depends where you are, and if your seeing a gender therapist. I live in rhode island and I am going to a gender therapist, when I called I just said I wanted to talk to her about gender issues. She was really nice on the phone and when I went for my appointment, she was like so whats going on. I kind of sat there and didnt know what to say, so she just asked me basic questions, like any health issues, how have you been feeling, you on any medication and then I finally just blurted it out to her and she was like ok and calls me Ryan during sessions. Basically, she wanted to know my plans for the future, like what I wanted, hormones, surgery, if i'm involved with the lbgt community. Basically that first meeting, she said whenever I am ready, she will refer me to a doctor to start hormones. She basically had to see I was sane and this is what I want. Going in, I knew what i wanted and i already wear guy clothes and my hair is cut short, so I talked to her about that. It all depends on the therapist and where you are I believe. I still do not have my T letter, because I know myself, I am not ready to start T right now (hoping to by the summer, but I want to meet with her a few more times). She is also helping my mom understand transgender, because my mom thinks I'm talking crazy, but the therapist can also help explain stuff to your parents or family. Hope this helped a little. If you have any other questions, feel free to message me.
