My therapist is Dr David Bloodgood in Orlando. Here is my experience with him.
I came in on an HRT referal based on an internet hit. I was a complete wreck consumed with fear, and ready to give up everything just to get hormones. The dysphoria had hit critical mass.
David was able to get me out of the fear, out of the closet with my wife (how nice to have a real dresser in the bedroom instead of a hidden place somewhere else for 25 years). She and my kids had absolutely no idea that I was trans. And the fear was hitting critical mass.
David helped me navigate those very dangerous waters and was crucial in saving my marriage. He also was able to get me through my self deception and find out where my core is - who I really am, where I see myself transgender, in an honest way. Not wise to begin hormones self decieved. Now all of the dishonesty is out of my life, and although it took a long time for me to tell my wife everything, in the time needed for acceptance it has all come out, the hormones, being transexual, DES, my love for her, everything.
He is able to integrate my religeous needs so that there is no opposition in therapy. In other words he respects my very strong Christianity. My relationship to Christ is paramount.
Once it was safe for me mentally to begin estrogen a very accurate hormone letter was written, after a rather lengthy discussion with my excellent doc - Dr Faber in Orlando does HRT and is very sensitive to our special needs.
I have no regrets, I still see David to drive deeper on many levels, I know he would write the SRS letter if I asked him too (don't need it though in my case. It isn't the right time for me yet, not for a long time.) I have learned much and living without fear and deception is priceless. And when fear does come up - due to a long history of childhood mental abuse, and some fear associated with transitioning and loved ones - he helps me get through it.
I am a very happy transwoman, living steath because it fits my professional and family needs, and letting my hair down when I can, but always knowing I am a fulfilled transwoman under whatever presentation I choose in order to meet the needs of others in social settings. And that is my choice, it may not be yours, and he could take you through whatever scenario you might have, safely.
Finally, the chances of me detransitioning are zero. I have that much comfort in the choices I have made.
My case is difficult it is not the typical womans soul trapped in a mans body. There is a lot of male in me still mentally at the higher motivation levels, I race professionally for example, my mind although not fully male is not fully female either, although my body's wiring and responses and needs are entirely female. He had the wisdom to see through it all, and I am deeply grateful for the results, the hormones, a body and integrated personality that I can finally smile at and say "I love you" to in the mirror (I NEVER could do that before transition).
So this is my experience with Dr David Bloodgood.