi everyone!

I got an appointment with a general practitioner and will ask for other specialists  (endocrinologist and psychologist included), this appointment will take nearly two months. My country do have a hospital specialized in trans care so probably I'll end up being taken there (it's a little far from where I live but it's doable). The health system is a bit precarious but "free" (we have one of the highest taxes around the world).

I was wondering, if I'm taken to a gender therapist, how long it will take until I get a letter to start HRT? Is it likely they will put it on halt until I move out my house since I live with transphobic family or they will give me the letter and I'll do as I see fit? (For the record, I don't think my family would physically assault me but they would be very vocal and that would deteriorate my mental health even further and then I would be at risk).

Things are slowly but surely getting into place and I'm a bit lost haha.

The timeframe from your initial session to your letter varies a lot. As @Devlyn mentioned, sometimes a letter to obtain HRT is not necessary.  It does not hurt to have one, and the HRT letter does not necessarily need to be addressed to a specific medical provider, so you can pick or change your physician for medically supervised HRT even after acquiring your letter.

Sometimes a therapist requires multiple sessions.  Sometimes you can get one as early as very soon after your first gender therapy session.  I think it depends on the therapist’s standards and policies and specifically how your overall well being and transitioning mindset and readiness is, as interpreted by your therapist.  You may be well advised to have additional mandatory therapy before taking this big step of HRT.

Your therapist should make sure that your realize what you will be getting into throughout your transitioning, the reveal or outing process, if you have a significant other and how that person is impacted, if can you afford transitioning, the impacts on you at your job or school, and other ways how your life will change.  That is an oversimplification, of course, and there will be much more possibly talked about.

As @Devlyn said, she was far into the transitioning process before asking for an HRT letter.  That also has an impact on timeframes, it makes sense that it would.

I wish you the best.  By the way, a two month wait is not that long.  I realize that many would rather have an appointment within a week or two.  Time will pass, be patient.  :)

Hugs,

Chrissy
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