Hi, I am also from the San Diego area. When I was first coming to terms with being transgender I called the San Diego LGBT center, and they gave me the number to a small mental health facility that offers therapy to LGBT people. They are very trans friendly, and I do believe they can help you with your other concerns. They helped me with my social phobia. For the life of me I cannot remember the number directly to them, but I happen to be going through that area tonight, so I will try to remember to get the address. When I was going there, they worked with me for being low income, so if you don't have insurance, you might want to look into them.
Also, if you are thinking of HRT the Tuesday night clinic at North Park Family health center can help with that. They will also work with you if you are low income. And the doctors are awesome. 619-876-4462
Good luck.