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Limited therapy coverage and timing angst.

Started by Miki, March 08, 2012, 11:34:34 AM

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Miki

I've just started seeing my therapist, after years of hand-wringing and false-starts.  It's a good thing after having made a few questionable choices in the past around self-medication and other dangerous (non) judgement calls.  I am 100% resolute in moving forward within the established SOC under the correct supervision.

After my 3rd session with my therapist, she determined what my insurance situation was and now I am wheel-spinning in my head.  After a $100 deductible, which is not a big deal, the sessions scale from a 10% co-pay for the first 10 sessions to a 50% co-pay for the next 10 sessions, with the maximum amount of sessions covered being 20 for an entire calendar year.  20..total..for a whole year.

Not sure how anyone is supposed to establish a good relationship with a therapist and suss out any mitigating issues around transitioning in 20 sessions.

This is especially worrying to me as she's recently suggested that we try to meet twice a week, when at all possible.  I have total faith and trust that she's being up-front and not treating me like a revenue source.  She's the first therapist I've found that I feel comfortable with and that isn't treating me like a case study for a yet to be written book.

So now I am juggling this conflict between a renewed sense of urgency due to the "insurance clock" ticking down and my established goal of transitioning this year.  There's no way I can afford 2 sessions a week out of pocket, and it is doubtful I am going to get the HRT recommendation I need if we burn through 20 sessions in 2 1/2 months.  That's just not enough time for an honest, non-checkbox recommendation and I am not going to even hint to her that she skimp on her ethics here.

At a loss here and it feels like that cliche "one step forward, two steps back" routine x20 and I am not sure how to reconcile that internally.   Meh.

Past venting, I guess my question is this:  Has anyone else been faced with a similar situation? 

-Miki
"Be who you are and say what you feel, because those who mind don't matter and those who matter don't mind."
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lilacwoman

I transitioned totally by myself after just one long session with the UK's best professional in TS matters so I have to say if you are still uncertain about transitioning you need to try living the life rather than spending time and money talking about it.
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Stephe

I went for 3 sessions with a therapist for my HRT letter which was easily 2 sessions too many. I would hope a therapist would be able to weed out the people with serious mental problems rather easily. I have no idea what it would take to get a surgery letter but I would hope after years of living full time it wouldn't take a lot of convincing I am a candidate for it.
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