How many sessions are typically required for a letter

[Devlyn]

I went through the VA and got a letter with 1 session, and prescribed hormones the following week ( already had an endo appointment). I was already in the system with endo and psych for servive connected issues, so i was not completely new to them. Psych mainly made sure i understood that hrt can cause permanent changes, and i had realistic expectations.

<checks clipboard> You better get your behind over to Roll Call! right now! 

Hugs, Devlyn

[Jacqueline]

My first therapist appointment was on May 19th at a clinic that specializes in transgender issues. I was stunned when, at the end of that first session, she agreed to write the letter.

I haven't yet asked what convinced her to go that quickly. It's possible that having my supportive wife along helped. I'd also made it a point that every stitch of clothing I wore came from the women's department, even though I'd never presented in public before. It was all pretty androgynous. Jeans, white button down top, cotton camisole that looked like a regular undershirt, white tennis shoes, a small silver necklace - and I've had a long pony tail for 20 years which I loosened up a little. That's it.

It seemed like she did most of the talking, but my wife and I must have said the right things, because on June 14th we met with the in-house endocrinologist (who is herself a transwoman), and she transmitted the scripts while we were there. I started HRT on June 21st, the first day of summer.

I think it helps to go to someone experienced with trans issues. After all the people she's seen, she can apparently tell very quickly when someone is ready. In many cases, I suspect it's the insurance companies, not the therapists, that impose the limitations.

Stephanie

Stephanie,

Welcome to the site. That must have been gratifying to have a pro support your thoughts so quickly.

Mine took a bit of time. Mostly, I thought I was a cross dresser. When  I made my breakthrough and accepted it, she brought it up first after 2-3 months. After 6 with a bit of time from cancelled appointments or forgotten items, I got my letter.

Back to Steph.

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