Lots of great replies; thanks ladies & guys! When i left her office yesterday I was in full blown panic mode; I've since had a good nights sleep and have calmed down and have come in off of the ledge. I've also had some time to think about what she said and what you all have said and it's all good advice.
Arch - From where I sit today, i'm classic bigender with gender switches based on the context of whatever situation i'm in. However, lately it's taken on a bit of a nasty edge that has me thinking that there is more going on with me. A bigender person is kind of like a genderqueer person in that there is no "end" such as SRS, we just have to learn to live with the flip-flopping, although some kind of transition is certainly possible. You are correct in that i'm definitely evolving.... where i'm going i'm not yet quite sure of.
Skye-Blue - i kind of put the therapist on the spot by asking where she saw me heading in the future given my past, and what I heard her say (but not in these exact words) was that i'd be transitioning or dead in 5 years. It's just her opinion based on her experience with trans people and not a verdict; that's what I asked her for and i'm ok with that even if it did set me back on the couch at the time. I would rather her be frank than have her beat around the bushes. Trying to figure out what road i am on was one of the primary reasons I wanted to go to see a therapist.
Heather - I absolutely agree; a single 50 minute session is just getting acquainted and we've got a lot more road to go down together to try to arrive at a treatment plan that works for me. Altogether I think it was a good experience and i learned a lot of things about myself, some of which I didn't really want to know.
Cindy - a bigender person "flips" between two genders based on the context of the situation that they are in. There is no bell or buzzer that goes off when this happens but my thought patterns change and that's one of the ways that I know that i've switched. Most bigender people cannot control where or when they switch, and i can tell you that sitting in a high powered business meeting with a bunch of alpha males thinking about painting my toenails because i've suddenly switched into girl mode is somewhat disconcerting LOL.....
From reading countless threads here i've come to the same point of thought that you have - you can keep denying it but that doesn't work long term. She gave me a path but i'm not yet convinced that's the right path for me and we are going to chat more about it at our next meeting. I guess that i'm open to where i might be going and if it's inevitable then it will be what it will be. But i also think that transgender people come in all flavors and what may be the right path for most transgender persons not be the right path for me at this time.
JoanneB - My situation is clearly progressing to somewhere; 5 years ago I was blissfully unaware of what transgender meant and 5 years later i'm on hormones, have more heels than my wife does, and have gone out en femme. I saw this progression and I wanted to see a therapist to get a better understanding of whats going on in my head, and where she sees me heading in the future.
About two years ago I was hit with 3 different waves of incredible dysphoria over a period of about 4 months; each time i heard a loud voice in my head that told me "you're a girl" and it went on and on. I was in a full blown switch into girl mode and was thinking that it was time to chunk my 24 year marriage and look into SRS. A few days I was back in boy mode and was wondering what the hell had just happened to me. Those 3 episodes scared the crap out of me, and that's when I found out about low dose HRT and began taking estrogen. Low dose HRT stopped the voice and stopped the dangerous impulses, my gender switching is now more like a gentle breeze than a hurricane. I have been unable to see a therapist until now for various reasons (primarily money & time) and I wanted to get her take on my past 5 years to see where this was leading me. After sleeping on what she said I've decided that she may well be right and we will just have to see what the future holds for me. Like you said preparation for whatever may happen is key, and i laid the foundation for that with my wife yesterday. i haven't had a chance yet to find out what shes thinking today; hopefully she slept on it too and it does not look as dire as it did yesterday.
Thanks again ladies & guys! Your insights have been more than helpful.