My first therapist sucked, he was always trying to compare my life to his and would spend half the session talking about himself and his mother, bleh. Then while I was inpatient I guess the guy was ok, but was involved with so many patients it never felt very personal. After I got out of the hospital I got a new full time therapist who was the first one I actually told I was feeling trans and he basically said he had no idea how to treat that.... Finally got to my new therapist last week and made sure she knew transgender patients and their issues. She was so great and understanding and was the first time I kind of enjoyed therapy, and she even brought up "the letter" before me saying it would take a few more sessions but I seemed in need of HRT.