If your therapist is versed in gender dysphoria,they can be very helpful in coming to a decision. I delayed my decision about 40 years due to trying to fit. I became even more angry, more depressed, as time went on I became more and more introverted. To the point of being socially retarded. By my third therapy session the Therapist was asking if I want to start HRT. I thought about it for thirty seconds to consider. I didn't think it was possible due to medical conditions. In fact I went in to see if I could get my anti depressants changed to something stronger. I have to say the HRT,in two and a half months has made such a change in my ability to cope. No more anger, no more sarchasm, no more putting everyone down. I am more measured in my comments, actually taking into account the other persons feelings. Most noticeably, my wife. No more weight from keeping a secret. Looking for a single word description for how I feel, I decided 'serene' fit the bill. Donald Trump would do well to go on HRT.