I have a doctor's appointment scheduled soon, and I really want to talk to him about the dysphoria that I've been feeling lately, but I'm also incredibly nervous. I live in a very religious, bigoted, small town and there is only one out trans person that's managed to stay here. I don't really know what to expect from the appointment - what he'll say, if he'll believe me, if he'll suggest I go see a therapist before he prescribes me anything.
I'm also not sure if I should come out and start presenting more masculine before I speak to the doctor about physical transition, or if I should talk to him about it so that I have a more practical understanding of what my transition will be like. Any advice?