I had to see a therapist for a few weeks in order for my doctor to give me T (even though she ended up prescribing it without even talking to my therapist, guess I really didn't even need to go). I just told them straight up I was only there for the T. I didn't actually have any issues to discuss, and so most of my appointments ended up being shorter than normal (one was only 25 minutes long 'cuz my therapist ran out of things to even ask me about). Once I got my script, I never even called the therapist back. Maybe sounds a little rude, but I told them I don't do therapy, and the few weeks I did go I felt even more horrible about myself just having to talk about my situation (with a stranger, no less).
I hope my surgeon doesn't have an issue with that, because I'm not going back and making my mental health worse just because some stranger thinks that it'll help me. I'm scheduling my consultation for next month if I can, so I guess I'll find out then what she thinks. Hopefully the fact that I'm on T (and obviously very committed to my decision, as I have to drive 45mins to my dr office every 2 weeks for shots) makes her feel more comfortable with performing surgery on me. I guess it's all just the surgeon's call. I've seen girls online who simply don't like having boobs get top surgery, so hopefully in this day and age, someone like yourself who's been to therapy and dedicated to starting transition won't have too many problems.