Well he may not have experience with trans people, as many others have said. I went to a therapist who primarily works with transgendered people everyday, but as soon as I got my letter my parents were nope, no more of that therapist. So basically I have to see this therapist who doesn't know anything about the LGBTQ community or the WPATH standards of care, so each session we talk and I slowly have been teaching him about what it means to be trans so that if he get's another person, he can work with them easier. One of the things I am not sure about is that when it comes to surgeries, mainly SRS, I know you have to have two therapists write a letter for you, but what I don't know is if just any therapist you see can do that if they have documented your 1 year IRL experience. I hope it could work that way because if not, I've been slowly putting days out there where I do IRL, and it's becoming almost a daily thing now, but I'm not sure what I'll do because the nearest therapist who could write a letter, or is willing to, would be all the way in orlando for me, which means an hour drive. But anyways, I would try say look up resources to help your therapist understand