I've been going back and forth about coming out to my therapist. Let me give you some back story here. I live in a small, extremely conservative, town in Georgia. Since I am redefining the poverty line, and can only qualify for the very basic mental health (which, thankfully, is free) I was concerned that my therapist would not want to provide service for me anymore.
However, that wasn't the case. I'd been mentioning, obliquely, that I was considering a Big Change in my life and my depression stemmed from a much deeper cause, but I wasn't willing to discuss it with him until I knew I was comfortable and he wasn't going to show me the door with his boot print on my posterior.
Today, I mentioned that there are two paths I can take for the rest of my life. One I described as the sure path. This is the safe route; the route where I do not transition. The other I described as the "rolling the dice road."
He sat back after I finished describing all that and flat out asked me if I was thinking of getting a sex change. (I deplore the term, but, given my expectations, I will forgive the crudeness. I personally prefer the term "gender confirmation surgery," myself).
I didn't hesitate to say yes. The rest of the conversation was about making sure I understood the risks, the procedure, and what the requirements are. (All of which I already knew, but it was nice to discuss it with someone in a therapeutic setting).
He was very accepting and even revealed that two other women here in town are TS (one post-op), so there might be the possibility of a support group in the area.

He is going to check with the other counselor to see if she has any direct experience with TS/TG folk and talk with the doctor about hormones.
Felt like sharing. If I didn't, I think I'd bust!