When I started therapy as part of taking on the Trans-Beast for real, transitioning was the last thing on my mind. Been there tried it twice in my early 20's. At the time I was living in rural West Virginia. I wound up seeing a therapist in rural western MD some 90 miles where I had found a TG support group. A therapist there was a "friendly", who was at several group meetings as well as having been somewhat "Trained" by several of the group members he had as clients. So not a total newbie but not a for real gender therapist. The closest one of them was another 90 miles away in either DC, Baltimore, or Pittsburgh. Plus... Like why do I want a Gender Therapist if I wasn't planning on transitioning? I had tons of baggage that I needed to shed and a therapist who had some idea of the sort of baggage would be a great help.
Several years later, my wife's and I prayers were answered and I got a fun job back where I once worked before. Most importantly, back in the NYC metro area where she was still living. Or, as she came to call it "Trans-Central". After a few months I worked up the courage to start researching and making phone calls to find, this time, a for real gender therapist. By then, after having had the luxury to, I was living part-time as female and on HRT. So, transitioning was definitely no longer off the table.
The same old ton of baggage stuff, plus now some new issues between my wife and I "Settling in". Though she is accepting, she was supportive to a point. Her physical and oft times emotional condition making any major, perhaps minor upsets to the previous norm a big fear factor for me, as well as for her. My biggest fear was and still is slipping back into "The Old Me", that lifeless soulless thing I grew into.
Has she been better? Well, I am still waking up on the sunny side of the grass. I am having far fewer dysphoria attacks and/or "WTF am I doing???" meltdowns. Very few days I see that "Sad Old Man" looking back at me in the mirror. Is she better then just a better therapist then my last one would be? Hard to say. I can try using the "Cis people just don't truly get it" argument, however she is smart, experienced with lots of various trans clients, and insightful. Not as challenging or argumentative as I sometimes think I need, but that may be the old me thinking. Would an actual trans therapist be better? Or, just too much of a cheering squad? Don't know, never had one, and on my To-Don't list is a full social transition right now. Too risky for myself, the person I am, and "The Us" of my wife and I.