Teri
Typically if you proceed to MTF HRT, you get two things to start. An anti-androgen to knock down or eliminate the testosterone producing and then estrogen.
I just started a little over two weeks ago. We are not allowed to talk about doses here but I am on some of the lowest doses. However, already I have found a drop in anxiety and better moods. I can sleep better than I ever have. I still have bad days but depression and the extremes are lessened. Although as I understand it, I can expect mood swings for the next 3 months at least(kind of like going through puberty-funny that...)
However, there are two things to bear in mind. First is that everyone's experience is different. Dosage needs and reactions to particular prescriptions. Second is that there are changes to sexual secondary features that will not go away once that has started.
I know it didn't answer your question. I can only give my experience and perspective. All stuff to mull over alone and with a therapist and probably a doctor.
Good luck,
Joanna